Office-based endovascular suite is safe for most procedures.

Area of Science:

• Vascular Surgery
• Interventional Radiology
• Outpatient Procedures

Background:

• Office-based endovascular suites are increasingly utilized for percutaneous interventions.
• Assessing the safety and patient satisfaction of these procedures is crucial for expanding their use.

Purpose of the Study:

• To evaluate the safety and patient satisfaction of endovascular procedures performed in an office-based setting.
• To identify complication rates and hospital transfer needs for various endovascular interventions.

Main Methods:

• A prospective study of 2822 patients undergoing 6458 procedures in an office endovascular suite from 2007-2012.
• Data collection included patient demographics, complications, hospital transfers, and 30-day mortality.
• Patient satisfaction surveys and follow-up calls were conducted.

Main Results:

• A low overall complication rate of 0.8% was observed across all procedures.
• Specific complication rates varied by procedure type, with venous filter-related interventions at 2%.
• 99% of surveyed patients expressed willingness to return for future procedures.

Conclusions:

• Appropriately screened patients can undergo most peripheral endovascular interventions in an office setting with minimal complications.
• Office-based interventions are effective for maintaining dialysis access patency and managing venous insufficiency.
• The office setting is a viable and safe option for percutaneous interventions in vascular and dialysis access procedures.