Same-Day Discharge After PCI Safe for Some

Fewer than 1 percent of patients in study experienced major adverse events within 30 days
By Monica Smith
HealthDay Reporter

TUESDAY, Aug. 17 (HealthDay News) -- Patients carefully selected for elective percutaneous coronary intervention (PCI) may be able to safely return home the same day as the procedure, according to research published in the August issue of the Journal of the American College of Cardiology: Cardiovascular Interventions.

Mehul Patel, M.D., of Mount Sinai Hospital in New York City, and colleagues analyzed outcomes in 2,400 patients (mean age, 57 years) who were discharged the same day they underwent elective PCI and did not experience any procedural or hospital complications. Twenty-eight percent of the patients received glycoprotein IIb/IIIa inhibitor, and 90.5 percent had closure devices.

The researchers observed clinical and angiographic success in 97 percent of PCIs, and found that patients stayed an average of 8.2 hours after the procedure. Fewer than 1 percent of patients experienced major adverse cardiac cerebral events or bleeding/vascular complications within 30 days; eight had major adverse cardiac cerebral events, 14 experienced vascular/bleeding complications in the form of Thrombolysis In Myocardial Infarction minor bleeding, and one patient experienced a pseudoaneurysm.

"When appropriately selected, with strict adherence to the set protocol, same-day discharge after uncomplicated elective PCI is safe despite using femoral access in a wide spectrum of patients," the authors write.

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