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Feasibility and safety of day-case transfemoral coronary stenting

✍ Scribed by Miles Dalby; Justin Davies; Roby Rakhit; Jamil Mayet; Rodney Foale; D. Wyn Davies

Publisher
John Wiley and Sons
Year
2003
Tongue
English
Weight
63 KB
Volume
60
Category
Article
ISSN
1522-1946

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✦ Synopsis

Abstract

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. Catheter Cardiovasc Interv 2003;60:18–24. © 2003 Wiley–Liss, Inc.

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