Erlöse und Kosten der Schlaganfallversorgung - das Aus für Stroke Units im G-DRG System?

Kessler, Karen R.; Freytag, Stephan; Kugler, Christof; Steinmetz, Holger; Sitzer, Matthias

doi:10.1055/s-2004-828502

Cited by 2 publications

(1 citation statement)

References 5 publications

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“…In the literature, many complications, such as longterm stenosis of the vascular lumen, stent collapse into the pseudoaneurysm lumen during operation and long-term endoleak, have been reported after using WCSs (3)(4)(5). According to these reports, the potential causes of endoleak include mismatch between the model of the WCS and diameter of the parent artery, uneven lumen of the diseased vessel, incomplete coverage of the aneurysm neck, transient vasospasm, stent displacement and stent rupture (6,7). In this study, the incidence of endoleak in the treatment of intracranial traumatic pseudoaneurysm of the internal carotid artery with a WCS was 3/15.…”

Section: Discussionmentioning

confidence: 99%

The Clinical Efficacy Analysis of Treatment With a Willis Covered Stent in Traumatic Pseudoaneurysm of the Internal Carotid Artery

et al. 2021

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Objective: To investigate the safety and efficacy of Willis covered stents (WCS) in the treatment of traumatic pseudoaneurysm of the cranial internal carotid artery (CICA).Methods: Fifteen patients with traumatic pseudoaneurysm of the intracranial segment of the ICA treated with the WCS system at our institution from 2013 to 2019 were analyzed retrospectively. Follow-up observation and digital subtraction angiography (DSA) examination were conducted ~6 months after the treatment.Results: DSA performed immediately after stent deployment revealed that complete occlusion of the lesion was achieved in 13 patients and that endoleak occurred in two patients. In 12 patients, postoperative DSA examination indicated that the lesions were completely occluded. In two patients who had a second stent implantation at the break of the ICA, traumatic ICA rupture was essentially completely obstructed in 1 patient. The endoleak remained in one patient with carotid cavernous sinus fistula because the placement of the second stent system was difficult with his ICA tortuosity. No recurrence of aneurysms, hemorrhage, or other lesions was observed, and the patients' parent arteries were patent without stenosis. No procedure-related complications or ischemic strokes occurred during the follow-up period of ~6 months.Conclusions: For treatment of traumatic pseudoaneurysm of the CICA, Willis covered stent implantation in some appropriate cases, is safe and effective. However, large-sample controlled studies and multicenter studies are needed for further confirmation.

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Section: Discussionmentioning

confidence: 99%

The Clinical Efficacy Analysis of Treatment With a Willis Covered Stent in Traumatic Pseudoaneurysm of the Internal Carotid Artery

et al. 2021

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DRG und OPS-301: Auswirkungen auf die Leistungserfassung in der Radiologie

et al. 2005

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Reimbursement for inpatient services rendered based on comparable daily care rates, case-based flat rates, and special fees as practiced until now has been replaced by the system of diagnosis-related groups. Up until 2004, operation and procedure system (OPS 301) codes could be processed completely automatically by appropriate adaptation of the radiology information system (RIS). Because of further differentiation of OPS codes in the 2005 version, it is no longer possible to unambiguously determine OPS codes automatically. Our goal was to fulfill these additional requirements with as little extra effort as possible. In 36 of 2138 procedures during an observation period of 12 days, i.e., 4/day, manual input on the part of the radiology technical assistant and quality assurance by the diagnosing physician were necessary. This is only needed in complicated procedures for which the minor added effort is negligible in comparison to the entire effort expended for the procedure. We were thus able to achieve the goal of near automation of ascertaining OPS codes.

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Erlöse und Kosten der Schlaganfallversorgung - das Aus für Stroke Units im G-DRG System?

Cited by 2 publications

References 5 publications

The Clinical Efficacy Analysis of Treatment With a Willis Covered Stent in Traumatic Pseudoaneurysm of the Internal Carotid Artery

The Clinical Efficacy Analysis of Treatment With a Willis Covered Stent in Traumatic Pseudoaneurysm of the Internal Carotid Artery

DRG und OPS-301: Auswirkungen auf die Leistungserfassung in der Radiologie

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