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Same-day discharge after percutaneous coronary intervention in light of the society for cardiovascular angiography and intervention's proposed guidelines: A single-center experience

Author(s): Yazan Khouri | Sachin Kumar Amruthlal Jain | Asif Serajian | Michael Shaw | Marcel Zughaib

Journal: International Journal of Collaborative Research on Internal Medicine & Public Health
ISSN 1840-4529

Volume: 4;
Issue: 1;
Start page: 14;
Date: 2012;
Original page

Keywords: Same day discharge | acute coronary syndromes | percutaneous coronary intervention | society for cardiovascular angiography and intervention

Introduction: Traditionally, Percutaneous Coronary Intervention (PCI) has been performed as an inpatient procedure followed by a hospital stay up to several days. With the advent of newer therapies, PCI is routinely requiring less hospital stay following the procedure. With the ever-increasing cost of healthcare and advancement in PCI, same-day discharge for low-risk patients could become the mainstay of therapy.Methods: A retrospective chart review was conducted of patients who underwent PCI between 2008 and 2009 and had same day discharge at Providence Hospital. The parameters studied included patient’s comorbidities, access site, vessels involved, anti-coagulation used, and any complications following discharge.Results: Seventeen patients met the criteria. Mean age of patients was 62±11 years. 90% of patients had stable angina and underwent elective procedures. Access site was obtained via femoral route in all of the patients with sixteen having a closure device. 80% of patients had a stent placement while the rest underwent angioplasty without stent placement. All patients had intervention involving only a single vessel. No cardiac events including sub-acute stent thrombosis, recurrent angina, and clinically significant arrhythmia were reported within 24 hours of the procedure. One patient developed a hematoma one week following PCI, which did not necessitate hospital admission.Conclusion: Newer advances in PCI have played a vital role in decreasing the incidence of acute complications following PCI. These advances especially when utilized with proper risk stratification through validated criteria can help identify low risk PCI patients that can be discharged safely on the same day of the procedure.
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