Document Detail


Outpatient angioplasty: 4-year experience in one practice.
MedLine Citation:
PMID:  9326123     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Angioplasty is often performed as an inpatient procedure after preliminary angiography. In order to increase efficiency and patient comfort we introduced a policy of performing angioplasty for chronic leg ischaemia as an outpatient whenever possible, using duplex scanning to select suitable lesions. This paper examines the safety and feasibility of this policy over a 4-year period. We prospectively assessed 168 consecutive cases which were planned for outpatient angioplasty from a total of 190 cases undergoing angioplasty and found full agreement between duplex scanning and angiography in 92%. Six patients (4%) developed complications of angioplasty requiring admission and another five were admitted for unexpected organisational reasons. Thus, the complication rate of outpatient angioplasty was 4%. All complications were noted at the time of angioplasty with no unexpected readmissions. Angioplasty for leg ischaemia is feasible and safe to perform as an outpatient using duplex scanning to select appropriate cases.
Authors:
S P Payne; A Stanton; P Travers; D Glenn; K C Hanel
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Publication Detail:
Type:  Clinical Trial; Journal Article    
Journal Detail:
Title:  Annals of the Royal College of Surgeons of England     Volume:  79     ISSN:  0035-8843     ISO Abbreviation:  Ann R Coll Surg Engl     Publication Date:  1997 Sep 
Date Detail:
Created Date:  1997-10-16     Completed Date:  1997-10-16     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  7506860     Medline TA:  Ann R Coll Surg Engl     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  331-4     Citation Subset:  IM    
Affiliation:
Department of Vascular Surgery, St George Hospital, Sydney, Australia.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Ambulatory Care / methods*
Angioplasty, Balloon / adverse effects,  methods*
Chronic Disease
Feasibility Studies
Female
Humans
Ischemia / therapy*,  ultrasonography
Leg / blood supply*
Male
Middle Aged
Patient Selection
Prospective Studies
Ultrasonography, Doppler, Color
Comments/Corrections

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