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- W2012001490 abstract "Recently, the safety of intravascular ultrasound (IVUS) guided stent implantation without subsequent anticoagulation has been established in 623 consecutive patients. The total incidence of stent thrombosis (<3 weeks) and bleeding complications is <1%. This new method (N) generally requires 2 days hospital stay. The traditional method (T) requires 7 days hospital stay to stabilize the anticoagulation regimen after stenting. Hospital charge for the (T) and (N) method was retrospectively analyzed for single Palmaz-Schatz coronary stent implantation. 20 consecutive patients with (T) before Jan 1, 1993 and 20 consecutive patient after Jan 1, 1994 with (N) were compared. Patient age, gender, procedure time, procedure cost, hospitalization duration (days), total charge (procedure, hospital and physician) and stent thrombosis (<1 month) were compared.Stenting MethodTraditionalNewP valueAge (Year)58 ± 755 ± 70.44Male (%)19 (95%)16 (80%)0.18Procedure Time (hr)1.5 ± 0.51.3 ± 040.19Procedure Cost ($)8.513 ± 1.2609.646 ± 3.1290.18Total Charge ($)14.306 ± 2.49411.733 ± 3.8880.03Hospitalization (days)8 ± 22 ± 20.0001Subacute Thrombosis00ns The new method: (1) may increase the procedure cost because IVUS and, sometimes, an extra balloon were required to optimize stent expansion. (2) provided a significant reduction in the duration of hospitalization. 3) decreases hospital stay and eliminates the expense of monitoring for anticoagulation resulting in a significant reduction in total charges to the patient." @default.
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- W2012001490 date "1995-02-01" @default.
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- W2012001490 title "951-71 A Cost Analysis of Intravascular Ultrasound Guided Coronary Stenting without Anticoagulation vs. the Traditional Method of Stenting with Anticoagulation" @default.
- W2012001490 doi "https://doi.org/10.1016/0735-1097(95)92275-a" @default.
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