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- W2091260581 abstract "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.Empty CellPB (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 P < 0.002 P < 0.05 P < 0.05 P < 0.005 Thus, PB and Swere equally successful forthe treatment of acute or threatened closure, with no significant difference in 3-month event-free survival. S reclosure resulted in significantly higher mortality and costs due to longer hospitalization, more repeat angiography and PTCA." @default.
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- W2091260581 date "1995-02-01" @default.
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- W2091260581 title "720-5 Perfusion Balloon versus Stent for Acute or Threatened Closure: Equal Efficacy but Higher Mortality and Costs After Stenting" @default.
- W2091260581 doi "https://doi.org/10.1016/0735-1097(95)91966-2" @default.
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