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Outpatient angioplasty: 4-year experience in one practice
S P Payne1, A Stanton, P Travers
1Department of Vascular Surgery, St George Hospital, Sydney, Australia.
Annals of the Royal College of Surgeons of England
|October 23, 1997
Summary
Outpatient angioplasty for chronic leg ischaemia is safe and feasible. Using duplex scanning to select patients, this approach enhances efficiency and patient comfort with a low complication rate.
Area of Science:
- Vascular Surgery
- Interventional Radiology
Background:
- Angioplasty for chronic leg ischaemia is typically an inpatient procedure.
- There is a need to improve efficiency and patient comfort.
Purpose of the Study:
- To evaluate the safety and feasibility of performing outpatient angioplasty for chronic leg ischaemia.
- To assess the role of duplex scanning in patient selection for outpatient procedures.
Main Methods:
- Prospective assessment of 168 consecutive outpatient angioplasty cases over 4 years.
- Duplex scanning used for lesion selection, with comparison to angiography.
- Complication rates and reasons for admission were recorded.
Main Results:
- 92% agreement between duplex scanning and angiography for lesion selection.
- A 4% complication rate for outpatient angioplasty was observed.
- No unexpected readmissions occurred; all complications were managed during the procedure.
Conclusions:
- Outpatient angioplasty for chronic leg ischaemia is a safe and feasible option.
- Duplex scanning is effective in selecting appropriate patients for outpatient procedures.
- This policy improves efficiency and patient comfort without compromising safety.