An Expense and the Treatment Result of Each Device in Cerebrovascular Thrombectomy

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  • YAGI Ryokichi
    Department of Neurosurgery and Endovascular therapy, Osaka Medical College
  • MIYACHI Shigeru
    Department of Neurosurgery and Endovascular therapy, Aichi Medical University
  • HIRAMATSU Ryo
    Department of Neurosurgery and Endovascular therapy, Osaka Medical College
  • KAWABATA Shinji
    Department of Neurosurgery and Endovascular therapy, Osaka Medical College
  • FUJISHIRO Takahiro
    Department of Neurosurgery and Endovascular therapy, Osaka Medical College
  • KUROIWA Terumasa
    Department of Neurosurgery, Hokuto Hospital
  • TANIGUCHI Hirokatsu
    Department of Neurosurgery, Yagi Neurosurgery Hospital
  • YAMADA Makoto
    Department of Neurosurgery, Takeda General Hospital
  • YAMADA Yoshitaka
    Department of Neurosurgery, Nishinomiya-Kyoritsu Neurosurgery Hospital
  • OHNISHI Hiroyuki
    Department of Neurosurgery and Endovascular therapy, Osaka Medical College Department of Neurosurgery, Ohnishi Neurological Center
  • YAMASHITA Taro
    Department of Neurosurgery, Shimizu Hospital
  • MATSUBARA Noriaki
    Department of Neurosurgery and Endovascular therapy, Osaka Medical College
  • KUROIWA Toshihiko
    Department of Neurosurgery and Endovascular therapy, Osaka Medical College

Bibliographic Information

Other Title
  • 急性期脳血栓回収療法のデバイス別費用と治療成績の検討
  • キュウセイキ ノウ ケッセン カイシュウ リョウホウ ノ デバイス ベツ ヒヨウ ト チリョウ セイセキ ノ ケントウ

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Description

<p>Objective: To compare the medical expenses and the treatment result of the each device in cerebroarterial thrombectomy in Japan, we studied about the insurance cost, operative cost, device cost, and a treatment result of every patient.</p><p>Methods: The case was 126 patients who calculated “Operative code: K178-4 percutaneous intracerebral thrombectomy was 30, 230 points” in our hospital. The case using Stent Retriever was “group S”, and the case using Penumbra system was “group P”. A case using both devices together was “group P+S”. And we studied about the insurance cost, operative cost, device cost, and a treatment result in each group.</p><p>Results: In all cases, it was equal in treatment result with each device. In the posterior circulation, group S was the highest rate in modified Rankin Scale (mRS) 0-2, and the daily mean cost and total insurance cost were small. In the anterior circulation, group P was the highest rate in mRS0-2, and the daily mean cost and total insurance cost were small.</p><p>Conclusion: Group S was the cheapest device cost in the case taken cerebroarterial thrombectomy. In addition, the good therapeutic device, which was the lowest cost for acute period and get good outcome, was group P in the anterior circulation, and was group S in the posterior circulation.</p>

Journal

  • No Kekkannai Chiryo

    No Kekkannai Chiryo 3 (1), 7-13, 2018

    The Japanese Society for Neuroendovascular Therapy

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