Neurointervention.  2012 Feb;7(1):17-22. 10.5469/neuroint.2012.7.1.17.

Outpatient (Same-day care) Neuroangiography and Neurointervention

• Jeong YG
• Kim EH
• Hwang SM
• Lee GY
• Kim JW
• Choi YJ
• Kwak JH
• Suh DC

• KMID: 1783994
• DOI: http://doi.org/10.5469/neuroint.2012.7.1.17

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.

Keyword

Neurointervention; Outpatients; Ambulatory care

MeSH Terms

Ambulatory Care
Aneurysm
Angiography
Arteriovenous Malformations
Atherosclerosis
Catheters
Cerebral Angiography
Humans
Neurology
Outpatients

Figure

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  Fig. 1 Annual trend (A) of the number of patients treated by cerebral angiography or during the last three years. Note the marked increase in the number of patients for cerebral angiography (B) as well as for neurointervention (C). The percentage shows the annual increase in the number of patients compared to that of the previous two years.

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