The logistics and cost-effectiveness of circulatory support : Advantages of the ABIOMED BVS 5000.
International Conference on Circulatory Support Devices for Severe Cardiac Failure. Houston, TX, USA, 1997/10/03.
In 1994, the ABIOMED BVS 5000 was incorporated into our acute cardiac assist armamentarium.
This report is a general overview of our experience.
A hypothetical cost analysis focusing on specific devices and device-related personnel contrasted the BVS 5000 with our prior model of centrifugal pump use.
In 3 years, 22 patients were supported with the BVS 5000, as a biventricular assist device in 40%, right ventricular assist device in 27%, and left ventricular assist device in 32%. Indications were postcardiotomy support in 12, acute myocarditis in 2, bridge to transplant in 4, and failed heart transplant in 4. The cost analysis was performed retrospectively.
The actual cost of disposable blood pumps, including replacement pumps, and cannulae constituted the BVS cost.
The hypothetical centrifugal costs included the disposables, replacement cones, as well as the labor costs of the continuous perfusionist coverage.
Of the 22 patients, 10 (45%) were weaned and 13 (59%) were successfully discharged.
Five patients were transplanted while on BVS 5000 support, accounting for a higher rate of discharge.
Comparison of « actual » BVS costs with « projected » centrifugal costs revealed differences based upon the intended application of the BVS.
In bridge-to-transplant patients with long duration of support, the daily cost of support was dramatically lower with the BVS 5000. (...)
Mots-clés Pascal : Assistance cardiocirculatoire, Coût, Economie santé, Homme, Ventricule cardiaque, Coeur artificiel, Dispositif, Etude comparative, Pompe centrifuge, Technique, Réanimation cardiocirculatoire
Mots-clés Pascal anglais : Cardiocirculatory support, Costs, Health economy, Human, Heart ventricle, Artificial heart, Device, Comparative study, Centrifugal pump, Technique, Intensive cardiocirculatory care
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Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0472081
Code Inist : 002B27B01. Création : 22/03/2000.