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Percutaneous transluminal coronary angioplasty is widely considered to be an acceptable and less expensive alternative to bypass surgery in carefully selected patients. We compared expenditures related to cardiac care for 79 unselected patients undergoing coronary angioplasty with expenditures for 89 unselected patients undergoing elective coronary bypass surgery without a previous attempt at angioplasty. All the patients had single-vessel disease. The mean aggregate one-year monetary outlay was 15 per cent lower in the angioplasty group than in the bypass-surgery group. A major component of the expense of angioplasty was the treatment of restenosis in the 33 per cent of patients in this group in whom this late complication occurred. We conclude that percutaneous transluminal coronary angioplasty has potential for reducing expenditures for cardiac revascularization and that a further reduction may be obtainable when the rates of restenosis are improved.
G S Reeder, and
I Krishan, and
F T Nobrega, and
J Naessens, and
M Kelly, and
J B Christianson, and
M K McAfee
February 1991,
Cardiologia (Rome, Italy),
G S Reeder, and
I Krishan, and
F T Nobrega, and
J Naessens, and
M Kelly, and
J B Christianson, and
M K McAfee
February 1985,
The New England journal of medicine,
G S Reeder, and
I Krishan, and
F T Nobrega, and
J Naessens, and
M Kelly, and
J B Christianson, and
M K McAfee
August 1986,
Taiwan yi xue hui za zhi. Journal of the Formosan Medical Association,
G S Reeder, and
I Krishan, and
F T Nobrega, and
J Naessens, and
M Kelly, and
J B Christianson, and
M K McAfee
October 1985,
Kyobu geka. The Japanese journal of thoracic surgery,
G S Reeder, and
I Krishan, and
F T Nobrega, and
J Naessens, and
M Kelly, and
J B Christianson, and
M K McAfee
November 1990,
Catheterization and cardiovascular diagnosis,
G S Reeder, and
I Krishan, and
F T Nobrega, and
J Naessens, and
M Kelly, and
J B Christianson, and
M K McAfee
January 1989,
International journal of technology assessment in health care,
G S Reeder, and
I Krishan, and
F T Nobrega, and
J Naessens, and
M Kelly, and
J B Christianson, and
M K McAfee
September 1985,
The American journal of cardiology,
G S Reeder, and
I Krishan, and
F T Nobrega, and
J Naessens, and
M Kelly, and
J B Christianson, and
M K McAfee
May 1979,
Hospitals,
G S Reeder, and
I Krishan, and
F T Nobrega, and
J Naessens, and
M Kelly, and
J B Christianson, and
M K McAfee
January 2003,
The heart surgery forum,
G S Reeder, and
I Krishan, and
F T Nobrega, and
J Naessens, and
M Kelly, and
J B Christianson, and
M K McAfee
October 1983,
Journal of the American College of Cardiology,
