Analysis of short-term total hospital costs and current primary cost drivers of coiling versus clipping for unruptured intracranial aneurysms

Abstract

Total index hospitalization costs for clipping are lower than for coiling. Costs of clipping and coiling are driven by different clinical variables. The cost of coils and devices is the predominant contributor to the higher total costs of coiling.

The Choice of the Treatment Method for Cerebral Aneurysms of Different Locations in the Era of Advanced Endovascular Technologies: A Meta-Analysis

“…Факторами риска непол-ного эндоваскулярного выключения являются размер купола более 10 мм, расслаивающие ЦА, расположение в области бифуркации (например, бифуркации СМА и от-ношение размеров шейки к куполу более чем 1:2). Кроме того, за счет эндоваскулярных расходных материалов и повторных ангиограмм эндоваскулярный койлинг зна-чительно дороже, чем клипирование [41].…”

101 Medicare Expenditures for Elderly Patients Undergoing Surgical Clipping or Endovascular Intervention for Subarachnoid Hemorrhage

“…Although, single center investigations have shown a lower hospitalization cost for coiling, 19,22,25,39 a retrospective analysis of the Nationwide Inpatient Sample 23 showed that clipping was associated with higher hospitalization charges for both ruptured and unruptured aneurysms. Utilizing the same national database Bekelis et al, 7,10 developed a predictive model of hospitalization cost for these patients.…”

“…1,2,11,12,14,15,18,24,26,28,33 Several studies have analyzed the economic aspects of cerebral aneurysm interventions. 19,22,25,27,37,39 However, the generalizability of their findings is limited due to the lack of adjustment for unmeasured confounding. In addition, most investigators have focused only on hospitalization cost, which does not take into account the cost of possible future reintervention in endovascularly treated patients, or the cost of long-term care in patients experiencing complications.…”

“…In addition, most investigators have focused only on hospitalization cost, which does not take into account the cost of possible future reintervention in endovascularly treated patients, or the cost of long-term care in patients experiencing complications. 7,10,19,22,23,25,39 The investigators of the ISAT study reported no difference in the long-term cost of clipping or coiling among patients participating in the study. 37 However, this study was conducted in Europe more than 10 years ago and does not reflect the current financial realities of North America.…”

Medicare expenditures for elderly patients undergoing surgical clipping or endovascular intervention for unruptured cerebral aneurysms

“…[7][8][9][10][11][12][13][14][15][16][17] Several studies have analyzed the economic aspects of cerebral aneurysm interventions. [18][19][20][21][22][23] However, the generalizability of their findings is limited because most authors failed to adjust appropriately for measured or unmeasured confounders. Some are single-center [18][19][20] or international experiences [21][22][23] whereas others have utilized charges as a surrogate for cost 24 and are therefore not reflecting the true financial impact of these procedures.…”