title: Outpatient (Same-day care) Neuroangiography and Neurointervention.
abstract: OBJECTIVE
  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.
  
  
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Department of Radiology and Research Institute of Radiology, University of Ulsan, College of Medicine, Asan Medical Center, Seoul, Korea.
authors.forename: Yun-Gyeong
authors.initials: YG
authors.lastname: Jeong
authors.forename: Eun Hye
authors.initials: EH
authors.lastname: Kim
authors.forename: Sun Moon
authors.initials: SM
authors.lastname: Hwang
authors.forename: Ga Young
authors.initials: GY
authors.lastname: Lee
authors.forename: Jong Woo
authors.initials: JW
authors.lastname: Kim
authors.forename: Yeong Jun
authors.initials: YJ
authors.lastname: Choi
authors.forename: Jae-Hyuk
authors.initials: JH
authors.lastname: Kwak
authors.forename: Dae Chul
authors.initials: DC
authors.lastname: Suh