{"title":"办公室实验室动脉手术的患者选择:系统回顾","authors":"","doi":"10.1053/j.semvascsurg.2024.05.003","DOIUrl":null,"url":null,"abstract":"<div><p>A dramatic increase in the number of vascular procedures performed in the office-based laboratory setting has been observed since 2008, when the Centers for Medicare and Medicaid Services increased reimbursement for procedures performed in the ambulatory setting. We sought to evaluate the appropriateness of arterial intervention in the office-based laboratory and patient selection. This systematic review was conducted with a search of Google Scholar and PubMed using the following search terms: <em>office-based lab, outpatient, angioplasty, patient selection, arterial,</em> and <em>appropriateness</em>. More than 500 publications were screened and 14 publications related to the topic were selected. The existing literature that examined patient selection for intervention in the outpatient setting, rates of complications after outpatient procedures, and short-term data on the safety and efficacy of these procedures is discussed. Gaps were identified in current knowledge about the long-term outcomes of peripheral arterial interventions performed in the office-based laboratory setting, as well as existing guidelines for the management of patients with peripheral arterial disease.</p></div>","PeriodicalId":3,"journal":{"name":"ACS Applied Electronic Materials","volume":null,"pages":null},"PeriodicalIF":4.3000,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0895796724000309/pdfft?md5=e44986ec5b820da129770a0a1d643b95&pid=1-s2.0-S0895796724000309-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Patient selection for arterial procedures in office‐based laboratories: A systematic review\",\"authors\":\"\",\"doi\":\"10.1053/j.semvascsurg.2024.05.003\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><p>A dramatic increase in the number of vascular procedures performed in the office-based laboratory setting has been observed since 2008, when the Centers for Medicare and Medicaid Services increased reimbursement for procedures performed in the ambulatory setting. We sought to evaluate the appropriateness of arterial intervention in the office-based laboratory and patient selection. This systematic review was conducted with a search of Google Scholar and PubMed using the following search terms: <em>office-based lab, outpatient, angioplasty, patient selection, arterial,</em> and <em>appropriateness</em>. More than 500 publications were screened and 14 publications related to the topic were selected. The existing literature that examined patient selection for intervention in the outpatient setting, rates of complications after outpatient procedures, and short-term data on the safety and efficacy of these procedures is discussed. Gaps were identified in current knowledge about the long-term outcomes of peripheral arterial interventions performed in the office-based laboratory setting, as well as existing guidelines for the management of patients with peripheral arterial disease.</p></div>\",\"PeriodicalId\":3,\"journal\":{\"name\":\"ACS Applied Electronic Materials\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":4.3000,\"publicationDate\":\"2024-06-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S0895796724000309/pdfft?md5=e44986ec5b820da129770a0a1d643b95&pid=1-s2.0-S0895796724000309-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"ACS Applied Electronic Materials\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0895796724000309\",\"RegionNum\":3,\"RegionCategory\":\"材料科学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"ENGINEERING, ELECTRICAL & ELECTRONIC\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"ACS Applied Electronic Materials","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0895796724000309","RegionNum":3,"RegionCategory":"材料科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ENGINEERING, ELECTRICAL & ELECTRONIC","Score":null,"Total":0}
引用次数: 0
摘要
自 2008 年美国联邦医疗保险与医疗补助服务中心(Centers for Medicare and Medicaid Services)提高了对非住院治疗的报销额度以来,在诊室化验室进行的血管手术数量急剧增加。我们试图评估在诊室化验室进行动脉介入治疗的适宜性以及患者的选择。本系统性综述在 Google Scholar 和 PubMed 上进行了检索,检索词包括:诊室实验室、门诊患者、血管成形术、患者选择、动脉和适当性。共筛选出 500 多篇文献,最后选出 14 篇与该主题相关的文献。讨论了现有的文献,这些文献研究了在门诊环境下进行干预的患者选择、门诊手术后的并发症发生率以及这些手术的安全性和有效性的短期数据。研究发现,目前对在门诊实验室环境下进行的外周动脉介入治疗的长期效果以及外周动脉疾病患者管理的现有指南的了解还存在差距。
Patient selection for arterial procedures in office‐based laboratories: A systematic review
A dramatic increase in the number of vascular procedures performed in the office-based laboratory setting has been observed since 2008, when the Centers for Medicare and Medicaid Services increased reimbursement for procedures performed in the ambulatory setting. We sought to evaluate the appropriateness of arterial intervention in the office-based laboratory and patient selection. This systematic review was conducted with a search of Google Scholar and PubMed using the following search terms: office-based lab, outpatient, angioplasty, patient selection, arterial, and appropriateness. More than 500 publications were screened and 14 publications related to the topic were selected. The existing literature that examined patient selection for intervention in the outpatient setting, rates of complications after outpatient procedures, and short-term data on the safety and efficacy of these procedures is discussed. Gaps were identified in current knowledge about the long-term outcomes of peripheral arterial interventions performed in the office-based laboratory setting, as well as existing guidelines for the management of patients with peripheral arterial disease.