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  1. Cost and efficacy of surgical ligation versus transcatheter coil occlusion of patent ductus arteriosus. Discussion.

    Article, Communication - En anglais

    Annual Meeting of The American Association for Thoracic Surgery. San Diego, Calif, (USA), 1996/04/28.

    Objective 

    The purpose of this study was to compare cost and efficacy of surgical closure of patent ductus arteriosus using new critical pathway methods with outpatient transcatheter coil occlusion of patent ductus arteriosus.

    Methods 

    Surgical techniques included a transaxillary, muscle-sparing thoracotomy, triple ligation of the patent ductus arteriosus, no chest tube, and discharge from the hospital within 24 hours.

    Transcatheter coil occlusion of patent ductus arteriosus was done as an outpatient procedure.

    Costs were compared with inclusion of all hospital and professional charges.

    Results 

    From July 1994 until March 1996,20 patients underwent coil occlusion of patent ductus arteriosus and 20 patients underwent surgical closure of patent ductus arteriosus.

    Duration of hospitalization was significantly less for the patients receiving coil occlusion (11 ± 6 hours) as compared with that for the patients having surgical ligation (28 ± 7 hours, p<0.05).

    Total charges were similar for surgical ligation ($7101 ± $408) as compared with those for coil occlusion ($7104 ± $886, p>0.05).

    Morbidity in coil occlusion included inability to occlude the patent ductus arteriosus in two patients (2/20,10%) and residual patency in two patients (2/18,11%). (...)

    Mots-clés Pascal : Canal artériel, Perméabilité, Chirurgie, Ligature, Oblitération instrumentale, Cathéter, Analyse coût efficacité, Economie santé, Cardiopathie, Congénital, Etude comparative, Traitement, Technique, Homme, Appareil circulatoire pathologie, Traitement instrumental, Maladie congénitale

    Mots-clés Pascal anglais : Ductus arteriosus, Permeability, Surgery, Ligature, Instrumental obliteration, Catheter, Cost efficiency analysis, Health economy, Heart disease, Congenital, Comparative study, Treatment, Technique, Human, Cardiovascular disease, Instrumentation therapy, Congenital disease

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0076032

    Code Inist : 002B12A08. Création : 21/05/1997.