Cost analysis of current therapies for limited coronary artery revascularization.
Council on Cardio-Thoracic and Vascular Surgery, American Heart Association, Scientific Sessions. New Orleans, LA, USA, 1996/11/10.
Background Single or double (limited) coronary artery revascularization using percutaneous transluminal coronary angioplasty (PTCA) and coronary artery bypass (CAB) surgery has recently been enhanced with further innovation in intracoronary stenting and the emergence of minimally invasive direct coronary artery bypass (MIDCAB) grafting.
Resource allocation for all modalities is directly dependent on hospitalization costs, length of stay, and clinical results.
Methods and Results Four groups of 25 consecutive patients over 9 months at a single center received either PTCA, stenting, MIDCAB, or conventional CAB for single-vessel coronary disease, primarily of the left anterior descending circulation.
Day, supply, and procedural charges were evaluated, along with the total hospital charge.
Postprocedural length of stay was calculated and compared with a national database.
MIDCAB surgery day charges were less than stenting but greater than PTCA, MIDCAB supply charges were the least of all groups, and MIDCAB procedural charges were less than for conventional CAB.
Total charges for MIDCAB grafting were less than for stenting but greater than for PTCA.
Postprocedural length of stay for MIDCAB patients was equivalent to PTCA patients and significantly less than for stenting or for conventional CAB.
Conclusions MIDCAB grafting provides a new surgical approach that is comparable in charges to catheter-based interventions. (...)
Mots-clés Pascal : Cardiopathie coronaire, Homme, Revascularisation, Dérivation, Aortocoronaire, Greffe, Dilatation instrumentale, Sonde ballonnet, Artère coronaire, Stent, Endoprothèse, Voie abord, Coût, Economie santé, Etude comparative, Technique, Traitement, Appareil circulatoire pathologie, Chirurgie, Traitement instrumental
Mots-clés Pascal anglais : Coronary heart disease, Human, Revascularization, Bypass, Aortocoronary, Graft, Instrumental dilatation, Cuffed tube, Coronary artery, Stent, Endoprosthesis, Surgical approach, Costs, Health economy, Comparative study, Technique, Treatment, Cardiovascular disease, Surgery, Instrumentation therapy
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Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0056059
Code Inist : 002B12A03. Création : 14/05/1998.