New office-based vascular interventions.

OBJECTIVE Following contemporary trend, various vascular interventions being performed in the office. We describe our office experience with radiofrequency ablation (RFA) of incompetent perforating veins (IPV) and duplex-guided balloon angioplasties of failing/nonmaturing arterio-venous fistulas (AVF). DUPLEX-GUIDED BALLOON ANGIOPLASTIES OF AVF: Eighteen patients with 20 failing arterio-venous (AV) fistulas underwent office duplex-guided balloon angioplasties. Thirteen procedures (65%) were on non-maturing fistulas and the remaining 7 (35%)--in dialyzed patients. Sheath insertion, wire and balloon passage and inflation were guided by duplex only. RFA OF IPVS We performed 25 radiofrequency ablations of 49 IPVs. Early follow-up scan confirmed total occlusion of 45 (92%) treated IPVs. Patients gender, CEAP class, perforator diameter or GSV patency did not correlate with current procedure failure. CONCLUSION Excellent duplex imaging quality and technical advances in endovascular tools allowed us safely perform AVF balloon angioplasties and RFA of IPVs in the office.

[1]  C. Nguyen,et al.  Office based vasectomy can be performed by supervised urological residents with patient pain and morbidity comparable to those of a staff surgeon procedure. , 2008, The Journal of urology.

[2]  J. Koufman.  Introduction to office-based surgery in laryngology , 2007, Current opinion in otolaryngology & head and neck surgery.

[3]  E. Peden,et al.  Ultrasound-Guided Percutaneous Ablation for the Treatment of Perforating Vein Incompetence , 2007, Vascular.

[4]  A. Lumsden,et al.  Radiofrequency ablation of incompetent perforator veins. , 2007, Perspectives in vascular surgery and endovascular therapy.

[5]  A. Hingorani,et al.  Duplex-guided repair of failing or nonmaturing arterio-venous access for hemodialysis. , 2007, Perspectives in vascular surgery and endovascular therapy.

[6]  M. Clayman,et al.  Patient safety in the office-based setting. , 2007, Plastic and reconstructive surgery.

[7]  D. Harley,et al.  Patient Satisfaction After Blepharoplasty Performed as Office Surgery Using Oral Medication with the Patient Under Local Anesthesia , 2007, Aesthetic Plastic Surgery.

[8]  R. McLafferty.  Office-based treatment of venous disease. , 2006, Perspectives in vascular surgery and endovascular therapy.

[9]  Enrico Ascher,et al.  Duplex-guided endovascular treatment for occlusive and stenotic lesions of the femoral-popliteal arterial segment: a comparative study in the first 253 cases. , 2006, Journal of vascular surgery.

[10]  M. Clayman,et al.  Office Surgery Safety: The Myths and Truths behind the Florida Moratoria—Six Years of Florida Data , 2006, Plastic and reconstructive surgery.

[11]  A. Hingorani,et al.  Duplex guided balloon angioplasty of failing infrainguinal bypass grafts. , 2006, European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery.

[12]  K. Guire,et al.  Patient Preferences, Satisfaction, and Resource Use in Office Evacuation of Early Pregnancy Failure , 2006, Obstetrics and gynecology.

[13]  S. Chudnoff,et al.  Prospective analysis of office-based hysteroscopic sterilization. , 2006, Journal of minimally invasive gynecology.

[14]  M. Iafrati.  Subfascial endoscopic perforator vein surgery. , 2005, Seminars in cutaneous medicine and surgery.

[15]  Lisa Bailey,et al.  Office‐Based Cryoablation of Breast Fibroadenomas with Long‐Term Follow‐up , 2005, The breast journal.

[16]  E. Castle,et al.  Office-based prostate procedures. , 2005, The Urologic clinics of North America.

[17]  P. Gloviczki,et al.  Superficial vein surgery and SEPS for chronic venous insufficiency. , 2005, Seminars in vascular surgery.

[18]  F. Lurie,et al.  Prospective randomised study of endovenous radiofrequency obliteration (closure) versus ligation and vein stripping (EVOLVeS): two-year follow-up. , 2005, European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery.

[19]  F. Grossi,et al.  Outpatient hysteroscopic polypectomy in 237 patients: feasibility of a one-stop "see-and-treat" procedure. , 2004, The Journal of the American Association of Gynecologic Laparoscopists.

[20]  S. Sparks,et al.  Surgical and endovascular treatment of lower extremity venous insufficiency. , 2002, Journal of vascular and interventional radiology : JVIR.

[21]  P. Gloviczki,et al.  Endoscopic perforating vein surgery. , 1999, The Surgical clinics of North America.

[22]  W. Hop,et al.  Endoscopic versus open subfascial division of incompetent perforating veins in the treatment of venous leg ulceration: a randomized trial. , 1997, Journal of vascular surgery.