Safety of elective percutaneous peripheral revascularization in outpatients: A 10-year single-center experience
| Autor: | A. Chouiter, Anne-Marie Jouannic, Francesco Doenz, Tanina Rolf, S. Malekzadeh, Salah D. Qanadli |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Percutaneous Time Factors medicine.medical_treatment Single Center Revascularization 030218 nuclear medicine & medical imaging 03 medical and health sciences Peripheral Arterial Disease 0302 clinical medicine Restenosis medicine Humans Radiology Nuclear Medicine and imaging Aged Retrospective Studies Aged 80 and over Radiological and Ultrasound Technology medicine.diagnostic_test business.industry Angioplasty Interventional radiology General Medicine Ambulatory Surgical Procedure Middle Aged medicine.disease Surgery Ambulatory Surgical Procedures Lower Extremity Elective Surgical Procedures 030220 oncology & carcinogenesis Feasibility Studies Female medicine.symptom Elective Surgical Procedure Claudication business |
| Zdroj: | Diagnostic and interventional imaging. 100(6) |
| ISSN: | 2211-5684 |
| Popis: | Purpose To evaluate the safety and feasibility of peripheral percutaneous endovascular procedures in a large group of outpatients with peripheral arterial disease (PAD). Materials and methods We retrospectively evaluated all consecutive patients who underwent peripheral transluminal angioplasty (PTA) for PAD of the lower extremities as “Out-Patient Admission Protocol” (OPAP) from January 2005 until December 2015. A total of 498 consecutive patients (305 men and 193 women) with mean age of 66 ± 10 (SD) years (range: 37–90 years) were evaluated. By protocol, patients were expected to be discharged 6 hours after the procedure. Clinical profile, procedure details and technical success were reviewed. Complications, conversion rate, readmission rate and long-term follow-up were evaluated. Results Ninety one percent of patients (454/498) suffered from claudication. Unilateral femoral access was performed in 75.4% (493/654) of procedures with a 6-French sheath in 80.7% (528/654) of procedures. Balloon PTA alone was performed in 17.3% (148/857) and stent placement in 82.7% (709/857) of treated segments. Technical success of lesion treatment was 98.2% (857/873). Closure devices were used in 55.4% (362/654) of procedures. Conversion and readmission rates were 1.8% (12/654) and 0.6% (4/654), respectively. Long-term follow-up was obtained in 386 target lesions, 5-year restenosis of lesion was 20.5% (79/386). Conclusion As designed, the OPAP was feasible, safe and effective with very low conversion and complications rates. These results strongly support a larger use of such approaches as routine practice. |
| Databáze: | OpenAIRE |
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