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[Ambulatory coronary arteriography with 5 French catheters: experience with 604 procedures]

C Tamburino1, T Corcos, X Favereau

  • 1Istituto di Cardiologia, Università degli Studi, Catania.

Cardiologia (Rome, Italy)
|March 1, 1992
PubMed

Insights

Ambulatory coronary arteriography is a safe outpatient procedure for stable patients, with low complication rates. This study shows it

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Vascular Imaging

Context:

  • Coronary arteriography is a key diagnostic tool for coronary artery disease.
  • Traditional inpatient protocols for coronary arteriography involve longer stays and routine anticoagulation.
  • Ambulatory care models aim to improve efficiency and patient experience in cardiovascular diagnostics.

Purpose:

  • To evaluate the safety and feasibility of an ambulatory (outpatient) coronary arteriography protocol.
  • To assess complication rates and patient outcomes in a day-hospital setting for this procedure.

Summary:

  • 604 stable patients underwent ambulatory coronary arteriography using a day-hospital protocol.
  • The protocol included no routine anticoagulation, small-caliber catheters (5 French), early mobilization (4 hours), and discharge (6 hours).
  • 95% used percutaneous femoral access; 56% had significant coronary artery disease. Minor complications occurred in 2% of patients.

Impact:

  • Demonstrates the safety and efficacy of an outpatient approach for coronary arteriography in selected patients.
  • Suggests potential for reduced healthcare costs and improved patient convenience through ambulatory cardiac catheterization.
  • Supports the adoption of day-hospital protocols for routine coronary arteriography in stable individuals.

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