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J Comp Eff Res ; 7(5): 471-481, 2018 05.
Article in English | MEDLINE | ID: mdl-29376402

ABSTRACT

AIM: Study was aimed to assess the real-world costs of manual thrombectomy (MT) in selected ST-segment elevation myocardial infarction patients with intracoronary thrombus (IT). METHODS: Study group (IT+) comprised 51 patients with MT applied and control group (IT-) comprised 56 patients without IT who underwent angioplasty alone. Costs comprised hospital care and cost of disposable materials used during primary angioplasty. RESULTS: Complex management of patients with IT is more expensive, though allows to achieve clinical outcomes comparable to low-risk ST-segment elevation myocardial infarction patients without IT. CONCLUSION: A complex pharmaco-interventional strategy, with glycoprotein IIB/IIIA inhibitor and MT, though more expensive, may prove cost-effective.


Subject(s)
Coronary Thrombosis/surgery , Myocardial Infarction/therapy , Thrombectomy/economics , Thrombectomy/methods , Aged , Angioplasty, Balloon, Coronary/economics , Angioplasty, Balloon, Coronary/methods , Case-Control Studies , Combined Modality Therapy , Coronary Angiography , Coronary Thrombosis/complications , Coronary Thrombosis/diagnostic imaging , Female , Humans , Male , Middle Aged , Myocardial Infarction/complications , Myocardial Infarction/diagnostic imaging , ST Elevation Myocardial Infarction/complications , ST Elevation Myocardial Infarction/therapy , Treatment Outcome
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