Outpatient peripheral angioplasty: survey of complications and patients' perceptions

Safety of elective percutaneous peripheral revascularization in outpatients: A 10-year single-center experience

“…According to this classification, 14 major and 13 minor complications were reported with an overall rate of complications of 4.1%, similar to those of other studies [16,17,19]. The conversion rate reported by different studies shows a large range from 0 to 20% [6,14,22]. In the present study, outpatient protocol could be accomplished in 98.2% of procedures.…”

“…However, what was revealed was that in almost every situation, complications occur during the procedure or during the 6 hours observation period, and therefore the outpatient approach will not alter the outcomes [8,9,16,18]. In addition, a high patient satisfaction rate of PTA in outpatients was also reported [6]. The routine protocol for lower limb PTA and/or stent placement in our hospital since 2005, based on institutional experience, was mainly an outpatient protocol.…”

“…Several studies have attempted to demonstrate the feasibility and efficacy of peripheral transluminal angioplasty (PTA) in outpatient population without compromising clinical outcomes [4][5][6][7]. Despite promising results, most of these studies are limited by relatively small cohorts, the bias of highly selected patients with no predefined protocol for outpatients and a short follow-up period.…”

Peripheral angioplasty as a day case: science fiction or everyday reality?

“…The authors reported good results without any pseudoaneurysms or late bleeding. Lemarbre et al [5] also reported similar experience on 64 patients treated in Europe, without major complications and only one case of a pseudoaneurysm. In this study the patient mean age was 58 years (range 33-75) and only patients with intermittent claudication were treated.…”

Reduction of femoral artery bleeding post catheterization using a collagen enhanced fibrin sealant

“…While there are currently efforts being made to increase the number of outpatient procedures using the conventional compression method [9,10], a new method of achieving safe and rapid hemostasis with reduced complications would allow earlier mobilization. More rapid mobilization might permit more outpatient procedures which have been found to cut costs [11][12][13] as well as ease patient anxiety and discomfort [14,15]. A new hemostatic technique might also eliminate the need to reverse heparinization at the end of the catheterization which can lead to coronary arterial thrombosis.…”