Related Experiment Video
Updated: Aug 21, 2026
Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
Published on: May 26, 2023
Same-day discharge after coronary stenting: a feasibility study using a hemostatic femoral puncture closure device
Kok-Meng Yee1, Charles Lazzam, Jan Richards
1Division of Cardiology, University Health Network, Toronto General Hospital, 200 Elizabeth Street, Toronto, Ontario M5G 2C4, Canada.
Insights
Early mobilization and same-day discharge after coronary stenting are feasible using the Angio-Seal Vascular Closure device in selected patients. This strategy shows promise for improving patient flow and potentially reducing healthcare costs.
Area of Science:
- Interventional Cardiology
- Vascular Access Management
Background:
- Femoral access for percutaneous coronary interventions (PCI) is limited by hemostasis and mobilization times.
- Current practice often involves overnight hospital stays post-procedure.
Purpose of the Study:
- To assess the feasibility of early mobilization (4 hours) and same-day discharge after elective coronary stenting.
- To evaluate the safety and efficacy of the Angio-Seal Vascular Closure device in this context.
Main Methods:
- A pilot study involving 75 patients undergoing elective coronary stenting via femoral route.
- Utilized the Angio-Seal device for vascular closure.
- Mobilization at 4 hours and assessment for discharge at 10 hours postprocedure.
Main Results:
- Hemostasis was achieved in all patients.
- Minor groin oozing (27%) and small hematomas (2 patients) were observed, but no major complications.
- All patients were suitable for discharge at 10 hours, with no delays.
- No complications reported at 30-day follow-up.
Conclusions:
- Early mobilization and same-day discharge after coronary stenting with the Angio-Seal device are feasible in selected patients.
- Further research is needed to define patient selection criteria and cost-effectiveness.
Abstract:
A major limiting factor for percutaneous coronary interventions carried out via the femoral route is the time it takes to achieve femoral artery hemostasis and subsequent mobilization. Discharge from hospital usually occurs the following day. In this pilot study, we assessed the feasibility of mobilization at 4 hours and same-day discharge from hospital of selected elective patients undergoing intracoronary stenting using the Angio-Seal Vascular Closure device. Seventy-five patients (56 +/- 10 years) with stable single-vessel coronary disease scheduled for elective coronary stenting were enrolled. All patients were mobilized at 4 hours and assessed at 10 hours postprocedure as to their suitability for hospital discharge. The first 50 patients remained in hospital overnight. The next 25 patients followed the same procedures but were discharged at 10 hours. The subjects were followed up at 48 hours and 30 days. Hemostasis was achieved in all patients following sheath removal and deployment of the Angio-Seal device. Twenty patients (27%) had minor groin oozing and two developed small hematoma. There were no major bleeding complications, pseudoaneurysm, vascular surgery, or groin infection. Groin oozing resulted in the delay of ambulation for 13 subjects but discharge was not delayed in any patient. All patients were reported to be suitable for hospital discharge at 10 hours postprocedure. There were no further complications at 30 days. The present study demonstrated that early mobilization and same-day discharge after coronary stenting using the Angio-Seal device is feasible in selected patients. Further studies are needed to determine the patient selection criteria and the potential cost-saving implications of this strategy.
