Early Assessment of Extracorporeal Shock Wave Myocardial Revascularization (ESMR)Ji Jeong Park1, Keun-joo Yoo2, Min Lee2, Jooyeon Park1, Eunjung Park1, Ji Yun Tark1, Sungkyu Lee1, Chaemin Shin1*
1Division for Healthcare Technology Assessment Research, National Evidence-based Healthcare Collaborating Agency (NECA), Namsan Square (Kukdong B/D) 7F, 173 Toegye-ro, Jung-gu, Seoul 100-705, Republic of Korea.
2Division for New Health Technology Assessment, National Evidence-based Healthcare Collaborating Agency (NECA), Namsan Square (Kukdong B/D) 7F, 173 Toegye-ro, Jung-gu, Seoul 100-705, Republic of Korea.
- *Corresponding Author:
- Chaemin Shin
Division for Healthcare Technology Assessment Research
National Evidence-based Healthcare Collaborating Agency (NECA)
Namsan Square (Kukdong B/D) 7F, 173 Toegye-ro
Junggu, Seoul 100-705, Republic of Korea
E-mail: [email protected]
Received Date: 08/03/2016; Accepted Date: 08/04/2016; Published Date: 15/04/2016
Objectives: To predict the social impact of introducing extracorporealshock wave myocardial revascularization (ESMR) on refractory cardiovascular disease. Methods: We used a horizon-scanning system to prioritize and select promising health technologies, and evidence assessment and peer review to analyze current clinical evidence and predict the social impact. Results: Analysis of the current evidence revealed that the non-invasive health technology ESMR, which can be performed using low-energy shock waves, is promising for refractory cardiovascular disease treatment. Its effectiveness regarding improvements in pain relief,nitroglycerine dosage, and blood flow have been reported in the absence of adverse events. However, these reports were based on short-term studies that lacked comparison groups, and treatment mechanisms have not been elucidated. According to expert opinions, it is currently difficult to assess and predict the social impact of this technology. Conclusion: ESMR is promising, although stronger evidence of its safety, effectiveness, and treatment mechanism is needed.