Abstract:
AIM:The incremental cost of peripheral orbital atherectomy system (OAS) plus balloon angioplasty (BA) versus BA-only for critical limb ischemia was estimated. MATERIALS & METHODS:A deterministic simulation model used clinical and healthcare utilization data from the CALCIUM 360° trial and current cost data. Incremental cost of OAS + BA versus BA-only included differential utilization during the procedure and adverse-event costs at 3, 6 and 12-months. RESULTS:For every 100 procedures, incremental annual costs to the hospital were US$350,930 lower with OAS + BA compared with BA-only. Despite higher upfront costs, savings were realized due to reduced need for revascularization, amputation and end-of-life care over 6-12-month postoperative period. CONCLUSION:Atherectomy with OAS prior to BA was associated with cost savings to the hospital.
journal_name
J Comp Eff Resjournal_title
Journal of comparative effectiveness researchauthors
Shammas NW,Boyes CW,Palli SR,Rizzo JA,Martinsen BJ,Kotlarz H,Mustapha JAdoi
10.2217/cer-2017-0070subject
Has Abstractpub_date
2018-04-01 00:00:00pages
305-317issue
4eissn
2042-6305issn
2042-6313journal_volume
7pub_type
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