{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T04:44:03Z","timestamp":1782708243513,"version":"3.54.5"},"reference-count":19,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T00:00:00Z","timestamp":1775779200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Vasc Endovascular Surg"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The purpose of this study is to investigate the influence of practice location on the type of femoral-popliteal endovascular arterial intervention performed in the Medicare population. Additionally, the study investigates the distribution of each intervention type among the primary subspecialty stakeholders in endovascular lower extremity care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective analysis of claims data from the Centers for Medicare and Medicaid Services (CMS) Physician\/Supplier Procedure Summary files for each year between 2011 and 2022 was performed. Physicians were divided into four categories: radiologists, cardiologists, vascular surgeons, or others. Claims data were collected for all Current Procedural Terminology (CPT) codes corresponding to endovascular therapy in the femoral-popliteal arterial segment. These CPT codes include interventions such as angioplasty alone, atherectomy with or without angioplasty, stent placement with or without angioplasty, and atherectomy combined with stent placement. Chi-squared testing was used for univariable comparisons.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 292\u2009453 femoral-popliteal segment procedures were included in the study. 16.7% (\n                      <jats:italic toggle=\"yes\">N<\/jats:italic>\n                      = 48\u2009705) of procedures were performed in an Office-based Laboratory or stand-alone outpatient ambulatory surgical centers (OBL) setting, while 83.3% (\n                      <jats:italic toggle=\"yes\">N<\/jats:italic>\n                      = 243\u2009401) took place in a hospital-based setting. Cardiologists performed 31.8% (\n                      <jats:italic toggle=\"yes\">N<\/jats:italic>\n                      = 92\u2009969), interventional radiologists 16.8% (\n                      <jats:italic toggle=\"yes\">N<\/jats:italic>\n                      = 49\u2009200), other specialties 4% (\n                      <jats:italic toggle=\"yes\">N<\/jats:italic>\n                      = 11\u2009730), and vascular surgeons 48.7% (\n                      <jats:italic toggle=\"yes\">N<\/jats:italic>\n                      = 142\u2009480) of all CMS-insured femoral-popliteal segment endovascular interventions during the study period. By 2016, atherectomy-based procedures surpassed angioplasty and stent-alone procedures within the CMS population. Cardiologists performed the highest number of atherectomy procedures, with or without stenting, in the femoral-popliteal segment (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001). However, the overall rate of atherectomy performed by cardiology compared to other subdisciplines was within 3 percentage points and not significantly different. Vascular surgeons performed atherectomy at the lowest rate, but within 4% of cardiologists. Atherectomy procedures were performed nearly twice as often in outpatient-based facilities compared to hospital-based facilities (57.3% vs 31.6%, OR 1.81,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .0001). Vascular surgery (44.2%) and cardiology (29.2%) performed the most OBL-based cases, while interventional radiology accounted for 20.0% and other specialties 6.6% (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>There was a substantial increase in the use of atherectomy in the femoral-popliteal segment in the OBL setting for the CMS population between 2011 and 2022. The rate of atherectomy use is nearly two-fold higher in the OBL setting compared to hospital-based facilities.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15385744261441993","type":"journal-article","created":{"date-parts":[[2026,4,11]],"date-time":"2026-04-11T06:53:03Z","timestamp":1775890383000},"page":"510-516","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["The Influence of Procedure Setting on Femoral-Popliteal Endovascular Arterial Intervention Practice Patterns in the Medicare Population"],"prefix":"10.1177","volume":"60","author":[{"given":"Vamsi","family":"Potluri","sequence":"first","affiliation":[{"name":"Loyola University Chicago, Loyola University Health System"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paula","family":"Pinto Rodriguez","sequence":"additional","affiliation":[{"name":"Loyola University Chicago, Loyola University Health System"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Yuan","sequence":"additional","affiliation":[{"name":"Loyola University Chicago"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haroon","family":"Dossani","sequence":"additional","affiliation":[{"name":"University of Texas Medical Branch"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shaunak","family":"Patel","sequence":"additional","affiliation":[{"name":"University of Texas Medical Branch"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mihir","family":"Patel","sequence":"additional","affiliation":[{"name":"Loyola University Chicago"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khuong","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Jefferson Einstein Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael B.","family":"Silva","sequence":"additional","affiliation":[{"name":"University of Texas Medical Branch"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4395-9791","authenticated-orcid":false,"given":"Matthew","family":"Blecha","sequence":"additional","affiliation":[{"name":"Loyola University Chicago, Loyola University Health 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