成本比较:评估跨关节和跨辐射接入用于诊断脑血管造影
William S Dodd1, Coulter N Small1, Michael Goutnik1
1Department of Neurosurgery University of Florida Gainesville FL.
Stroke (Hoboken, N.J.)
|January 26, 2026
概括
脑血管造影的跨射线接入 (TRA) 比转接入 (TFA) 更具成本效益. 虽然TRA使用更昂贵的盖子,但更低的关闭装置成本导致总体供应成本节省20.9%.
科学领域:
- 干预神经病学 干预神经病学
- 卫生经济学 卫生经济学
- 医疗器械技术 医疗器械技术
背景情况:
- 现代医疗保健需要复杂的程序,成本降低.
- 超射线接入 (TRA) 对神经内血管程序具有前景,数据表明相比于输膜接入 (TFA),并发症较少,患者满意度更高.
- 然而,TRA与TFA的成本影响在很大程度上仍未得到审查.
研究的目的:
- 为了比较TRA和TFA之间的供应和设备成本,用于诊断脑血管学.
- 确定导致两种血管接入方法成本差异的特定项目.
主要方法:
- 在2019年7月1日至2019年12月31日期间接受诊断性脑血管造影的成年患者的回顾性审查.
- 收集的数据包括患者人口统计数据,血管接入点,导管类型和成本,动脉接入罩类型和成本,以及闭合装置类型和成本.
主要成果:
- 通过透射方法 (TRA) 的辐射接入的成本更高,但关闭装置的成本要低得多,而不是通过转方法 (TFA).
- 两个组的导管成本在两个组之间是可比的.
- 对于TRA脑血管造影的整体供应成本比TFA脑血管造影低20.9%.
结论:
- 这项研究提供了第一个详细的材料成本分析,比较TRA和TFA用于脑血管学.
- 较高的TRA接入的成本被关动脉切割关闭装置的成本降低所抵消.
- 与用于诊断脑血管造影的TFA相比,TRA在供应和设备成本方面提供了显著的整体节省.
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