Safety of elective percutaneous peripheral revascularization in outpatients: A 10-year single-center experience.

Détails

ID Serval
serval:BIB_B9240B0C17C8
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Safety of elective percutaneous peripheral revascularization in outpatients: A 10-year single-center experience.
Périodique
Diagnostic and interventional imaging
Auteur(s)
Malekzadeh S., Rolf T., Doenz F., Chouiter A., Jouannic A.M., Qanadli S.D.
ISSN
2211-5684 (Electronic)
ISSN-L
2211-5684
Statut éditorial
Publié
Date de publication
06/2019
Peer-reviewed
Oui
Volume
100
Numéro
6
Pages
347-352
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
To evaluate the safety and feasibility of peripheral percutaneous endovascular procedures in a large group of outpatients with peripheral arterial disease (PAD).
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 6hours after the procedure. Clinical profile, procedure details and technical success were reviewed. Complications, conversion rate, readmission rate and long-term follow-up were evaluated.
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).
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.
Mots-clé
Interventional radiology, Outpatients, Percutaneous angioplasty, Peripheral arterial disease
Pubmed
Web of science
Création de la notice
20/01/2019 17:19
Dernière modification de la notice
20/08/2019 16:27
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