Patient Selection for Arterial Procedures in Office-Based Laboratories: A Systematic Review

Elsevier

Available online 21 May 2024

Seminars in Vascular SurgeryAuthor links open overlay panel, , , Abstract

A dramatic increase in the number of vascular procedures performed in the office-based lab (OBL) setting has been observed since 2008, when the Centers for Medicare and Medicaid Services (CMS) increased reimbursement for procedures performed in the ambulatory setting. We sought to evaluate appropriateness for arterial intervention in the OBL and patient selection. This systematic review was conducted with a search of Google scholar © and PubMed utilizing the following search terms: office-based lab, outpatient, angioplasty, patient selection, arterial, appropriateness. Greater than 500 publications were screened with 14 publications selected related to the topic. We discuss existing literature which examines 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. Gaps were identified in current knowledge about the long-term outcomes of peripheral arterial interventions performed in the OBL setting, as well as existing guidelines for the management of patients with peripheral arterial disease.

Keywords

Appropriateness

Office-Based Lab

Arterial

Patient Selection

Published by Elsevier Inc.

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