Procedure-related office surgery adverse events in Alabama 12/03-10/12. hematoma evacuated in office, full recovery yes yes 3-3/19/04
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1 1 - negative pressure 12/15/03 hypoplasia augmentation pulmonary edema plastic surgery general no to hospital, full 2-3/16/04 facial cutis laxa facelift with temporal lift and liposculputre hematoma, neck plastic surgery general no full 3-3/19/04 hypoplasia augmentation pneumothorax plastic surgery moderate no patient treated in office, full 4-3/29/04 hypoplasia augmentation deflation of L implant plastic surgery general no implant removed in office, sent to manufacturer for testing, full 5-3/31/04 colonic polyps colonoscopy with polypectomy lower GI bleeding gastroenterologis t general no to hospital, full 6-4/1/04 hypoplasia augmentation deflation R implant plastic surgery general no implant removed in office, sent to manufacturer for testing, full 7-4/12/04 hypoplasia augmentation infected L implant plastic surgery general no implant removed, IV abx, full 8-4/22/04 hypoplasia augmentation hematoma L plastic surgery general no exploration and evacuation of hematoma in office, full 9-4/24/04 colonic polyps colonoscopy with polypectomy lower GI bleeding colorectal surgery general no to hospital, full 10-4/26/04 hypoplasia augmentation hematoma R plastic surgery general no exploration and evacuation of hematoma in office, full 11-5/14/04 and adiposity abdominoplasty pulmonary embolism, deep vein thrombosis plastic surgery epidural no to hospital, full 12-6/2/04 facial cutis laxa facelift hematoma R cheek plastic surgery general no full 13-6/11/04 extravasation from vein after angioplasty moderate no full 14-6/21/04 renal failure permacath insertion dyspnea and diaphoresis local no to hospital, full 15-6/24/04 facial cutis laxa endoscopic brow lift, upper and lower lid blepharoplasty severe nausea plastic surgery general no to hospital, IV fluids and IV anti-emetics, full 16-7/23/04 revision of implants L implant capsulorrhaphy, R implant capsulotomy hematoma R plastic surgery general no full 17-7/26/04 facial and neck cutis laxa neck lift and lower lid blepharoplasty hematoma in neck plastic surgery general no Page 1 of 5 full
2 18-8/9/04 percutaneous post op respiratory failure lightmoderate no to hospital, death no yes 19-9/3/04 hypoplasia augmentation hematoma plastic surgery general no full 20-9/20/04 L thigh embolus L thigh arterial embolectomy arterial insufficiency b/l lower extremities moderate no to hospital, L fem-pop bypass, and bilateral fasciotomy, cardiac arrest, death no yes 21-9/30/04 and adiposity abdominoplasty nausea and vomiting plastic surgery general no 22-10/04/04 hypoplasia augmentation L implant infection plastic surgery general no 23-10/04/04 hypoplasia augmentation hematoma L plastic surgery general no 24-10/18/04 hypoplasia augmentation hematoma R plastic surgery general no 25-1/24/05 angioplasty of dialysis hypotension after administration moderate yes 26-3/22/05 hypoplasia augmentation pneumothorax plastic surgery general no 27 - wide local excision of seroma with secondary 5/10/05 melanoma melanoma MRSA infection dermatology local no 28 - ruptured arterial 10/28/05 clotted anastamosis 29-1/9/06 lipohypertrophy liposuction pulmonary edema plastic surgery general yes 30 - rapidly expanding 2/8/06 clotted declotting of hematoma embolized portion of 31 - angioplasty balloon 1/18/07 clotted angioplasty of causing thrombosis 32 - grade III hematoma in 3/5/07 clotted angioplasty of arterial limb of 33 - grade III hematoma in 3/13/07 clotted angioplasty of cephalic vein 34 - rupture of vein following 6/11/07 clotted angioplasty of angioplasty 35 - implant R 8/7/07 revision capsulorrhaphy apical pneumothorax plastic surgery local no to hospital, IV fluids and IV anti-emetics, full treated in office with antibiotics, implant removal, full full full transfer to hospital, surgical repair of stenotic, full transfer to hospital, chest tube placed, full transfer to hospital, IV abx, full full to hospital, observation, full full to hospital,, full full full full to hospital, observation, full Page 2 of 5
3 unanticipated death of 36 - unknown cause in close 8/20/07 clotted proximity to procedure sedation 37-8/22/07 clotted 38-10/8/07 clotted 39-11/2/07 clotted 40-11/6/07 clotted angioplasty of 41-11/19/ /27/08 vasovagal, severe nausea/vomiting, pulmonary thromboembolism moderate no arterial embolism of thrombus beyond arterial anastamosis moderate no bleeding from axillary surgical incision local and end stage renal disease permacath insertion partial pneumothorax evaluation of inadequate L brachial-cephalic fistulogram/angioplast rapidly expanding fistula y hematoma moderate no asystole occurred when tip insertion of dual lumen of permacath entered R dialysis catheter atrium moderate no 43-5/14/08 clotted 44-10/3/08 clotted balloon catheter unable to be retrieved moderate no 45 - dialysis catheter 2/16/09 ESRD insertion severe pruritus, urticaria local no local and 46 - perioperative infection, 3/16/09 clotted intraoperative sepsis 47 - preoperative venous 7/2/09 ESRD mapping anaphylaxis to IV contrast none no 48 - expanding grade 3 8/10/09 ESRD fistula L upper arm hematoma L shoulder 49 - postop seizure, moderate 9/18/09 clotted cardiopulmonary arrest inability to remove 50 - angioplasty balloon 2/2 10/6/09 ESRD venous angioplasty collateral vein Prob? no Outcome accredited? found unresponsive at nursing home, CPR initiated, death no yes to hospital, found to have bacteremia, tx with IV meds, full to hospital, IV heparin started, full observation outpatient, spontaneous reperfusion, full to hospital, pressure dressing, full to hospital, chest tube reexpansion of lung, full to hospital, observation, diminished hematoma, full to hospital, pacemaker placed, full to hospital, surgical retrieval of catheter and replacement, full to hospital, vascular surgery consult, full ACLS protocol initiated, to hospital, death no yes to hospital, s/p snare removal of balloon, full Board cert? Page 3 of 5
4 51-10/26/09 ESRD percutaneous occult infection (bacteremia/sepsis) 52 - acute bacteremia s/p 10/23/09 clotted 53 - upper and lower 12/18/09 dermatochalasis blepharoplasty postop hypertension plastic surgery general no 54 - Breast left over saline 2/25/10 Breast ptosis implants laryngospasm plastic surgery general no tachypnea, distal 55 - numbness of extremities,? moderate 3/22/10 clotted Panic attack 56 - malfunctioning chest pain, change in 3/30/10 AV fistula AV fistula angioplasty mental status moderate no 57 - AV fistula 4/14/10 clotted cardiac arrest embolization of mural 58 - percutaneous thrombus-->left arm 6/7/10 clotted edema moderate no 59 - dialysis catheter anaphylactoid drug 6/18/10 ESRD placement reaction sedation yes 60-6/19/10 ESRD Permcath exchange postoperative infection local no 61 - Venous hypersensitivity to 7/8/10 vericosities Left GSV EVLA unknown agent Vascular surgery moderate yes diffuse pulmonary edema, 62 - tunneled catheter hypotension, MRSA 8/10/10 ESRD exchange infection none no 63 - malfunctioning chest pain, change in 3/30/10 AV fistula AV fistula angioplasty mental status moderate no 64 - AV fistula 12/3/10 pulmonary embolism moderate no 65 - AV fistula extravasation from fistula, 1/24/11 hematoma, hypotension moderate no 66 - malfunctioning 1/26/11 AV fistula angioplasty rupture of radial artery 67 - dialysis access 1/31/11 hematoma hypomastia, 68 - abdominal augmentation/lift and 2/8/11 obesity abdominoplasty hematoma plastic surgery general no Prob? Outcome to hospital, fluid resuscitation, abx given, vasc surg consult, full surgery center, to hospital, stabilized, full recovery yes yes to hospital,temporary catheter placed, surgical completed, full to hopsital, workup negative, full to hospital, stabilized, suffered additional cardiac arrest, death no yes to hospital, direct tpa therapy for thrombus successful, full to hospital, stablized, full to hopsital, diuretics, antibiotics, stabilized, full to hopsital, workup negative, full to hospital, anticoagulated, full to hospital, fistula revised in OR, full to hospital, radial artery repair in OR, full intravascular stent placed, to hospital, observed, full recovery yes yes to OR, hematoma evacuated + washout, to hospital, full Page 4 of 5
5 dialysis rupture, to hospital, ligated and 69 - and hematoma, brachial artery repaired in OR, 3/8/11 angioplasty of pseudoaneurysm cardiac arrest, death yes yes 70 - facial/neck skin cosmetic submental hypotension, anemia 3/4/11 laxity excision/platysmaplast immediately postop dermatology and local no 71 - vasovagal, severe 4/28/11 lipohypertrophy mini abdominoplasty nausea/vomiting, plastic surgery moderate no recovery 72 - tunneled catheter postoperative bleeding, 12/16/11 ESRD exchange hematoma moderate no 73-12/28/11 malfunctioning AV fistula AV fistula angioplasty hypotension, hypoxia, tachypnea.? Aspiration to hospital, death no yes 74-1/16/12 ESRD dialysis catheter placement persistent bleeding to hospital, surgically resected/replaced in OR, full 75-2/23/ /4/12 infertility 77-5/9/12 lipohypertrophy 78-5/30/ /22/ /20/ /23/ /5/ /21/12 transvaginal egg retrieval liposuction and upper abdominoplasty and angioplasty bleeding, rent in material moderate no abdominal pain, shoulder pain, SOB OB-GYN (REI) no severe headache 2/2 allergy to demerol plastic surgery moderate yes arterial embolus to radial artery with compromise of right hand Nephrology moderate no vein rupture causing hematoma and hypovolemic shock and adiposity abdominoplasty hematoma plastic surgery general no malfunctioning AV fistula venous angioplasty of fistula grade 3 extravasation of blood thrombolysis of AV access embolus to radial artery moderate no persistent bleeding moderate no to hospital, surgical embolectomy in OR, full to OR, hematoma evacuated + washout, to hospital, full revision, full embolectomy, full revision, full Page 5 of 5
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