Author + information
- 1Center for Cardiovascular Research and Development American Hear, Katowice, Poland
- 2American Heart of Poland, Katowice, Poland
- 3BC Centre for Improved Cardiovascular Health, San Antonio, Texas, United States
- 4Center of Cardiovascular Research and Development, American Heart of Poland, Katowice, Poland
- 5San Antonio Endovascular and Heart Institute, San Antonio, Texas, United States
Previous studies of same-day discharge after percutaneous coronary intervention demonstrated favorable short term outcomes. There are limited data evaluated the long term results, especially for unselected population.
We retrospectively studied and followed up for 12 months 396 consecutive patients undergoing planned PCI with same-day discharge between December 2007 and May 2015 in two stand-alone centers. Population of patients was no selected by age or medical comorbidities.
The mean age of the study population was 56.6±7.59 years (males 77.22%). 10.1% of the lesions were on a vessel bifurcation, 4.29% were total chronic occlusion, 5.3% were in a bypass graft and 1.26% were in Left Main Coronary Artery (protected). Procedural success occurred in 96.21%. Groin access was used in 83.08% with Vascular Closure Devices (VCDs) in 93.01% of procedures. Access site complications occurred in 1.77% of cases: 2 uncomplicated VCD failures, 1 hematoma, 1 dissection – no treatment needed, 1 pseudoaneurysm and two spasms of radial artery requiring conversion to femoral access. Only one patient required hospital admission because of cardiac arrest due to anaphylactic drug reaction in a peri-procedural period. The mean time from procedure end to discharge was 3 hours 59 minutes (Range: 2 hours 6 minutes to 7 hours 5 minutes). No death or major bleeding occurred during 30-day observation. 2 patients had early stent thrombosis with MI, 1 patient was re-admitted for repeat angiography without intervention, one required PCI for other lesion in target vessel and one patient had stroke. At 12 months there were 15 in-stent restenosis required angioplasty or CABG and 28 target vessel revascularization. One patient had stroke and one had transient ischemic attack. There were 7/396 patients who had myocardial infarction at 12 months (1.77%). One patient died due to non-cardiac reasons.
Our study shows excellent long term safety outcomes for unselected population of patients undergoing elective PCI in stand-alone centers without overnight stay.
CORONARY: PCI Outcomes