EVAR IN OUT CLINIC PATIENTS: IS IT FEASIBLE AND SAFE?

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Abstract

IntroductionOnly little is known about endovascular aneurysm repair (EVAR) performed as an outpatientprocedure. We report here a two-center (Middelares Hospital, Antwerp (Deurne), Belgium and UniversityHospital Zurich, Switzerland) experience in 104 EVAR patients of which a group of 52 patientshave been treated on an outpatient (out-EVAR) basis and compared to a matched group of 52 patientsthat have been treated as inpatients (in-EVAR).MethodsSelection criterions for out-EVAR were: informed consent, travel time to the hospital if readmissionwas required of <30-60 minutes, and technically uncomplicated EVAR. Most out-EVAR has beentreated percutaneous. In-EVAR patients consisted in a matched population treated during the sametime period.Results80% (52/65) of the patients considered appropriate for out-EVAR accepted to be treated ambulatory.EVAR was successful in all but one in-EVAR patient requiring conversion to open AAArepair. There was no 30-day mortality in both groups. All patients left the hospital within 12 hoursafter admission, but two out-EVAR patients (4%) that had to stay over the night due to percutaneousaccess problems. There was no outcome difference between both centers.ConclusionsThis two-center experience shows that outpatient EVAR, can be a safe alternative to inpatientEVAR, which further support the superiority of EVAR over open AAA repair.
Original languageEnglish
Title of host publicationControversies and Update in Vascular Surgery 2013
Pages117-121
Number of pages5
Publication statusPublished - 2013

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Pecoraro, F. (2013). EVAR IN OUT CLINIC PATIENTS: IS IT FEASIBLE AND SAFE? In Controversies and Update in Vascular Surgery 2013 (pp. 117-121)