Day case angioplasty in a secondary care setting - initial experience

Area of Science:

• Vascular Surgery
• Interventional Cardiology
• Public Health

Background:

• Peripheral artery disease (PAD) is a growing global health concern.
• Day-case angioplasty offers a potential solution for increasing lower limb revascularisation demands.
• This study assesses a day-case angioplasty service in a UK district general hospital.

Purpose of the Study:

• To evaluate the safety and efficacy of a day-case angioplasty service.
• To compare outcomes of day-case angioplasty with inpatient procedures for PAD.
• To assess the feasibility of complex revascularisation in a day-case setting.

Main Methods:

• Retrospective analysis of consecutive patients undergoing endovascular revascularisation (August 2018-February 2020).
• Patients discussed in a multi-disciplinary team meeting using a day case algorithm.
• Comparison of day-case angioplasty outcomes with those requiring overnight stay or prior hospitalization.

Main Results:

• 45% of 138 patients were treated as planned day cases; 92% overall technical success.
• No major peri-procedural complications; one minor bleeding event (0.8%).
• Similar mortality, amputation, and revascularisation rates between day-case and inpatient groups.

Conclusions:

• Day-case angioplasty is safe and effective for critical limb ischaemia in a secondary care setting.
• Complex, multi-level procedures can be successfully managed on a day-case basis.
• This service model can meet the growing demand for PAD treatment.