Safety of Outpatient Cardiac Catheterization

Fighali, Sayid; Krajcer, Zvoniinir; Gonzales-Camid, Felipe; Warda, Mamdouh; Edelman, Sidney K.; Leachman, Robert D.

doi:10.1378/chest.88.3.349

Cited by 20 publications

(7 citation statements)

References 5 publications

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“…Many previous studies have addressed the cost efficiency of out-patient procedures compared to in-patient procedures [1][2][3][4][5][6]161. This study included both in-and out-patients and the cost analysis was limited to procedural and post-procedural care costs only.…”

Section: Percutaneous Left Brachial Catheterization Usingmentioning

confidence: 99%

Cardiac catheterization and coronary angiography using 5 french preformed (Judkins) catheters from the percutaneous right brachial approach: A comparative analysis with the femoral approach

Bush

VanFossen

Kolibash

et al. 1993

Cathet. Cardiovasc. Diagn.

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This study describes a method for the performance of cardiac catheterization using 5 French preformed Judkins catheters from a percutaneous right brachial approach, and compares that technique to the more traditional percutaneous right femoral approach with 6 French catheters. One hundred consecutive patients requiring diagnostic left heart catheterization and selective coronary angiography were randomized according to femoral versus brachial arterial technique. Procedural efficiency, radiation exposure, and diagnostic film quality favored the femoral approach, while patient comfort, hemostasis time, time to ambulation, and decreased need for post-procedure nursing care favored the brachial approach. No differences were identified in complications. Cardiac catheterization from a right brachial artery percutaneous approach with 5 French preformed catheters has both advantages and disadvantages when compared with a more traditional femoral approach with 6 French catheters. Multiple factors should be considered before selecting an approach to diagnostic cardiac catheterization and each patient should be individually evaluated for determination of the optimal technique.

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Section: Percutaneous Left Brachial Catheterization Usingmentioning

confidence: 99%

Cardiac catheterization and coronary angiography using 5 french preformed (Judkins) catheters from the percutaneous right brachial approach: A comparative analysis with the femoral approach

Bush

VanFossen

Kolibash

et al. 1993

Cathet. Cardiovasc. Diagn.

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“…Mobile cardiac catheterization thus appears to be a safe and effective means of diagnostic angiography. [4,7,8,15]. The development of free-standing catheterization facilities with no hospital or surgical facilities followed with equivalent safety, such that reimbursement for outpatient and free-standing catheterization was approved by the U.S. Public Health Service in 1989 .…”

mentioning

confidence: 99%

Mobile cardiac catheterization registry: Report of the first 1,001 patients

Bersin¹,

Elliott²,

Elliott³

et al. 1994

Cathet. Cardiovasc. Diagn.

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The purpose of this study was to evaluate prospectively the efficacy and safety of mobile cardiac catheterization. Mobile cardiac catheterization was introduced into clinical practice in 1989, but there has been no systematic study of its performance and safety. A registry was established in 1989 to monitor outcomes with mobile cardiac catheterization and is reported here. Patients were screened for eligibility for mobile cardiac catheterization using the joint AHA/ACC criteria for outpatient angiography. Eligible patients underwent mobile catheterization at eight hospitals within 120 miles of the base tertiary center. Helicopter evacuation services were available at each mobile site. The indications, findings, dispositions, and complications of mobile cardiac catheterization were recorded by means of a checklist, telephone follow-up and chart review. A total of 1,001 consecutive patients were entered into the registry in the first 20 months of operation, including 436 females and 565 males aged 22 to 84 years. Angina (Canadian Classes II-IV) was the most frequent primary indication for catheterization (46.4%), followed by atypical chest pain (36.9%), or a positive exercise stress test (25.6%). Infrequent indications for catheterization included a history of myocardial infarction (5.6%), congestive heart failure (7.1%), arrhythmias (4.1%), and valvular heart disease (0.7%). Catheterization was accomplished in 99.9% of patients. Angiographically normal studies were observed in 22.8%, and mild (< or = 50%) coronary artery disease in 13.6% of patients.(ABSTRACT TRUNCATED AT 250 WORDS)

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“…Total catheterization-related charges were $679 lower for outpatients. Other groups have confirmed the safety issue and report rates of outpatient cardiac catheterization between 52 and 94% [5][6][7][8].…”

Section: Discussionmentioning

confidence: 96%

“…In the early 1980s reports began surfacing as to the safety and cost savings of performing more complex procedures, such as hernia, bronchoscopy, and arthroscopy, on an outpatient basis [2][3][4]. By the mid-1980s, the safety of outpatient cardiac catheterization had been reported [5][6][7][8][9]. Yet, in 1994, the Veterans Health Administration medical centers were still struggling with developing outpatient surgery programs [10].…”

Section: Introductionmentioning

confidence: 99%