title: Day-Case Treatment of Peripheral Arterial Disease: Results from a Multi-Center European Study.
abstract: OBJECTIVE
  The purpose of the study was to investigate safety and feasibility of day-case endovascular procedures for the management of peripheral arterial disease.
  
  
  METHODS
  This was a multi-center, retrospective study including all patients treated over a 30-month period with endovascular angioplasty or stenting for intermittent claudication (IC) or critical limb ischemia (CLI) on a day-case basis, in Interventional Radiology (IR) departments of three European tertiary hospitals. Exclusion criteria were not related to the type of lesion and included unavailability of an adult able to take care of patient overnight; high bleeding risk and ASA score ≥4. Primary efficacy outcome was the rate of procedures performed on an outpatient basis requiring no further hospitalization and primary safety outcome was freedom from 30-day major complications' rate.
  
  
  RESULTS
  The study included 652 patients (male 75 %; mean age 68 ± 10 years; range: 27-93), 24.6 % treated for CLI. In 53.3 % of the cases a 6Fr sheath was used. Technical success was 97.1 %. Haemostasis was obtained by manual compression in 52.4 % of the accesses. The primary efficacy outcome occurred in 95.4 % (622/652 patients) and primary safety outcome in 98.6 % (643/652 patients). Major complications included five (0.7 %) retroperitoneal hematomas requiring transfusion; one (0.1 %) common femoral artery pseudoaneurysm successfully treated with US-guided thrombin injection, two cases of intra-procedural distal embolization treated with catheter-directed local thrombolysis and one on-table cardiac arrest necessitating >24 h recovery. No major complication was noted after same-day discharge.
  
  
  CONCLUSIONS
  Day-case endovascular procedures for the treatment of IC or CLI can be safely and efficiently performed in experienced IR departments of large tertiary hospitals.
authors.affiliation: Department of Interventional Radiology, Patras University Hospital, Patras, Greece. stavspiliop@med.uoa.gr.|2nd Radiology Department, Division of Interventional Radiology, Attikon University General Hospital, 1st Rimini St, Chaidari, 12461, Athens, Greece. stavspiliop@med.uoa.gr.
authors.forename: Stavros
authors.initials: S
authors.lastname: Spiliopoulos
authors.affiliation: Department of Interventional Radiology, Patras University Hospital, Patras, Greece.
authors.forename: Dimitrios
authors.initials: D
authors.lastname: Karnabatidis
authors.affiliation: Department of Interventional Radiology, Guy's and St Thomas' Hospitals, NHS Foundation Trust, King's Health Partners, London, UK.
authors.forename: Konstantinos
authors.initials: K
authors.lastname: Katsanos
authors.affiliation: Department of Interventional Radiology, Guy's and St Thomas' Hospitals, NHS Foundation Trust, King's Health Partners, London, UK.
authors.forename: Athanasios
authors.initials: A
authors.lastname: Diamantopoulos
authors.affiliation: Department of Interventional Radiology, Addenbrooke's University Hospital, NHS Foundation Trust, Cambridge, UK.
authors.forename: Tariq
authors.initials: T
authors.lastname: Ali
authors.affiliation: Department of Interventional Radiology, Patras University Hospital, Patras, Greece.
authors.forename: Panagiotis
authors.initials: P
authors.lastname: Kitrou
authors.affiliation: Department of Interventional Radiology, Addenbrooke's University Hospital, NHS Foundation Trust, Cambridge, UK.
authors.forename: Alessandro
authors.initials: A
authors.lastname: Cannavale
authors.affiliation: Department of Interventional Radiology, Addenbrooke's University Hospital, NHS Foundation Trust, Cambridge, UK.
authors.forename: Miltiadis
authors.initials: M
authors.lastname: Krokidis
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D017130:Angioplasty / Q000379:methods*; D057510:Endovascular Procedures / Q000379:methods*; D005060:Europe; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D007511:Ischemia / Q000628:therapy; D008297:Male; D008875:Middle Aged; D010045:Outpatients; D058729:Peripheral Arterial Disease / Q000000981:diagnostic imaging / Q000628:therapy*; D015641:Radiography, Interventional / Q000379:methods; D012189:Retrospective Studies; D015607:Stents; D062606:Tertiary Care Centers; D016896:Treatment Outcome
keywords: Angioplasty; Day cases; Peripheral arterial disease; Stenting