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eMediNexus 13 February 2018
Bare metal stents (BMS) have a significantly higher rate of restenosis and the need for target vessel revascularization compared with all drug-eluting stents (DES).
For most patients undergoing percutaneous coronary intervention (PCI) with stenting, one recommends current-generation DES rather than BMS
Circumstances in which implantation of a BMS is considered
Patients in whom a DES cannot be implanted due to large vessel size (>5 mm).
Patients for whom it is known at the time of PCI that dual antiplatelet therapy (DAPT) cannot be used for more than four to six weeks. This includes patients who require noncardiac surgery within six weeks of PCI and (patients) with active bleeding at the time of PCI.
Analysis of Trade Margins in Cardiac Guide wire/Balloon Catheter /Guiding Catheter
The undersigned is directed to state that based on available data from the official sources and manufacturer/importer, NPPA has analysed the trade margins in the Cardiac Guidewire/Balloon Catheter and Guiding wire as follows:
No | Particulars | Average Margin % (MRP – import price) | Average Margin % (MRP-PTD) |
1 | Cardiac Balloon Catheter | 405% | 234% |
2 | Cardiac Guidewire | 158% | 112% |
3 | Cardiac Guiding Catheter | 295% | 93% |
4 | Cardiac Drug Eluting Balloon or Cutting Balloon | 292% | 140% |
5 | Cardiac Guiding Catheter – Special feature | 172% | 62% |
*MRP : Maximum Retail Price PTD: Price to Distributor/Stockist.
The information is being put in public domain in recognition of the people’s right to information and also for introspection by the manufacturer/distributor/hospitals.
Dr KK Aggarwal,
Padma Shri Awardee
President Heart Care Foundation of India Immediate Past National President IMA
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