title: Safety and Feasibility of Outpatient Percutaneous Coronary Intervention in Selected Patients: A Spanish Multicenter Registry.
abstract: OBJECTIVE
  The exponential increase in coronary interventions plus the generalization of the radial approach represent the ideal scenario for starting outpatient angioplasty programs with the aim of reducing the costs while maintaining safety. This article reports data from a multicenter Spanish registry on fully ambulatory transradial angioplasty in selected patients for the first time.
  
  
  METHODS
  Prospective registry of elective outpatient transradial-ulnar angioplasty in patients with stable coronary disease. Patients were discharged the same day and were followed up at 24hours and 30 days. Safety and feasibility were analyzed.
  
  
  RESULTS
  Of the 723 patients included (76% male; age, 66.6±10.5 years), 533 (73.7%) were finally discharged after 4 to 12hours of surveillance. Among the remaining 190 (26.7%) patients, the most common reason for hospitalization was clinical instability after the procedure (60.5%). Independent predictors of admission were a history of peripheral artery disease, a higher baseline creatinine level, ad hoc performance of the procedure, and multivessel disease. At 24hours, there was 1 major adverse event in 1 patient (0.19%), who required hospitalization for major bleeding not related to vascular access. At 30 days, there were 3 major adverse events (0.56%): 1 subacute stent thrombosis, 1 revascularization of a vessel other than the treated vessel, and 1 minor stroke. Eight patients (1.5%) required admission at 30 days.
  
  
  CONCLUSIONS
  The application of an outpatient transradial-ulnar angioplasty program with discharge after 4 to 12 hours' surveillance is safe and feasible in well-selected patients.
authors.affiliation: Servicio de Cardiología, Complejo Hospitalario Universitario de Albacete, Albacete, Spain. Electronic address: jgcordobas@hotmail.com.
authors.forename: Juan G
authors.initials: JG
authors.lastname: Córdoba-Soriano
authors.affiliation: Servicio de Cardiología, Complejo Hospitalario Universitario de Albacete, Albacete, Spain.
authors.forename: Jesús
authors.initials: J
authors.lastname: Jiménez-Mazuecos
authors.affiliation: Servicio de Cardiología, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
authors.forename: Allan
authors.initials: A
authors.lastname: Rivera Juárez
authors.affiliation: Servicio de Cardiología, Complejo Hospitalario Universitario de Albacete, Albacete, Spain.
authors.forename: Antonio
authors.initials: A
authors.lastname: Gutiérrez-Díez
authors.affiliation: Servicio de Cardiología, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
authors.forename: Enrique
authors.initials: E
authors.lastname: Gutiérrez Ibañes
authors.affiliation: Servicio de Cardiología, Hospital Universitario de Cabueñes, Gijón, Asturias, Spain.
authors.forename: Beatriz
authors.initials: B
authors.lastname: Samaniego-Lampón
authors.affiliation: Servicio de Cardiología, Hospital Universitario de Cabueñes, Gijón, Asturias, Spain.
authors.forename: Iñigo
authors.initials: I
authors.lastname: Lozano
authors.affiliation: Servicio de Cardiología, Complejo Hospitalario Universitario de Albacete, Albacete, Spain.
authors.forename: Arsenio
authors.initials: A
authors.lastname: Gallardo-López
authors.affiliation: Servicio de Cardiología, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
authors.forename: Leonel
authors.initials: L
authors.lastname: Díaz
authors.affiliation: Servicio de Cardiología, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
authors.forename: Ricardo
authors.initials: R
authors.lastname: Sanz-Ruiz
authors.affiliation: Servicio de Cardiología, Complejo Hospitalario Universitario de Albacete, Albacete, Spain.
authors.forename: Driss
authors.initials: D
authors.lastname: Melehi
authors.affiliation: Servicio de Cardiología, Complejo Hospitalario Universitario de Albacete, Albacete, Spain.
authors.forename: María Isabel
authors.initials: MI
authors.lastname: Barrionuevo-Sánchez
authors.affiliation: Servicio de Cardiología, Hospital Universitario de Cabueñes, Gijón, Asturias, Spain.
authors.forename: Juan
authors.initials: J
authors.lastname: Rondán-Murillo
authors.affiliation: Servicio de Cardiología, Hospital Universitario de Cabueñes, Gijón, Asturias, Spain.
authors.forename: José M
authors.initials: JM
authors.lastname: Vegas-Valle
authors.affiliation: Servicio de Cardiología, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
authors.forename: Jaime
authors.initials: J
authors.lastname: Elízaga
mesh_terms: D000368:Aged; D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000401:mortality / Q000601:surgery*; D005240:Feasibility Studies; D005260:Female; D005500:Follow-Up Studies; D006760:Hospitalization / Q000639:trends; D006801:Humans; D015994:Incidence; D008297:Male; D010045:Outpatients; D018579:Patient Selection; D062645:Percutaneous Coronary Intervention / Q000379:methods*; D011183:Postoperative Complications / Q000453:epidemiology*; D011446:Prospective Studies; D012042:Registries; D013030:Spain / Q000453:epidemiology; D015996:Survival Rate / Q000639:trends; D013997:Time Factors; D016896:Treatment Outcome
keywords: Ambulatoria; Intervención coronaria percutánea; Outpatient; Percutaneous coronary intervention; Registro; Registry