Treatment Pathways, Resource Use, and Costs of Endovascular Coiling Versus Surgical Clipping After aSAH | Zendy

Jane Wolstenholme | Zendy; Oliver RiveroArias | Zendy; Alastair Gray | Zendy; Andrew Molyneux | Zendy; Richard Kerr | Zendy; Julia Yarnold | Zendy; Mary Sneade | Zendy

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Treatment Pathways, Resource Use, and Costs of Endovascular Coiling Versus Surgical Clipping After aSAH

Author(s) -

Jane Wolstenholme,

Oliver RiveroArias,

Alastair Gray,

Andrew Molyneux,

Richard Kerr,

Julia Yarnold,

Mary Sneade

Publication year - 2007

Publication title -

stroke

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 3.397

H-Index - 319

eISSN - 1524-4628

pISSN - 0039-2499

DOI - 10.1161/strokeaha.107.482570

Subject(s) - medicine , endovascular coiling , adverse effect , subarachnoid hemorrhage , consumables , surgery , resource use , clipping (morphology) , pound (networking) , clinical trial , randomized controlled trial , endovascular treatment , aneurysm , linguistics , philosophy , pathology , marketing , natural resource economics , world wide web , computer science , economics , business

The International Subarachnoid Aneurysm Trial (ISAT) reported that endovascular coiling yields better clinical outcomes than surgical clipping at 1 year. The high cost of the consumables associated with the endovascular coiling procedure (particularly the coils) led health care purchasers to conclude that coiling was a more costly procedure overall. To examine this assumption and provide evidence for future policy, accurate and comprehensive data are required on the overall resource usage and cost of each strategy.

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