Same day discharge following elective percutaneous coronary intervention in patients with stable angina

Banning, Adrian P.; Ormerod, Oliver; Channon, Keith M.; McKenna, Christopher D.; Orr, William; B, Boulton; Bashir, Yaver; Forfar, J C

doi:10.1136/heart.89.6.665

Cited by 36 publications

(27 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These results are in agreement with previous studies of PCI using the transradial (9,12) or transfemoral approach (8,10,12). In our population of clinically stable patients referred for PCI, most of the patients were eligible for ambulatory management.…”

Section: Safety and Feasibility Of Outpatient Transradial Pcisupporting

confidence: 92%

“…These changes have called into question the need for an overnight hospital stay after PCI in patients with stable angina. Although several large-scale prospective studies have assessed the feasibility and safety of same-day home discharge after PCI (8)(9)(10)12), additional data collected under the conditions of everyday practice are required before ambulatory PCI can be used on a routine basis.…”

Section: Safety and Feasibility Of Outpatient Transradial Pcimentioning

confidence: 99%

“…To date, few large-scale prospective studies have evaluated the feasibility and safety of this new patient management strategy (8)(9)(10)(11)(12). In most of these previous studies, patients were discharged on the day of PCI, but many of them were hospitalized at least the day before the procedure for pre-procedure assessment or transferred from another hospital.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Ambulatory transradial percutaneous coronary intervention: A safe, effective, and cost‐saving strategy

Corvoisier

Gellen

Lesault

et al. 2012

Cathet Cardio Intervent

View full text Add to dashboard Cite

Objectives: The aim of this prospective, multicenter study was to assess the safety, feasibility, acceptance, and cost of ambulatory transradial percutaneous coronary intervention (PCI) under the conditions of everyday practice. Background: Major advances in PCI techniques have considerably reduced the incidence of post‐procedure complications. However, overnight admission still constitutes the standard of care in most interventional cardiology centers. Methods: Eligibility for ambulatory management was assessed in 370 patients with stable angina referred to three high‐volume angioplasty centers. On the basis of pre‐specified clinical and PCI‐linked criteria, 220 patients were selected for ambulatory PCI. Results: The study population included a substantial proportion of patients with complex procedures: 115 (52.3%) patients with multivessel coronary artery disease, 50 (22.7%) patients with multilesion procedures, and 60 (21.5%) bifurcation lesions. After 4‐6 hr observation period, 213 of the 220 patients (96.8%) were cleared for discharge. The remaining seven (3.2%) patients were kept overnight for unstable angina (n = 1), atypical chest discomfort (n = 2), puncture site hematoma (n = 1), or non‐cardiovascular reasons (n = 3). Within 24 hr after discharge, no patients experienced readmission, stent occlusion, recurrent ischemia, or local complications. Furthermore, 99% of patients were satisfied with ambulatory management and 85% reported no anxiety. The average non‐procedural cost was lower for ambulatory PCI than conventional PCI (1,230 ± 98 Euros vs. 2,304 ± 1814 Euros, P < 10−6). Conclusions: Ambulatory PCI in patients with stable coronary artery disease is safe, effective, and well accepted by the patients. It may both significantly reduce costs and optimize hospital resource utilization. © 2012 Wiley Periodicals, Inc.

show abstract

Section: Safety and Feasibility Of Outpatient Transradial Pcisupporting

confidence: 92%

Section: Safety and Feasibility Of Outpatient Transradial Pcimentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Ambulatory transradial percutaneous coronary intervention: A safe, effective, and cost‐saving strategy

Corvoisier

Gellen

Lesault

et al. 2012

Cathet Cardio Intervent

View full text Add to dashboard Cite

show abstract

“…Moreover, some pilot studies (4,5,8,9) suggest that selected patients may be discharged safely on the same day after elective PCI. This is consistent with the present findings.…”

Section: Discussionmentioning

confidence: 99%

“…Koch et al (4) performed elective percutaneous coronary intervention (PCI) on 1015 patients and demonstrated the safety of transferring more than 90% of them back to their referring hospital on the same day as the PCI. Banning et al (5) showed that same-day discharge following elective PCI in patients with stable angina was safely done for 487 patients. However, few data exist on the feasibility of the practice for patients with UA and NSTEMI, who are particularly more prone to abrupt vessel closure and acute thrombosis.…”

mentioning

confidence: 99%

Same-day transfer of patients with unstable angina and non-ST segment elevation myocardial infarction back to their referring hospital after angioplasty

Hoa¹,

Dalery²,

Gervais³

et al. 2006

Canadian Journal of Cardiology

View full text Add to dashboard Cite

Prevalence and Outcomes of Same-Day Discharge After Elective Percutaneous Coronary Intervention Among Older Patients

Rao¹,

Kaltenbach²,

Weintraub³

et al. 2011

JAMA

105

View full text Add to dashboard Cite

show abstract

Same day discharge following elective percutaneous coronary intervention in patients with stable angina

Cited by 36 publications

References 3 publications

Ambulatory transradial percutaneous coronary intervention: A safe, effective, and cost‐saving strategy

Ambulatory transradial percutaneous coronary intervention: A safe, effective, and cost‐saving strategy

Same-day transfer of patients with unstable angina and non-ST segment elevation myocardial infarction back to their referring hospital after angioplasty

Prevalence and Outcomes of Same-Day Discharge After Elective Percutaneous Coronary Intervention Among Older Patients

Contact Info

Product

Resources

About