E-115 Trans-radial versus trans-femoral access routes for diagnostic cerebral angiograms: a large single-center comparative cost-analysis study

ConclusionOverall, our study shows that the TR approach can be less a less expensive option for patients undergoing diagnostic cerebral angiograms, especially if complications occur. Future studies can corroborate our findings and potentially lead to the adoption of TR as a low-cost, efficient, gold-standard technique for cerebral angiography.Costs (dollars) Associated with Trans-Radial Versus Trans-Femoral AccessAbstract E-115 Table 1 Variable Trans-Femoral (n=314) Trans-Radial(n=612) P-value Total Cost, mean (SD) 12591.8 (19128) 12789.5 (18424) .88 Catheters, median (range) 12.4 (12.4-1900) 55.2 (12.4-369) .03 Closure devices, median (range) 87 (87-174) 20.2 (20.2-40.4) <.001 Wires, median (Range) 43.9 (43.9-576.8) 43.9 (43.9-576.8) .16 Sheaths, mean, (SD) 44.3 (11.3) 41.1 (3.1) <.001 Groin Ultrasound, median (Range)Radial Ultrasound, median (Range) 1510 (1510-1510) 908(908-908) - Pelvic CT, median (Range)Brain MRI, median (Range)ICU Stay per night, median (Range) 2901 (2901-2901)5249 (5249-5249)8982 (8982-8982) - Anesthesia, mean (SD) 738.8 (717.5) 726.9 (616.9) .79 Contrast, mean (SD) 298.7 (326.6) 280.9 (324.9) .69 Cost of postop stay, median (IQR) 180 (135-225) 67.5 (45-90) <.001 Bold font= statistical significanceAbstract E-115 Table 2 Patient Access Route Complication Additional expenses Individual Charges (USD) Total Charge(USD) 1 TF Pseudoaneurysm US Thrombin/injection 1510689 (x2) 2888 2 TF Retroperitoneal hematoma US CT Scan ICU stay/night...
Source: Journal of NeuroInterventional Surgery - Category: Neurosurgery Authors: Tags: SNIS 20th annual meeting electronic poster abstracts Source Type: research