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Background: Symptomatic or asymptomatic patients with significant carotid artery stenosis (range, 70% to 99%)generally undergo either carotid artery endarterectomy (CEA) or carotid artery stenting (CAS) to prevent stroke. Inthis study, we evaluated the cost effectiveness of these two treatment modalities. Methods: A total of 47 patients(mean age, 67.1±9.1 years; male, 87.2%) undergoing either CEA (n=28) or CAS (n=19) for the treatment of significantcarotid artery stenosis were enrolled in this study. Hospitalization costs were subdivided into three parts,namely pre-procedure, procedure and resource, and post-procedure costs. Results: Total hospitalization costs weresimilar in both groups of CEA and CAS (6,377 thousand won [TW] vs. 6,703 TW, p=0.255); however, the totalcost minus the pre-procedure cost was higher in the CAS group than in the CEA group (4,948 TW vs. 5,941 TW,p＜0.0001). The pre-procedure cost of the CEA group was higher than that of the CAS group (1,429 TW vs. 762TW, p＜0.0001). However, the procedure and resource cost was higher in the CAS group because the resourcecost was approximately three times higher in the CAS group than in the CEA group. The post-procedure cost washigher in the CEA group because hospital stays were approximately two times longer. Conclusion: The total hospitalizationcost was not different between the CEA and the CAS groups. The pre-procedure cost was high in theCEA group, but the cost from procedure onset to discharge, including the resource cost, was significantly lower inthis group.

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기사명 저자명 페이지 원문 목차
Surgical Management of Recurrent Leiomyosarcoma in Heart 신제균, 김종덕, 김준석, 황태석, 송명근 pp.35-38

Successful Endovascular Management of Intraoperative Graft Limb Occlusion and Iliac Artery Rupture Occurred during Endovascular Abdominal Aortic Aneurysm Repair 최재성, 임재홍, 성용원, 오세진, 문현종, 이정상 pp.71-74

The Prognosis According to Patterns of Mediastinal Lymph Node Metastasis in Pathologic Stage IIIA/N2 Non-Small Cell Lung Cancer 나국주, 김도완, 윤주식, 송상윤 pp.13-19

Abnormal Origin of the Left Subclavian Artery from the Left Pulmonary Artery in a Patient with Double Outlet Right Ventricle 이영옥, 홍성욱 pp.32-34

Initial Experience with Total Thoracoscopic Ablation 정동섭, 이희문, 정수련 pp.1-5

Primary Epithelial Myoepithelial Lung Carcinoma 박성달, 조성호, 고택용, 이해영, 김종인 pp.59-62

Cost-Effectiveness of Carotid Endarterectomy versus Carotid Artery Stenting for Treatment of Carotid Artery Stenosis 최종범, 김종헌, 박현규, 김경화, 구자홍 pp.20-25

Treatment of Large Arteriovenous Malformation in Right Lower Limb 홍성욱, 이영옥 pp.66-70

Phlegmasia Cerulea Dolens after Coronary Artery Bypass Surgery : What Should We Know 이길수, 이강훈, 박현석 pp.43-46

Bronchioloalveolar Carcinoma in a Juvenile Rhadomyosarcoma Patient 박재길, 최수환, 전현우, 오우진 pp.51-54

Primary Ewing's Sarcoma of the Lung 김동관, 황수경, 박승일, 김용희, 김형렬 pp.47-50

Mixed Squamous Cell and Glandular Papilloma of the Lung in a 64-Year-Old Woman 송상윤, 윤주식, 김도완, 최유덕, 나국주 pp.55-58

A Retrospective Clinical Study: Complications of Totally Implanted Central Venous Access Ports 김영진, 석준필, 조현민, 류한영, 황완진, 송태은 pp.26-31

Influence of Radiologically Evident Residual Intimal Tear on Expansion of Descending Aorta Following Surgery for Acute Type I Aortic Dissection 김준범, 김윤석, 김정헌, 양동현, 강준원, 황수경, 주석중, 정철현 pp.6-12

Surgical Repair of Retrograde Type A Aortic Dissection after Thoracic Endovascular Aortic Repair 장우익, 김창영, 김연수, 류지윤 pp.39-42

Metastatic Pulmonary Ameloblastoma Misdiagnosed as Primary Squamous Cell Carcinoma Preoperatively 나국주, 윤주식, 김도완, Sung-sun Kim, Yoo Duk Choi, 송상윤 pp.63-65

참고문헌 (14건) : 자료제공( 네이버학술정보 )

참고문헌 목록에 대한 테이블로 번호, 참고문헌, 국회도서관 소장유무로 구성되어 있습니다.
번호 참고문헌 국회도서관 소장유무
1 The Causes and Risk of Stroke in Patients with Asymptomatic Internal-Carotid-Artery Stenosis 네이버 미소장
2 Eastcott HH, Pickering GW, Rob CG. Reconstruction of internal carotid artery in a patient with intermittent attacks of hemiplegia. Lancet 1954;267:994-6. 미소장
3 Analysis of pooled data from the randomised controlled trials of endarterectomy for symptomatic carotid stenosis 네이버 미소장
4 Endarterectomy versus stenting in patients with symptomatic severe carotid stenosis. 네이버 미소장
5 30 day results from the SPACE trial of stent-protected angioplasty versus carotid endarterectomy in symptomatic patients: a randomised non-inferiority trial 네이버 미소장
6 Stenting versus Endarterectomy for Treatment of Carotid-Artery Stenosis 네이버 미소장
7 Carotid Stenting versus Carotid Endarterectomy: Evidence Basis and Cost Implications 네이버 미소장
8 Cost-Effectiveness Analysis of Protected Carotid Artery Stent Placement Versus Endarterectomy in High-Risk Patients 네이버 미소장
9 Economic Evaluation of Carotid Artery Stenting Versus Carotid Endarterectomy for the Treatment of Carotid Artery Stenosis 네이버 미소장
10 Beneficial effect of carotid endarterectomy in symptomatic patients with high-grade carotid stenosis. 네이버 미소장
11 Routine Shunting is Safe and Reliable for Cerebral Perfusion during Carotid Endarterectomy in Symptomatic Carotid Stenosis. 소장
12 Clinical outcomes and cost comparison of carotid artery angioplasty with stenting versus carotid endarterectomy. 네이버 미소장
13 Carotid endarterectomy is more cost-effective than carotid artery stenting. 네이버 미소장
14 Naylor AR. Occam’s razor: intervene early to prevent more strokes! J Vasc Surg 2008;48:1053-9. 미소장

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