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Published on: June 3, 2018
Outpatient angiography: a prospective study of 3 French catheters in unselected patients
J Fitzgerald1, H Andrew, B Conway
1Department of Clinical Radiology, Manchester Royal Infirmary, UK.
Insights
Outpatient angiography using a 3F catheter is safe and effective. This approach addresses hospital bed shortages and financial constraints without compromising image quality or patient safety.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Cardiology
Background:
- Routine hospital admission for angiography is resource-intensive.
- Financial constraints and bed shortages necessitate policy re-evaluation.
- Outpatient procedures can potentially alleviate hospital burdens.
Purpose of the Study:
- To assess the safety and efficacy of outpatient angiography.
- To evaluate early mobilization following outpatient angiography.
- To determine if outpatient angiography impacts image quality.
Main Methods:
- Prospective study of 219 patients undergoing peripheral and renal angiography.
- Procedure performed using a 3F catheter on an outpatient basis.
- Patients mobilized 1 hour post-procedure and discharged 2 hours after angiography.
Main Results:
- No significant complications reported in 219 patients.
- Early mobilization was safe and well-tolerated.
- Angiography provided consistently adequate image quality.
Conclusions:
- Outpatient 3F angiography is a safe and effective alternative to inpatient procedures.
- This approach can help manage hospital resources effectively.
- The procedure is well-tolerated, yielding high-quality diagnostic images.
Abstract:
Financial constraints and bed shortages led to a re-evaluation of the policy of routine hospital admission for angiography. All patients referred for peripheral and renal angiography over an 8 month period had the procedure performed as an outpatient with a 3 F catheter. Patients were kept supine for 1 h and discharged 2 h after the angiogram. No significant complications resulted from the early mobilization of 219 patients who had outpatient 3 F angiography. It was a safe, well tolerated procedure, resulting in images of consistently adequate quality.
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