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• W4280613503 abstract "BackgroundThe purpose of this study is to analyze the cost associated with the use of intravascular imaging including Intravascular ultrasound (IVUS) and optical coherence tomography (OCT) in patients undergoing single vessel chronic total occlusion percutaneous coronary intervention (SV CTO PCI).MethodsWe searched the NIS databases from 2016 to 2018 to find admissions with ICD-10 PCS codes for SV PCI. Admissions with ICD code for CTO were identified and cases with STEMI and NSTEMI were excluded to create a subset of 38,680 patients that underwent SV PCI for stable CTO. The cost of hospitalization (CoH) for all SV CTO-PCI were analyzed and compared between cases that underwent imaging with IVUS/OCT and cases that did not utilize these imaging modalities. The analysis between groups was done using the Mann-Whitney U Test. The trend in CoH over 2016 to 2018 was analyzed using the Kruskal Wallis Test.ResultsOf the 1,266,360 hospital admissions for SV PCI 7.04% (89,160) utilized IVUS/OCT and 92.6% (1,133,110) did not. Among them, 38,680 hospital admission were for SV CTO PCI and 8.8% (3,400) utilized IVUS/OCT vs 91.2% (35,280) did not. The median CoH was $24,100 when IVUS/OCT were utilized and $19,073 when they were not (p<0.001). The CoH increased from $22,989 in 2016 to $25,226 in 2018 when IVUS/OCT were utilized (p<0.001). There was also an increase in CoH of SV CTO PCI from $18,783 in 2016 to $19,466 in 2018 when IVUS/OCT were not utilized (p=0.004).ConclusionsDisclosuresA. Maknojia Nothing to disclose. A. Gilani Nothing to disclose. A. Ghatak Nothing to disclose. BackgroundThe purpose of this study is to analyze the cost associated with the use of intravascular imaging including Intravascular ultrasound (IVUS) and optical coherence tomography (OCT) in patients undergoing single vessel chronic total occlusion percutaneous coronary intervention (SV CTO PCI). The purpose of this study is to analyze the cost associated with the use of intravascular imaging including Intravascular ultrasound (IVUS) and optical coherence tomography (OCT) in patients undergoing single vessel chronic total occlusion percutaneous coronary intervention (SV CTO PCI). MethodsWe searched the NIS databases from 2016 to 2018 to find admissions with ICD-10 PCS codes for SV PCI. Admissions with ICD code for CTO were identified and cases with STEMI and NSTEMI were excluded to create a subset of 38,680 patients that underwent SV PCI for stable CTO. The cost of hospitalization (CoH) for all SV CTO-PCI were analyzed and compared between cases that underwent imaging with IVUS/OCT and cases that did not utilize these imaging modalities. The analysis between groups was done using the Mann-Whitney U Test. The trend in CoH over 2016 to 2018 was analyzed using the Kruskal Wallis Test. We searched the NIS databases from 2016 to 2018 to find admissions with ICD-10 PCS codes for SV PCI. Admissions with ICD code for CTO were identified and cases with STEMI and NSTEMI were excluded to create a subset of 38,680 patients that underwent SV PCI for stable CTO. The cost of hospitalization (CoH) for all SV CTO-PCI were analyzed and compared between cases that underwent imaging with IVUS/OCT and cases that did not utilize these imaging modalities. The analysis between groups was done using the Mann-Whitney U Test. The trend in CoH over 2016 to 2018 was analyzed using the Kruskal Wallis Test. ResultsOf the 1,266,360 hospital admissions for SV PCI 7.04% (89,160) utilized IVUS/OCT and 92.6% (1,133,110) did not. Among them, 38,680 hospital admission were for SV CTO PCI and 8.8% (3,400) utilized IVUS/OCT vs 91.2% (35,280) did not. The median CoH was $24,100 when IVUS/OCT were utilized and $19,073 when they were not (p<0.001). The CoH increased from $22,989 in 2016 to $25,226 in 2018 when IVUS/OCT were utilized (p<0.001). There was also an increase in CoH of SV CTO PCI from $18,783 in 2016 to $19,466 in 2018 when IVUS/OCT were not utilized (p=0.004). Of the 1,266,360 hospital admissions for SV PCI 7.04% (89,160) utilized IVUS/OCT and 92.6% (1,133,110) did not. Among them, 38,680 hospital admission were for SV CTO PCI and 8.8% (3,400) utilized IVUS/OCT vs 91.2% (35,280) did not. The median CoH was $24,100 when IVUS/OCT were utilized and $19,073 when they were not (p<0.001). The CoH increased from $22,989 in 2016 to $25,226 in 2018 when IVUS/OCT were utilized (p<0.001). There was also an increase in CoH of SV CTO PCI from $18,783 in 2016 to $19,466 in 2018 when IVUS/OCT were not utilized (p=0.004). Conclusions DisclosuresA. Maknojia Nothing to disclose. A. Gilani Nothing to disclose. A. Ghatak Nothing to disclose. A. Maknojia Nothing to disclose. A. Gilani Nothing to disclose. A. Ghatak Nothing to disclose." @default.
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• W4280613503 date "2022-05-01" @default.
• W4280613503 modified "2023-09-30" @default.
• W4280613503 title "E-22 | Comparison of Cost of Hospitalization Between Use of Intravascular Imaging and No Imaging for Single Vessel Chronic Total Occlusion Percutaneous Coronary Intervention" @default.
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