0:00:02the video abstract is on the cost effectiveness analysis orbital a direct the mean and
0:00:07balloon angioplasty press this balloon angioplasty alone
0:00:12in today's healthcare system environment cost considerations are becoming more critical
0:00:17when choosing optimal and the vascular therapy to treat peripheral artery disease
0:00:22it cost benefit analysis such as this can help answer the question does using another
0:00:27device such as horrible after a to me
0:00:30during balloon angioplasty
0:00:31provide long-term cost and outcomes benefits compared to angioplasty alone
0:00:38in our analysis we use the diamond
0:00:41back coronary orbital a directed me system
0:00:44the diamond back is unique in that it is a blatant list system which consists
0:00:48of a crown used to stand away classified lesions well the more elastic tissue flexes
0:00:54away
0:00:56overlap directly procedures remove classify vision material
0:01:01to increase that's the compliance
0:01:03which may lead to reduced q vascular injury
0:01:07but i mean back system allows the blood and micro to brie of low-pass the
0:01:12crown and hindi only dispersing particular
0:01:15cooing the crown and reducing the risk of thermal injury to the target vessel
0:01:21so in constructing our analysis we used data from the complaint three sixty study of
0:01:27the diamond backs system
0:01:29outcomes data and cost data through twelve months were used
0:01:34hospitals provided cost data in the form of uniform billing reports or you be of
0:01:39force
0:01:41quality of quality adjusted life yours or qualities
0:01:45for each state of the patient populations we're gathered from previously published literature
0:01:50it should be noted
0:01:51that procedure success for both away s plus to be a and b a was
0:01:56defined as no pair procedural standing
0:02:01so the results of our treatment outcomes
0:02:03demonstrate that the majority of o a s plus be a population resulting in procedure
0:02:09success
0:02:10conversely the majority of be a population resulted in procedure failure
0:02:16meaning
0:02:17pair procedural stands were placed
0:02:20all four on the study were followed through twelve months
0:02:23resulting in three primary outcomes
0:02:26p c wrist analysis or provocation
0:02:32a little worse literature search resulted in health utility values
0:02:37as follows
0:02:38procedure success was given assigned the highest held utility value
0:02:43followed by procedure failure
0:02:46with trista noses resulting in the lowest help utility value
0:02:51berlin these inputs were
0:02:54constructed into an incremental cost effectiveness ratio analysis
0:02:59the be a the average cost for the be a population was slightly lower than
0:03:04the average cost for the yes plus be a population
0:03:08however
0:03:09the qualities for the away s plus be a population were higher than the be
0:03:15a population
0:03:16this resulted in a incremental cost effectiveness ratio
0:03:22of three thousand four hundred and forty one dollars
0:03:26which is sit well below the standard threshold of fifty thousand dollars
0:03:31that is used in determining
0:03:33whether to implement and you technology
0:03:37so in conclusion
0:03:39this study provide compelling cost effectiveness data to demonstrate comparable results for all e s
0:03:45plus b a
0:03:46versus be a low
0:03:49more importantly
0:03:50the data demonstrates that the placement of you were sentence
0:03:54allows for more tree and options should we intervention occur
0:03:58the increase in treatment options equals
0:04:01reduce cost in the long term
0:04:04this provides
0:04:08compelling data for intervention a list
0:04:10to treat classified from a poplar till regions
0:04:13which of long band as standing challenge