Safety of outpatient cardiac catheterizations

Klinke, W. Peter; Kubac, George; Talibi, T; Lee, Simon J.K.

doi:10.1016/0002-9149(85)91026-4

Cited by 65 publications

(24 citation statements)

References 4 publications

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“…Similar low admission rates (0.5-2.3%) were reported by Fighaldi et al [7] and Klinke et al [10]. Although these numbers are small, any free-standing cardiac catheterization laboratory should have a close cooperation to a fully equipped hospital (in tensive care unit, cardiosurgical service) with the immediate availability to transfer patients in need for further care.…”

Section: Discussionsupporting

confidence: 64%

Outpatient Coronary Angiography - Safety and Feasibility

Pöhler¹,

Günther²,

Diekmann

et al. 1994

Cardiology

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The feasibility and safety of outpatient coronary angiography were studied in 2,106 patients. Patients were discharged with a pressure dressing 2 h after the angiographic study. No complications occurred in 99.53% of all patients. Severe complications were seen in 10 patients (0.47%). 9 patients (0.43%) had to be admitted to hospital, either for immediate treatment (4 patients) or due to complications (5 patients). Our results revealed a very low complication rate for outpatient coronary angiography. The number and severity of complications following coronary angiography did not differ significantly between inpatients and outpatients. Therefore, outpatient coronary angiography can be considered as a safe and feasible diagnostic method which may help cut health care costs.

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Section: Discussionsupporting

confidence: 64%

Outpatient Coronary Angiography - Safety and Feasibility

Pöhler¹,

Günther²,

Diekmann

et al. 1994

Cardiology

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“…Since then, there have been numerous other reports on outpatient cardiac catheterization [2][3][4][5]10,11]. The results of our study and those of others were so encouraging that we have continued to perform outpatient catheterization on a routine basis on a majority of our patients.…”

supporting

confidence: 69%

Efficacy and safety of outpatient cardiac catheterization

Mahrer

Young

Magnusson

1987

Cathet. Cardiovasc. Diagn.

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Outpatient cardiac catheterization has become the standard in our laboratory. The only exclusion for outpatient study is current hospitalization for cardiac symptoms. Thus, any patient well enough to be at home is studied on an outpatient basis. We reviewed our experience on 4,094 diagnostic studies of which 3,537 (86%) were done on a same-day basis. The complication rates were generally lower than in published series with a mortality of 0.05%. There were no admissions for late bleeding. Ninety-seven percent of the procedures were done by the percutaneous technique utilizing 7-French catheters. Patients were heparinized, and protamine was not used. The low complication rate is to a large extent due to meticulous postoperative care by critical care nurses in an outpatient observation unit contiguous to the laboratory. Outpatient cardiac catheterization is a safe, cost-saving approach applicable to a large majority of cardiac patients.

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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: 51%

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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Safety of outpatient cardiac catheterizations

Cited by 65 publications

References 4 publications

Outpatient Coronary Angiography - Safety and Feasibility

Outpatient Coronary Angiography - Safety and Feasibility

Efficacy and safety of outpatient cardiac catheterization

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

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