Feasibility and safety of day-case transfemoral coronary stenting.
Percutaneous coronary intervention (PCI) is usually followed by overnight observation. In order to increase activity from a limited bed base, we planned to discharge a cohort of patients undergoing uncomplicated PCI procedures on the same day. Seventy patients considered suitable for same-day discharge underwent PCI procedures and a 100% stent rate was planned with device closure of the arterial access site. Procedural success was achieved in 68 (97%) of patients and 51 (73%) were discharged as day cases. None re-presented or had clinical complications within 24 hr. Nineteen (27%) were kept in hospital electively for observation. No preprocedural clinical or angiographic characteristics predicted successful or failed day-case discharge. In selected patients who undergo uncomplicated PCI with stenting and device arterial closure, same-day discharge appears safe and achievable in about three-quarters of cases.
Dalby
Miles
M
Department of Cardiology, St. Mary's Hospital, London, UK. milesdalby@hotmail.com
Davies
Justin
J
Rakhit
Roby
R
Mayet
Jamil
J
Foale
Rodney
R
Davies
D Wyn
DW
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015906:Angioplasty, Balloon, Coronary; D019917:Blood Vessel Prosthesis Implantation; D017023:Coronary Angiography; D003327:Coronary Disease / Q000453:epidemiology / Q000628:therapy; D003331:Coronary Vessels / Q000601:surgery*; D004869:Equipment Safety / Q000295:instrumentation; D005240:Feasibility Studies; D005260:Female; D005263:Femoral Artery / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008131:London; D008297:Male; D008875:Middle Aged; D010351:Patient Discharge; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology; D011446:Prospective Studies; D012307:Risk Factors; D012720:Severity of Illness Index; D015607:Stents; D016896:Treatment Outcome