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Outpatient tibial endovascular procedures safe regardless of setting
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Outpatient endovascular tibial artery interventions were equally safe in office-based and hospital settings, researchers reported.
The researchers conducted a retrospective review of 204 outpatient tibial interventions on 161 patients (mean age, 72 years; 81 men) between April 2011 and September 2013 to determine whether there was a difference in safety among those performed in an office vs. a hospital angiography suite.
All patients underwent percutaneous transluminal angioplasty and some also underwent atherectomy.
The outcomes of interest were unplanned admissions, ED visits, acute complications and patency.
The hospital group had more chronic obstructive pulmonary disease (P = .045), renal insufficiency (P = .017) and prior proximal bypass (P = .045) than the office group.
There was no significant difference at 30 days in local complication rates (office, 7%; hospital, 11%), systemic complication rates (office, 4%; hospital, 8%) and mortality rates (office, 1%; hospital, 2%), Steve M. D’Souza, MS, from the division of vascular surgery, Eastern Virginia School of Medicine, and colleagues wrote.
Unplanned postprocedure admissions for medical reasons were lower in the office group (2% vs. 11%; P = .01), according to the researchers.
The 1-year Kaplan-Meier estimates showed a trend toward better primary patency in the office group (69% vs. 53%; P = .05) but no significant differences in assisted primary patency (office, 90%; hospital, 89%) and amputation-free survival (office, 89%; hospital, 83%).
“These results show that the office endovascular suite can be a safe alternative to the hospital angiography suite for tibial interventions,” D’Souza and colleagues wrote. – by Erik Swain
Disclosures: The authors report no relevant financial disclosures.
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