Outpatient transluminal angioplasty.

Abstract

The treatment of 81 consecutive patients with transluminal angioplasty on an outpatient basis did not result in increased morbidity or mortality or delayed complications. The patients were treated in the emergency department observation area for four hours after angioplasty and were then allowed to slowly resume normal activities over the next 48 hours. The authors conclude that outpatient angioplasty is safe in a controlled setting and is cost effective since hospitalization is not required.

Current usage and attitudes among interventional cardiologists regarding the performance of percutaneous coronary intervention (PCI) in the outpatient setting

“…A body of literature exists on the outpatient performance of percutaneous peripheral, renal and carotid vascular procedures [6–21] as well as coronary procedures [22–31]. The majority of these reports suggest that the outpatient performance of percutaneous interventional procedures in properly selected patients is safe and well accepted by the patients themselves.…”

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

“…While numerous large studies regarding outpatient percutaneous coronary intervention demonstrated the safety and feasibility of this method [11][12][13], the large studies in the field of interventional radiology are less pronounced. Although different studies have attempted to demonstrate the feasibility and safety of outpatient percutaneous revascularization in patients with PAD [7,9,[14][15][16][17], the majority of studies have been focused on highly selected patients such as excluding the patients with critical limb ischemia or previous lower limb vascular surgery. 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].…”

“…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?

“…Manashil et al [4] from a center in the US, in 1983 reported their experience with 81 patients that were treated as day cases. The authors included patients with occlusions up to 10 cm long that received 5000 International Units of intra-arterial heparin.…”