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EVALUATION Of CLINICAL AND ECONOMIC EFF ICIENCY Of METHODS MEASURING FRACTIONAL FLOW RESERVE IN THE TREATMENT OF CORONARY HEART DISEASE PATIENS

https://doi.org/10.17802/2306-1278-2016-4-33-38

Abstract

Purpose. Examine the clinical and cost-effectiveness of the use of methods of measurement of fractional flow reserve in the treatment of coronary heart disease patients with multivessel coronary.

Materials and Methods. The study included 62 patients with coronary heart disease and multivessel coronary disease who underwent multi-stage endovascular revascularization.

Results. Conducting clinical and economic analysis showed that the use of additional methods of measurement of fractional flow reserve in patients with multivessel coronary disease increases the cost of percutaneous coronary interventions during the first phase of myocardial revascularization. But at the same time, it reduces the cost of treatment of the patient in general, reducing the «cost of disease.» This is achieved by reducing the need for patient readmission rates for the second phase of myocardial revascularization.

About the Authors

M. A. SINKOV
Federal State Budgetary Scientific Institution Research Institute for Complex Issues of Cardiovascular Diseases. Kemerovo, Russia
Russian Federation

Address: 6, Sosnoviy blvd., Kemerovo, 650002, Russian Federation Tel.: +7 (3842) 64-36-80



K. M. VAKKOSOV
Federal State Budgetary Scientific Institution Research Institute for Complex Issues of Cardiovascular Diseases. Kemerovo, Russia
Russian Federation


A. A. SHILOV
Federal State Budgetary Scientific Institution Research Institute for Complex Issues of Cardiovascular Diseases. Kemerovo, Russia
Russian Federation


O. Yu. BOGDANOV
Federal State Budgetary Scientific Institution Research Institute for Complex Issues of Cardiovascular Diseases. Kemerovo, Russia
Russian Federation


E. A. POGORELOV
Kemerovo Institute (branch) of the federal state budgetary educational institution of higher education Russian University of Economics named after GV Plekhanov. Kemerovo, Russia
Russian Federation


A. A. SINKOV
Federal State Budgetary Scientific Institution Research Institute for Complex Issues of Cardiovascular Diseases. Kemerovo, Russia
Russian Federation


V. I. GANYUKOV
Federal State Budgetary Scientific Institution Research Institute for Complex Issues of Cardiovascular Diseases. Kemerovo, Russia
Russian Federation


O. L. BARBARASH
Federal State Budgetary Scientific Institution Research Institute for Complex Issues of Cardiovascular Diseases. Kemerovo, Russia
Russian Federation


References

1. О совершенствовании деятельности врачей клинических фармакологов: Приказ Минздрава РФ от 22.10.2003 № 494. URL: http://lawru.info/legal2/se14/pravo14864/index.htm. O sovershenstvovanii dejatel’nosti vrachej klinicheskih farmakologov: Prikaz Minzdrava RF ot 22.10.2003 № 494. URL: http://lawru.info/legal2/se14/pravo14864/index.htm.

2. Маркун Т. А. Клинико-экономический анализ. URL: http://bono-esse.ru/blizzard/DM/ebm_y4.html. Markun T. A. Kliniko-jekonomicheskij analiz. URL: http://bono-esse.ru/blizzard/DM/ebm_y4.html.

3. Пархоменко Е. Фармакоэкономика для фармацевтов. Фармацевтическое обозрение. 2003; 7–8. URL: http://www.worklib.ru/laws/ml02/pages/10016396.php. Parhomenko E. Farmakojekonomika dlja farmacevtov //Farmacevticheskoe obozrenie. 2003; 7–8. URL: http://www.worklib.ru/laws/ml02/pages/10016396.php.

4. Pijls N. H., De Bruyne B., Peels K. et al. Measurement of fractional flow reserve to assess the functional severity of coronary-artery stenosis. N. Engl. J. Med. 1996; 334: 1703–1708.

5. Pijls N. H. J., Van Gelder B., Van der Voort P. et al. Fractional flow reserve: A useful index to evaluate the influence of an epicardial coronary stenosis on myocardial blood flow. Circulation. 1995; 92: 3183–3193.

6. De Bruyne B., Pijls N. H. J., Barbato E. et al. Intracoronary and intravenous adenosine 5′- triphosphate, papaverine, and contrast medium to assess factional flow reserve in humans. Circulation. 2003; 107–187.


Review

For citations:


SINKOV M.A., VAKKOSOV K.M., SHILOV A.A., BOGDANOV O.Yu., POGORELOV E.A., SINKOV A.A., GANYUKOV V.I., BARBARASH O.L. EVALUATION Of CLINICAL AND ECONOMIC EFF ICIENCY Of METHODS MEASURING FRACTIONAL FLOW RESERVE IN THE TREATMENT OF CORONARY HEART DISEASE PATIENS. Complex Issues of Cardiovascular Diseases. 2016;(4):33-38. (In Russ.) https://doi.org/10.17802/2306-1278-2016-4-33-38

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ISSN 2306-1278 (Print)
ISSN 2587-9537 (Online)