title: [Feasibility and safety of same-day discharge after percutaneous coronary intervention with femoral access and AngioSeal closure device: a single-center experience].
abstract: BACKGROUND
  Same-day discharge after coronary angiography or percutaneous coronary interventions (PCI) is safe. It allows a decrease in length of hospital stay, waiting list and operating expenses with increased patient satisfaction. The aim of this study was to evaluate the feasibility and safety of this approach in our center.
  
  
  METHODS
  798 selected patients considered suitable for same-day discharge were enrolled in our study and underwent coronary angiography and/or PCI procedures over a period of 5 years. All procedures were performed by femoral approach using the 6-8F AngioSeal closure device. A follow-up telephone interview was carried out in all patients after 7-10 days from discharge with particular regard to bleeding/vascular complications.
  
  
  RESULTS
  After PCI procedures, 738 patients (92.4%) were discharged as day cases. The remaining 60 patients (7.6%) were kept in hospital for longer observation. Procedural success was achieved in 100% of patients. Hemostasis with the AngioSeal closure device was successfully obtained in 98.4% of cases. At follow-up, 6 patients developed mild size hematoma on femoral access site, without any other vascular complications or major bleeding needing blood transfusion.
  
  
  CONCLUSIONS
  In our experience same-day discharge after coronary angiography or PCI was found to be feasible and safe in selected patients undergoing uncomplicated procedures performed by femoral approach using a closure device.
authors.affiliation: Azienda Ospedaliera Universitaria San Giovanni Battista, Torino, Italy.
authors.forename: Mauro
authors.initials: M
authors.lastname: Pennone
authors.forename: Maurizio
authors.initials: M
authors.lastname: D'Amico
authors.forename: Valeria
authors.initials: V
authors.lastname: Frisenda
authors.forename: Paolo
authors.initials: P
authors.lastname: Scacciatella
authors.forename: Federico
authors.initials: F
authors.lastname: Conrotto
authors.forename: Carlo
authors.initials: C
authors.lastname: Budano
authors.forename: Mariangela
authors.initials: M
authors.lastname: Seren Gay
authors.forename: Sebastiano
authors.initials: S
authors.lastname: Marra
mesh_terms: D000328:Adult; D000368:Aged; D000556:Ambulatory Surgical Procedures; D015906:Angioplasty, Balloon, Coronary / Q000295:instrumentation* / Q000379:methods; D017023:Coronary Angiography / Q000295:instrumentation; D003324:Coronary Artery Disease / Q000000981:diagnostic imaging / Q000628:therapy*; D005240:Feasibility Studies; D005260:Female; D005263:Femoral Artery; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010351:Patient Discharge; D017060:Patient Satisfaction; D018579:Patient Selection; D012189:Retrospective Studies; D018570:Risk Assessment; D012307:Risk Factors; D016896:Treatment Outcome