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• W4377014571 abstract "Cardiac resynchronization pacing therapy (CRT-P) is a commonly employed intervention for patients with dyssynchronous heart failure due to LBBB or right ventricular pacing, and is proven to be of clinical benefit. Data from multiple observational cohort studies have indicated that CRT-P achieved via conduction system pacing (CSP) is either non-inferior or superior to conventional biventricular pacing (BiVP), although randomized controlled studies are lacking. Available data show that CSP achieves a narrower QRS duration, higher left ventricular ejection fraction, and lower incidence of heart failure hospitalizations as compared to BiV pacing. However, there are no data that have compared the procedural cost of implanting a CRT-P device using CSP versus BiVP, and the potential impact on health economics. To compare the billed charges for CRT-P using left bundle area pacing (CSP-LBAP) versus conventional BiVP. We included patients who received de novo implantation of BiVP or CSP for CRT-P indications from 2018 to 2020. Patients who received defibrillators, HOT-CRT-P/LOT-CRT-P and device upgrades were excluded. The cost of antibiotic pouches used during an implant was subtracted from the total billed charge for the procedure. The total billed charges for BiVP and CSP-LBAP procedures were then identified and compared. The cost differential was extrapolated to annual implantation volume at our institution. We selected 20 patients who met inclusion criteria (BiVP 9; CSP-LBBAP 11) as representative cohorts for the two pacing modalities. The average total billed charge for BiVP was $57,203±7,275. The average billed charge for CSP-LBBAP was $39,642±7,583. The difference of $17,561 was statistically significant (p=0.0000286). When extrapolated to the annual implant volume of approximately 35 CRT-P implants per year, CSP would have resulted in $614,642 less per annum in billed charges for our institution. In addition to non-inferior clinical outcomes, CSP may be a more cost-effective option compared to conventional BiVP for patients requiring CRT-P. Given that the CRT-P implant rate in the US exceeds 7,000 per year, CSP would reduce billed charges by >$122,000,000 annually." @default.
• W4377014571 created "2023-05-19" @default.
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• W4377014571 date "2023-05-01" @default.
• W4377014571 modified "2023-09-26" @default.
• W4377014571 title "PO-03-206 COST ANALYSIS OF BIVENTRICULAR PACING VERSUS CONDUCTION SYSTEM PACING IN PATIENTS UNDERGOING CARDIAC RESYNCHRONIZATION PACING THERAPY" @default.
• W4377014571 doi "https://doi.org/10.1016/j.hrthm.2023.03.943" @default.
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