Growth and Change in Peripheral Vascular Interventions Through the 2000s: Outpatient Atherectomy Trends and Concerns

Abstract

As the population of the United States ages, peripheral artery disease continues to increase in prevalence. In response to the increasing demand for peripheral vascular interventions (PVIs), the Centers of Medicaid and Medicare changed reimbursement patterns in the 2000s that effectively incentivize outpatient interventions. Although this was done to reduce costs, studies have documented a dramatic rise in atherectomy interventions performed in office-based labs (OBLs.) This study aims to characterize trends in peripheral vascular interventions from 2011 to 2018.