| Autor: |
de Muinck, Ebo D., den Heijer, Peter, Peels, Hans-Otto, Boven, Ad van, Hillege, Hans L. |
| Zdroj: |
Journal of the American College of Cardiology; February 1995, Vol. 25 Issue: 2, Number 2 Supplement 1 p123A-123A, 1p |
| Abstrakt: |
Treatment of acute or threatened closure during PTCA with a Stack perfusion balloon (PB) or Palmaz-Schatz stent (S) was compared regarding: success (stenosis<50%, TI.M.1. 3 flow and no in-hospital reclosure or restenosis), 3-rnonth event-free survival, and cost of the intervention based on the total duration of hospitalization, and the number of repeat interventions in hospital and during 3-month follow-up. During 3674 PTCA procedures 75 patients were treated with a PB and 44 received a S for acute or threatened closure. There were no statistically significant differences regarding: baseline clinical characteristics, lesion morphology pre-PTCA and lesion morphology before PB or S. Costs are: 500 US Dollars for 1 day in hospital. 400 for coronary angiography, 4790 for PTCA, 9160 for bypass surgery. Five patients died after S, 1 after PB (P<0.05). In-hospital reclosure occurred 16 times in 12 patients after S and in 1 patient after PB (P<0.0002). The PB was successful in 54 (72%) patients and the S in 29 (66%) (P n.s.) There was no difference in 3month event-free survival.PB (n=75)S (n=44)Days in hospital (median;range)4 (2-22)*13.5 (1-79)*Repeat angiogram9(12%)†19 (43%)†Repeat PTCA (n)4(5%)‡16(36%)‡Bypass surgery (n)17(28%)12(27%)Cost (median;range)6790 (5790-22450)§11790 (5790-58640)§*P<0.002†P<0.05‡P<0.05§P<0.005 |
| Databáze: |
Supplemental Index |
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