Print this pageEndovascular Work Is Safe In An Office Setting
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krishna jain, MD, John Munn, MD, Mark Rummel, MD, Sarat Vaddineni, MD, Chris Longton, BS.
advanced vasular surgery, kalamazoo, MI, USA.
OBJECTIVES: To determine the safety of various endovascular procedures in an office setting
METHODS: Between May 21 and August 31, 2007 we performed 291 procedures in 234 patients in our outpatient access, imaging and venous center. Patients with venous disease and end stage renal disease had no preoperative lab work. Prior to arteriograms for peripheral vascular disease BUN,creatinine,PT and PTT was done.An intravenous infusion was started in patients having arteriogram. All procedures were done under local anesthesia. Patients received preoperative oral antibiotic, analgesic and tranquilizer. Post operatively they received 2 doses of antibiotic. All procedures were carried out percutaneously. Demographic data was collected. Post operative complications were recorded for 30 days. Patient satisfaction was recorded
RESULTS: The break down of procedures is as followsProcedure category Patients Procedures Dialysis related 150 204 Arteriogram and angioplasty 50 51 Venous 34 36 Total 234 291
Infection, pseudo aneurysm and death rate were 0%. There was one bleeding episode after catheter insertion not requiring admission; two patients were cancelled for abnormal cardiac rhythms. Patient satisfaction was 100%
Conclusions. Endovascular procedures can be carried out in an office setting with safety and are recommended. Vascular surgeons should take a leadership role in promoting this concept.
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