Igh end cost factors involved in the stenting procedure include dedicated self-expanding nitinol stents costing $2,000 to $2,500 per stent. cheap viagra pills online This represents a doubling in the cost of non-dedicated nitinol stents used for other peripheral indications. viagra dosage prostate surgery At the time of this writing, one device (acculink, guidant inc. generic viagra no prescription ) has been approved specifically for carotid indications by the fda. cheap viagra online It is likely that several additional devices will receive a similar indication within the next six months, which may reduce device costs. viagra soft tabs online Furthermore, the current standard of care in this area requires the use of cerebral protection devices. Most commonly, these are filtration devices that are temporarily deployed in the distal internal carotid artery during the procedure in an effort to minimized cerebral embolization. The accunet device manufactured by guidant, inc. viagra dosage for men Has received fda approval specifically for this application. The cost of this device ranges between $1,500 to $2,000. viagra online canada Thus, the addition of these two devices in the management of this disease will substantially alter the cost of a therapeutic carotid intervention, which is currently one of the most commonly performed vascular surgical interventions in the united states today. A second issue revolves around the durability of angioplasty in relationship to carotid endarterectomy. Currently, long-term studies assessing the degree of restenosis following intervention remain limited. Lai, et al15 has recently reported that the restenosis rate for carotid angioplasty is 6. viagra dosage prostate surgery 4 percent at 60 months, which is comparable to the restenosis rate of carotid endarterectomy. viagra dosage prostate surgery However, additional long-term data will be required to fully assess this aspect of this procedure. At the present time, the center for medicare services has approved this procedure for reimbursement although specific inclusion criteria remain limited to symptomatic patients exhibiting 70 percent or greater stenosis. sales viagra 16,17 nonetheless, numerous educational facilities are now offering training programs in carotid angioplasty and it is expected that there will be a major shift in the management of carotid stenosis. cheap viagra Currently, approximately 120,000 carotid endarterectomies are performed annually in the united states. I. can i buy viagra online legally does generic viagra work yahoo answers


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