title: Cost-effectiveness of medical, endovascular and surgical management of peripheral vascular disease.
abstract: Peripheral arterial disease (PAD) is responsible for 20% of all US hospital admissions. Management of PAD has evolved over time to include many medical and transcatheter interventions in addition to the traditional surgical approach. Non-invasive interventions including supervised exercise programs and antiplatelets use are economically attractive therapies that should be considered in all patients at risk. While surgery offers so far a clinically and economically appropriate option, the improvement of percutaneous transluminal angioplasty (PTA) technique with the addition of drug-coated balloons offers a reasonably clinically and economically attractive alternative that will continue to evolve in the future.
authors.affiliation: Section of Cardiology, Christiana Care Health System, Newark, DE. Electronic address: zfanari@gmail.com.
authors.forename: Zaher
authors.initials: Z
authors.lastname: Fanari
authors.affiliation: Section of Cardiology, Christiana Care Health System, Newark, DE; Value institute, Christiana Care Health System, Newark, DE.
authors.forename: William S
authors.initials: WS
authors.lastname: Weintraub
mesh_terms: D000800:Angioplasty, Balloon / Q000191:economics* / Q000295:instrumentation; D002317:Cardiovascular Agents / Q000191:economics* / Q000627:therapeutic use*; D020099:Coated Materials, Biocompatible / Q000191:economics; D003362:Cost-Benefit Analysis; D016527:Drug Costs; D017048:Health Care Costs; D017721:Hospital Costs; D006801:Humans; D058729:Peripheral Arterial Disease / Q000175:diagnosis / Q000191:economics* / Q000628:therapy*; D013997:Time Factors; D016896:Treatment Outcome; D062666:Vascular Access Devices / Q000191:economics; D014656:Vascular Surgical Procedures / Q000191:economics*
chemical_list: D002317:Cardiovascular Agents; D020099:Coated Materials, Biocompatible
keywords: Bypass surgery; Cost- effectiveness; Endovascular interventions; Peripheral vascular disease