| Economic and angiographic factors in determining optimal catheter size in performing outpatient left-sided heart and coronary angiography. | |
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MedLine Citation:
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PMID: 8602566 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A prospective randomized trial was performed in 300 patients to establish the optimal catheter size (5.2, 6, or 7Fr) in performing outpatient left heart and coronary arteriography. A secondary randomization was performed between an attending physician and cardiovascular fellow to determine if the experience level of the operator was an important factor when using smaller French-sized catheters. The primary end point of the trial was total resource utilization of the patient's hospitalization. Hospital cost was calculated with cost accounting methodology using a "bottom-up" approach, and physician "cost" was determined with the Resource-Based Relative Value Scale. Angiographic quality was graded with qualitative and quantitative methods. Procedures were faster and time to hemostasis shorter with smaller catheters. The more experienced operators performed faster procedures and used less fluoroscopy. In the cardiac catheterization laboratory, health-care personnel cost was higher with the 6Fr catheters and when the attending physician was the primary operator. Postprocedure care was slightly less expensive with the smaller catheters. Overall, there was no difference in total cost between the catheter sizes and primary operators. Angiographic quality was similar between the catheter sizes. Smaller catheters used in performing outpatient left-sided heart and coronary arteriography are not associated with cost savings but do not compromise angiographic quality. |
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Authors:
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J D Talley; P D Mauldin; J Kupersmith |
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Publication Detail:
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Type: Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: The American journal of cardiology Volume: 77 ISSN: 0002-9149 ISO Abbreviation: Am. J. Cardiol. Publication Date: 1996 Feb |
Date Detail:
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Created Date: 1996-05-03 Completed Date: 1996-05-03 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0207277 Medline TA: Am J Cardiol Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 374-8 Citation Subset: AIM; IM |
Affiliation:
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Section of Invasive and Interventional Cardiology, University of Louisville School of Medicine, Kentucky, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Clinical Competence Coronary Angiography* / economics, instrumentation Female Heart Catheterization / economics, instrumentation*, methods Hospital Costs Humans Male Middle Aged Outpatient Clinics, Hospital / economics Prospective Studies |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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