Treatment outcomes and lessons learned from 5134 cases of outpatient office-based endovascular procedures in a vascular surgical practice

Autor: Pablo V. Uceda, Joseph Caruso, Robert W. Feldtman, Marius Saines, Peter H. Lin, Jasmine L. Richmond, Kaitlyn E. Egan, Rhoda Leichter, Samuel S. Ahn, Karen Mcquade, Cameron E. Kliner, Craig A. Ferrara, Kenneth R. Kollmeyer, Keunho Yang, Walter Kim
Rok vydání: 2016
Předmět:
Adult
Male
medicine.medical_specialty
Catheterization
Central Venous
Time Factors
Adolescent
Office Visits
Psychological intervention
030204 cardiovascular system & hematology
Radiography
Interventional
030218 nuclear medicine & medical imaging
03 medical and health sciences
Patient safety
Young Adult
0302 clinical medicine
Postoperative Complications
Predictive Value of Tests
Risk Factors
Patient experience
medicine
Humans
Radiology
Nuclear Medicine and imaging
Vascular Diseases
Aged
Retrospective Studies
Aged
80 and over
business.industry
Endovascular Procedures
Process Assessment
Health Care
Angiography
Retrospective cohort study
General Medicine
Ambulatory Surgical Procedure
Middle Aged
Texas
Surgery
Catheter
Treatment Outcome
Ambulatory Surgical Procedures
Predictive value of tests
Female
Stents
Patient Safety
Cardiology and Cardiovascular Medicine
Complication
business
Dialysis
Zdroj: Vascular. 25(2)
ISSN: 1708-539X
Popis: Introduction The office-based endovascular facility has increased in number recently due in part to expedient patient experience. This study analyzed treatment outcomes of procedures performed in our office-based endovascular suite. Methods Treatment outcomes of 5134 consecutive procedures performed in our office-based endovascular suites from 2006 to 2013 were analyzed. Five sequential groups (group I–V) of 1000 consecutive interventions were compared with regard to technical success and treatment outcomes. Results Our patients included 2856 (56%) females and 2267 (44%) males. Procedures performed included diagnostic arteriogram, arterial interventions, venous interventions, dialysis access interventions, and venous catheter management, which were 1024 (19.9%), 1568 (30.6%), and 3073 (60.0%), 621(12.1%), and 354 (6.9%), respectively. The complication rates for group I, II, III, IV, and V were 3%, 1.5%, 1%, 1.1%, and 0.7%, respectively. The complication rate was higher in group I when compared to each of the remaining four groups ( p Conclusions Endovascular procedure can be performed safely in an office-based facility with excellent outcomes. Lessons learned in establishing office-based endovascular suites with efforts to reduce procedural complications and optimize quality patient care are discussed.
Databáze: OpenAIRE
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