Repeat interventions to treat restenosis are the Achilles heal of stenting. The new drug-eluting stents (DES) have reduced the need for repeat interventions significantly compared to bare-metal stents (BMS), however, they are so much more expensive, that their use in all patients threatens to ‘kill’ hospital budgets. This has led to difficult discussions among physicians, patients and hospital administrators with regard to who should or could get DES and it was questioned whether withholding DES for cost reasons would not be rationing.
The prospective, randomised, controlled Basel stent cost effectiveness trial (BAsel Stent Kosten Effektivitäts Trial, BASKET) answers these questions for the first time based on 826 consecutive patients treated with PCI and stenting at the University Hospital of Basel, Switzerland. Results presented in Stockholm will show whether DES are worth their price in all patients or whether at least certain patient groups can be identified in which they are cost-effective.
All patients treated with PCI and stenting over a one year period were randomised to receive a DES or a BMS irrespective of indication and risk for restenosis. Three fifths of patients presented with acute infarction or unstable coronary disease and more than two thirds had multivessel disease, not different between the three groups. Patients were treated with nearly two stents each for a total stent length of more than 30 mm per patient.
Gina Dellios | alfa
New High-Performance Center Translational Medical Engineering
26.04.2017 | Fraunhofer ITEM
A promising target for kidney fibrosis
21.04.2017 | Brigham and Women's Hospital
More and more automobile companies are focusing on body parts made of carbon fiber reinforced plastics (CFRP). However, manufacturing and repair costs must be further reduced in order to make CFRP more economical in use. Together with the Volkswagen AG and five other partners in the project HolQueSt 3D, the Laser Zentrum Hannover e.V. (LZH) has developed laser processes for the automatic trimming, drilling and repair of three-dimensional components.
Automated manufacturing processes are the basis for ultimately establishing the series production of CFRP components. In the project HolQueSt 3D, the LZH has...
Reflecting the structure of composites found in nature and the ancient world, researchers at the University of Illinois at Urbana-Champaign have synthesized thin carbon nanotube (CNT) textiles that exhibit both high electrical conductivity and a level of toughness that is about fifty times higher than copper films, currently used in electronics.
"The structural robustness of thin metal films has significant importance for the reliable operation of smart skin and flexible electronics including...
The nearby, giant radio galaxy M87 hosts a supermassive black hole (BH) and is well-known for its bright jet dominating the spectrum over ten orders of magnitude in frequency. Due to its proximity, jet prominence, and the large black hole mass, M87 is the best laboratory for investigating the formation, acceleration, and collimation of relativistic jets. A research team led by Silke Britzen from the Max Planck Institute for Radio Astronomy in Bonn, Germany, has found strong indication for turbulent processes connecting the accretion disk and the jet of that galaxy providing insights into the longstanding problem of the origin of astrophysical jets.
Supermassive black holes form some of the most enigmatic phenomena in astrophysics. Their enormous energy output is supposed to be generated by the...
The probability to find a certain number of photons inside a laser pulse usually corresponds to a classical distribution of independent events, the so-called...
Microprocessors based on atomically thin materials hold the promise of the evolution of traditional processors as well as new applications in the field of flexible electronics. Now, a TU Wien research team led by Thomas Müller has made a breakthrough in this field as part of an ongoing research project.
Two-dimensional materials, or 2D materials for short, are extremely versatile, although – or often more precisely because – they are made up of just one or a...
20.04.2017 | Event News
18.04.2017 | Event News
03.04.2017 | Event News
26.04.2017 | Materials Sciences
26.04.2017 | Agricultural and Forestry Science
26.04.2017 | Physics and Astronomy