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Related Concept Videos

Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

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During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
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Aneurysm IV: Nursing Management01:22

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Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
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Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
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Cardiac Catheterization IV: Nursing Management01:26

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Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
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Venous Thrombosis III: Interprofessional Care01:29

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Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
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Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
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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.

International Angiology : a Journal of the International Union of Angiology
|December 19, 2025
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Summary
This summary is machine-generated.

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.

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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.