Outpatient (Same-day Care) Neuroangiography and Neurointervention

Overview

Journal Neurointervention

Date 2012 Mar 29

PMID 22454780

Citations 8

Authors

Yun-Gyeong Jeong

Eun Hye Kim

Sun Moon Hwang

Ga Young Lee

Jong Woo Kim

Yeong Jun Choi

Jae-Hyuk Kwak

Dae Chul Suh

Affiliations

Soon will be listed here.

Abstract

Purpose: There have been few reports regarding same-day discharge following uncomplicated procedures such as cerebral angiography and neurointervention. We present same-day experience with cerebral angiography and neurointervention during the past three years.

Materials And Methods: Four hundred and fifty-three patients underwent cerebral angiography or neurointervention at Asan Medical Center between January 2009 and December 2011. Of these patients, 249 (55%) underwent diagnostic catheter cerebral angiography and 204 patients (45%) underwent neurointerventional procedures as same-day procedures. We analyzed any complications, the modified patient-care process, the yearly trend in patient increases, disease categories, and the additional duration of admission for these procedures.

Results: The number of overall patients increased by an average of 51% annually. The disease categories included aneurysm (51%), atherosclerosis (11%) and arteriovenous malformation (10%), etc. for which the patient underwent angiography, and aneurysm (42%), venous malformation (28%), and arteriovenous malformation (17%), etc. for which patients underwent neurointervention. Same-day care patients were admitted to the intermediary care unit in the angiosuite. Neurointervention patients were sent to the neurology intensive unit after the procedure. The same-day care patients stayed in angiosuite for six hours following the transfemoral procedure. The mean admission duration for neurointervention was 2.4 days. There were no reported complications for the same-day care procedures.

Conclusion: Our study revealed an increasing tendency toward same-day care for patients who require angiography and neurointervention. Further studies will be required to better define the cost-minimization effects of outpatient practice as well as the patient perception of this fast-tracking method. We propose that outpatient angiography and neurointervention will undoubtedly continue to increase over the next decade.

Citing Articles

Outpatient Day-Care Management of Unruptured Intracranial Aneurysm: A Retrospective Cohort Study.

Suh D, Choi Y, Park S, Yun S, Jeong S, Jeong S Korean J Radiol. 2022; 23(8):828-834.

PMID: 35762182 PMC: 9340228. DOI: 10.3348/kjr.2021.0940.

Developing a fast-track discharge protocol for patients with cerebral aneurysms treated via neuroendovascular techniques.

Entezami P, Rock A, Topp G, Heydari E, Field N, Boulos A Interv Neuroradiol. 2022; 30(2):163-169.

PMID: 35648585 PMC: 11095345. DOI: 10.1177/15910199221104616.

Endovascular cerebral aneurysm treatment volume during coronavirus 2019.

Frank T, Lee J, Starke R, Mokin M, Colby G, Wang A Interv Neuroradiol. 2021; 28(4):391-395.

PMID: 34515557 PMC: 9326863. DOI: 10.1177/15910199211040278.

Outpatient treatment of cerebral aneurysms: A case series.

Goland J, Doroszuk G, Ypa P, Leyes P, Garbugino S Surg Neurol Int. 2020; 11:400.

PMID: 33274113 PMC: 7708966. DOI: 10.25259/SNI_569_2020.

Outpatient Day-care Neuroangiography and Neurointervention of Unruptured Intracranial Aneurysms.

Liu H, Park D, Hwang S, Lee G, Lim O, Kim M Neurointervention. 2016; 11(1):37-41.

PMID: 26958411 PMC: 4781915. DOI: 10.5469/neuroint.2016.11.1.37.

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