Efficacy and safety of outpatient cardiac catheterization

Mahrer, Peter R.; Young, Charlie; Magnusson, Peter

doi:10.1002/ccd.1810130504

Cited by 27 publications

(14 citation statements)

References 9 publications

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“…In addition, the incidence of one-, two-, and three-vessel disease was progressively higher as one moved through our groups from mobile to same day/outpatient to inpatient. The lower incidence of coronary artery disease in the mobile and same day/outpatient setting is not dissimilar from other outpatient studies which have shown a range of 59.7% to 74.0% [9,10,12,13]. Our study, therefore, reflects that through the use of the ACC/AHA screening criteria, one can prospectively identify patients with the greatest likelihood of having normal findings and less severe disease and shift these patients toward the mobile and outpatient setting.…”

Section: Dispositions (Tables V Vi)supporting

confidence: 57%

Mobile cardiac catheterization: Comparison with outpatient and inpatient catheterization at tertiary facilities

Cm¹,

Rm²,

Av³

et al. 1994

Cathet. Cardiovasc. Diagn.

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The study group included 1,553 consecutive patients from areas serviced by our mobile catheterization laboratories: 719 procedures were performed in the mobile unit at their local hospitals, 277 were performed at a tertiary hospital with less than a 24 hr hospital stay, and 557 were performed at a tertiary hospital as inpatients. The indications for mobile catheterization were predominantly atypical chest pain, angina pectoris, or positive treadmill stress test, whereas patients with less than 24 hr hospitalization at the tertiary center had their catheterization performed for additional reasons. The majority of the inpatient indications were for recent myocardial infarction or unstable angina. Using the American College of Cardiology/American Heart Association (ACC/AHA) criteria for outpatient catheterization, the mobile catheterizations were performed safely with a complication rate of only 0.7% compared to a complication rate of 3.1% for inpatients demonstrating that a low risk group of patients can be prospectively identified and catheterized safely in the mobile setting. An extremely high risk group of patients with ongoing unstable angina and recent myocardial infarction was also identified which should undergo catheterization only at a tertiary center.

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Section: Dispositions (Tables V Vi)supporting

confidence: 57%

Mobile cardiac catheterization: Comparison with outpatient and inpatient catheterization at tertiary facilities

Cm¹,

Rm²,

Av³

et al. 1994

Cathet. Cardiovasc. Diagn.

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“…Mobile cardiac catheterization thus appears to be a safe and effective means of diagnostic angiography. [4,7,8,15]. The development of free-standing catheterization facilities with no hospital or surgical facilities followed with equivalent safety, such that reimbursement for outpatient and free-standing catheterization was approved by the U.S. Public Health Service in 1989 .…”

mentioning

confidence: 99%

Mobile cardiac catheterization registry: Report of the first 1,001 patients

Bersin¹,

Elliott²,

Elliott³

et al. 1994

Cathet. Cardiovasc. Diagn.

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The purpose of this study was to evaluate prospectively the efficacy and safety of mobile cardiac catheterization. Mobile cardiac catheterization was introduced into clinical practice in 1989, but there has been no systematic study of its performance and safety. A registry was established in 1989 to monitor outcomes with mobile cardiac catheterization and is reported here. Patients were screened for eligibility for mobile cardiac catheterization using the joint AHA/ACC criteria for outpatient angiography. Eligible patients underwent mobile catheterization at eight hospitals within 120 miles of the base tertiary center. Helicopter evacuation services were available at each mobile site. The indications, findings, dispositions, and complications of mobile cardiac catheterization were recorded by means of a checklist, telephone follow-up and chart review. A total of 1,001 consecutive patients were entered into the registry in the first 20 months of operation, including 436 females and 565 males aged 22 to 84 years. Angina (Canadian Classes II-IV) was the most frequent primary indication for catheterization (46.4%), followed by atypical chest pain (36.9%), or a positive exercise stress test (25.6%). Infrequent indications for catheterization included a history of myocardial infarction (5.6%), congestive heart failure (7.1%), arrhythmias (4.1%), and valvular heart disease (0.7%). Catheterization was accomplished in 99.9% of patients. Angiographically normal studies were observed in 22.8%, and mild (< or = 50%) coronary artery disease in 13.6% of patients.(ABSTRACT TRUNCATED AT 250 WORDS)

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“…Klinke et al [3] retrospectively examined 3,071 outpatient cardiac catheterizations and found complication rates to be similar to those of inpatients. Mahrer et al [4] reported no difference in complications between 2,207 outpatients, 1,330 transfer patients, or 557 inpatients. The Health and Public [2] performed a randomized study using 7 French catheters in 273 patients.…”

Section: Discussionmentioning

confidence: 97%