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Updated: Jan 8, 2026
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Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
Published on: January 18, 2018
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Same-day discharge following endovascular peripheral interventions.
Faisal M Shaikh1, Hannah Cliffe2, Canice O'Mahony2
1Department of Vascular Surgery, North Wales Hospitals, Wales, UK - faisalshaikh@rcsi.ie.
Summary
Same-day discharge after peripheral endovascular interventions is safe and feasible, even in rural settings. This approach demonstrates a low complication rate, supporting its universal adoption for improved patient care.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Health Services Research
Background:
- Day case peripheral endovascular interventions are increasingly adopted due to technological advancements.
- Rural hospitals face challenges in adopting same-day discharge models due to limited emergency service access.
Purpose of the Study:
- To evaluate the safety and feasibility of same-day discharge after peripheral endovascular interventions.
- To assess the outcomes of day case procedures in a rural healthcare setting.
Main Methods:
- A retrospective study of 221 patients undergoing 237 peripheral arterial interventions over 24 months.
- Data collected from a prospectively maintained interventional radiology database.
- Primary endpoint: safe same-day discharge; Secondary endpoint: adverse events and unplanned admissions.
Main Results:
- 92.8% of patients were safely discharged on the same day.
- Technical success rate was 90% with a 5% complication rate.
- Unplanned hospital admission rate was 7.2%.
Conclusions:
- Same-day discharge for peripheral endovascular interventions is safe and feasible in rural areas.
- Low complication and readmission rates support universal adoption of this care model.
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