PS 17-06 MONITORING OF SEVERE HYPERTENSIVE PATIENTS POST-RENAL ANGIOPLASTY AND STENTING IN THE GENERAL WARD COMPARED TO HIGH DEPENDENCY UNIT – ARE THE OUTCOMES BETTER?

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Abstract

Objective:

Patients with significant renal artery stenosis (RAS) who underwent renal angioplasty and stenting, are usually monitored closely in high dependency unit (HDU) post-renal angioplasty. We are looking into the outcome when similar group of patients were monitored in general ward.

Design and method:

Post-renal angioplasty patients were reviewed for procedure associated complications to further determine whether these patients could be monitored in the general ward (GW) instead of the HDU. These cases were reviewed between January 1999 and September 2006 retrospectively.

Results:

Total of 35 patients with significant RAS underwent renal angioplasty within the study period. Out of the total, 30 of them were monitored in the HDU while 5 were monitored in the GW due to lacking of sufficient HDU beds. Patients who are placed in the GW post-procedure were monitored every 30 min for 6 hours, then subsequently every hour for the next 24 hours. No immediate complications or deaths were recorded in the present series.

Conclusions:

It may be safe and cost-effective to monitor patients post-renal angioplasty in the GW if renal angioplasty was carried uneventfully. However, adequate GW staffing, availability of monitoring machine, well-trained and well-informed nurses to look for expected complications are also important factors to ensure comparable outcome of patients place in HDU post-renal angioplasty.

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