Cost-effectiveness of measuring fractional flow reserve to guide coronary interventions William F Fearon, MD, Alan C Yeung, MD, David P Lee, MD, Paul.

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Presentation transcript:

Cost-effectiveness of measuring fractional flow reserve to guide coronary interventions William F Fearon, MD, Alan C Yeung, MD, David P Lee, MD, Paul G Yock, MD, Paul A Heidenreich, MD, MS American Heart Journal Volume 145, Issue 5, Pages 882-887 (May 2003) DOI: 10.1016/S0002-8703(03)00072-3

Figure 1 Decision tree outlining the short-term decision model for the cost-effectiveness analysis. Patients with abnormal FFR results (true- and false-positive undergoing stenting) or ischemia with nuclear stress imaging undergo stenting. American Heart Journal 2003 145, 882-887DOI: (10.1016/S0002-8703(03)00072-3)

Figure 2 Plot of the relation between cost of the FFR strategy and cost-savings compared with the NUC strategy. American Heart Journal 2003 145, 882-887DOI: (10.1016/S0002-8703(03)00072-3)

Figure 3 Plot of the relation between excess catheterization laboratory costs as dictated by the NUC strategy and cost-savings with the FFR strategy. American Heart Journal 2003 145, 882-887DOI: (10.1016/S0002-8703(03)00072-3)

Figure 4 Plot of the relation between the relative specificity of FFR for detecting ischemia and the cost-effectiveness of the NUC strategy versus the FFR strategy. The nuclear strategy is expensive (>$50,000/QALY) unless the specificity rate of FFR is <74% of that of nuclear stress imaging. American Heart Journal 2003 145, 882-887DOI: (10.1016/S0002-8703(03)00072-3)