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W. Ostheim-Dzerowycz

The femoral artery: source for a worst case scenario? Possible fatal outcome succeeding the new DRG-system?

Stenoses and occlusions of the femoral artery mainly cause claudicatio. Their course is often silent and patients notice it by chance or in a medical checkup. Mayor amputations are rare in isolated femoral apperance of PAOD (peripheral arterial occlusive disease). Although conservative treatment is very effective in these patients, there are still a lot of operations performed, mainly bypasses, interventional dilatations or stenting. The examples of some typical courses out of more than 64 000 vascular deseased patients treated in the Hoch-rheinklinik during the last 24 years point out a new possibility taking a wrong way in treatment decisions. The structure of the new German DRGs stimulates to carry out interventions and operations as there is a great enhancement in earnings. These may result not only in a rise of costs but in a higher risk for patients, too.

Hämostaseologie, Schattauer

Print ISSN: 0720-9355
Volume: 23, 01/2003
Pages: 86 - 89

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