Does a better technical result from IVUS-guided PCI mean value for money?

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Summary

Dr Manesh Patel from Duke University asks whether use of IVUS can save money for a program?

• The framework behind Cardiology services delivering high-quality care: was the right procedure done in the right way with the right outcome in a timely fashion?
• Care bundles for PCI and their rationale
• Image-guided PCI as a mechanism to facilitate same day discharge post-PCI by reducing early and late complications
• Most PCI complications occur within the first 6 hours: therefore admission for observation overnight may not be of value
• There is evidence that IVUS-guided PCI improves clinical outcomes and cost-effectiveness
• The safety and feasibility of same-day discharge after PCI, and the evidence for such an approach
• Current rates of same-day discharge following PCI and barriers to that
• Reduced costs and improved outcomes associated with transradial PCI