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Articles

Title: Early home-discharge after percutaneous coronary intervention. Is it safe and should be recommended?

Author:
Marcin Dominiak, Jarosław D. Kasprzak
Type:
Review articles
Language:
PL
Journal:
Polish Journal of Cardiology
Year:
2007
Volume:
9
Number:
5
Start page:
368
Final page:
370
ISSN:
1507-5540
Keywords:
percutaneous coronary inten/ention, elective angioplasty, acute coronary syndrome, early discharge, cost-benefit analysis
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Despite significant improvements in clinical results associated with the current use of stenting and adjunctive pharmacological agents, there has been little decrease in hospitalization duration after percutaneous coronary intervention (PCI). Data from clinical trials indicate, that same-day discharge after elective PCI is feasible and safe in majority of patients and does not lead to additional complications compared with overnight stay. Ali early complications posttransradial coronary angioplasty were identified within 6 hoursofthe intervention. Thus, patients at riskf or post-procedural complications can be identified effectively in a day-case setting on the basis of postprocedural clinical and angiographic criteria. Same-day home-discharge after uncomplicated trans radial coronary stenting and bolusonly of abciximab is notclinically inferiorin wide spectrum of patients compared to standard overnight hospitalization with a bolus followed by a 12-hour infusion. It was confirmed by four year experience with 442 patients underwentelective radial PCI, 85% of them were discharged the same day, there was no majorvascular complications.