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Fame comes at a cost: a Canadian analysis of procedural costs in use of pressure wire to guide multivessel percutaneous coronary intervention.
- Source :
-
The Canadian journal of cardiology [Can J Cardiol] 2011 Mar-Apr; Vol. 27 (2), pp. 262.e1-2. - Publication Year :
- 2011
-
Abstract
- The FAME-study authors claimed that fractional flow reserve (FFR)-guided multivessel percutaneous coronary intervention (PCI) achieved superior clinical outcome and lower cost compared with no FFR. However, patients were intended to undergo multivessel PCI with drug eluting stents prior to randomization, which tipped the cost-analysis heavily in favour of FFR. We retrospectively evaluated 100 intermediate coronary lesions assessed by FFR, and determined whether to perform PCI based on visual angiographic assessment alone. We found that angiographic-guided treatment underestimated functional significance of intermediate lesions, resulting in fewer implanted stents compared to FFR guidance. This, in addition to the pressure wire cost, increased procedural expenditure 2- to 3-fold when using FFR-guidance.<br /> (Copyright © 2011. Published by Elsevier Inc.)
- Subjects :
- Angioplasty, Balloon, Coronary instrumentation
Canada
Coronary Angiography economics
Coronary Artery Disease diagnosis
Coronary Artery Disease economics
Costs and Cost Analysis
Equipment Design
Humans
Pressure
Angioplasty, Balloon, Coronary economics
Coronary Artery Disease therapy
Fractional Flow Reserve, Myocardial
Health Care Costs
Subjects
Details
- Language :
- English
- ISSN :
- 1916-7075
- Volume :
- 27
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- The Canadian journal of cardiology
- Publication Type :
- Academic Journal
- Accession number :
- 21459275
- Full Text :
- https://doi.org/10.1016/j.cjca.2010.12.019