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Cost/Effectiveness and Reimbursement Policies with Drug-Coated Balloons in Europe

  • Dario Pellegrini
  • Gaetano Di Palma
  • Bernardo Cortese
Chapter

Abstract

The economic impact of drug-coated balloons (DCB) has been a matter of great debate in the latest years in many nations worldwide. Angioplasty with DCBs proved to be an effective and safe strategy both in coronary and peripheral interventions, mainly for the treatment of in-stent restenosis (ISR), native coronary vessel disease, and femoropopliteal disease. However, the immediate costs related to an endovascular procedure using DCBs are significantly higher than those related to a plain old balloon angioplasty (POBA), bare-metal stents (BMS), or drug-eluting stents (DES). Thus, their cost-effectiveness in the long term needed to be assessed, to test whether the reduction in target lesion revascularization (TLR) or major adverse events provided by this new class of devices may have a positive impact on national health systems. Given the existing differences between different health systems (e.g., costs, reimbursements, etc.), it is difficult to draw conclusions that could be generally accepted worldwide [1]. Nevertheless, in recent years some studies have addressed this topic, both in the field of coronary and peripheral interventions.

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Dario Pellegrini
    • 1
  • Gaetano Di Palma
    • 2
  • Bernardo Cortese
    • 2
  1. 1.San Luca ClinicMilanoItaly
  2. 2.Cardiac DepartmentSan Carlo ClinicMilanoItaly

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