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Related Experiment Video

Updated: Jan 30, 2026

Low-Cost Single-Port LoCoSP Device for a Transcervical Approach in Minimally Invasive Transhiatal Esophagectomy

Low-Cost Single-Port LoCoSP Device for a Transcervical Approach in Minimally Invasive Transhiatal Esophagectomy

Published on: September 11, 2021

Thoracic Duct Embolization-Value Analysis Using a Time-Driven Activity-Based Costing Approach: A Single Institution

Spencer B Lewis¹, Ravi N Srinivasa², Prasad R Shankar³

¹Department of Radiology Division of Vascular and Interventional Radiology, University of Michigan Health Systems, Ann Arbor, MI.

Current Problems in Diagnostic Radiology

|January 19, 2019

Summary

This study analyzed the costs of thoracic duct embolization, finding that anesthesia staffing, glue, and coils are key modifiable cost drivers. Optimizing these can significantly reduce the overall expense of this procedure.

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Last Updated: Jan 30, 2026

Low-Cost Single-Port LoCoSP Device for a Transcervical Approach in Minimally Invasive Transhiatal Esophagectomy

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Published on: September 11, 2021

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Published on: September 20, 2020

Author Spotlight: Cost-Effective Transcriptomic Drug Screening - Unlocking New Targets

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Published on: February 23, 2024

Area of Science:

Interventional Radiology
Health Economics
Medical Device Technology

Background:

Thoracic duct embolization (TDE) is a critical procedure for managing lymphatic leaks.
Accurate cost assessment is essential for resource allocation and financial planning in healthcare.

Purpose of the Study:

To quantify the cost drivers associated with thoracic duct embolization (TDE).
To apply time-driven activity-based costing (TDABC) methodology for precise cost analysis.

Main Methods:

A 14-month study at a quaternary care institution utilizing time-driven activity-based costing.
Analysis of staff practical capacity rates and consumable equipment costs.
Sensitivity analyses to identify primary cost drivers for TDE.

Main Results:

The base cost per case for TDE was $7466.67, with a calculated true cost of $8038.94.
Anesthesiologist presence duration was the primary staffing cost driver.
Modifiable cost drivers included cyanoacrylate glue volume/cost and coil utilization, with potential savings of $2947.50 per case by switching glue types.

Conclusions:

Thoracic duct embolization costs are significantly influenced by anesthesia staffing, cyanoacrylate glue, and coils.
These identified factors represent potentially modifiable targets for cost reduction in TDE procedures.