Management of ambulatory (day case) endovascular procedures for peripheral arterial disease

Geographical Ambulatory Endovascular Revascularisation Disparities in France From 2015 to 2019

“…The authors reported that this result was mainly explained by the higher number of re-admissions in the outpatient arm. While previous studies demonstrated patient safety during the intervention, few studies evaluate the rate of early complications and re-interventions 8,10,34 . Therefore, healthcare services and healthcare professionals may still be hesitant to promote ambulatory setting because of potential side effects.…”

“…For more than a decade, technological developments and the expertise of vascular teams have improved the management of LEAD, offering endovascular treaments and outpatient hospitalisation. Although the benefits of outpatients hospitalisations are still debated, notably about the complication rates or the burden of premature discharge on primary health care services [6][7][8][9] , several studies had demonstrated both increased resource efficiency and hospital cost savings, thanks to ambulatory endovascular treatments, while preserving patient safety [10][11][12][13] . Consequently, the development of endovascular interventions in ambulatory setting has accelerated significantly, mainly in the United States 14,15 .…”

“…Clearly, LEAD treatment is shifting from conventional hospitalisation and open surgery to ambulatory minimal invasive endovascular surgery, when applicable 10,16 . In the United States, the latter it concerns more than 60% of the procedures.…”

Readmissions to an alternate hospital in patients undergoing vascular intervention for claudication and critical limb ischemia associated with significantly higher mortality

“…Other studies have suggested that outpatient vascular procedures have a very low readmission rate (<3.3%) and might be a safe and efficient method of reducing negative outcomes. 32 Clinicians can use these findings to educate patients and families on the risks of readmission to a nonindex hospital and intervene by attempting to coordinate any planned or unplanned readmissions such that they occur at the index hospital, when appropriate. Thorough postoperative continuity of care with the original care provider could also help to decrease nonindex hospital readmissions.…”

Hospitalization and Death in the First 30 days After Outpatient Lower Extremity Arterial Stenting

“…Moreover, several studies demonstrated the feasibility of same-day endovascular revascularization (i.e. outpatient surgery) [8][9][10][11] and the reduced risk of hospital-acquired infections [12]. Consequently, outpatient endovascular revascularization has become the main option for arterial repair in the United States of America (USA) where the Outpatient Prospective Payment System significantly promotes the shift from inpatient to outpatient settings [13].…”