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Same-Day Discharge After Transradial Percutaneous Coronary Intervention and Carotid Stenting in a Single Session
Olivier F Bertrand1, Zoltan Ruzsa2, Alberto Barria Perez1
1Quebec Heart-Lung Institute, Laval University, Quebec, Canada.
Insights
Same-day discharge is feasible after combined carotid and coronary stenting using a transradial approach. This minimally invasive technique may offer clinical and cost benefits for complex vascular interventions.
Area of Science:
- Interventional Cardiology
- Vascular Surgery
Background:
- Combined percutaneous interventions for carotid and coronary artery disease are complex.
- Same-day discharge protocols are increasingly explored to improve healthcare efficiency.
Observation:
- A 63-year-old patient underwent successful combined percutaneous carotid and coronary stenting in a single session.
- The transradial approach was utilized for both procedures.
Findings:
- The patient was discharged home a few hours after the combined intervention.
- This demonstrates the feasibility of same-day discharge for this complex procedure.
Implications:
- Transradial access facilitates simultaneous treatment of complex coronary and peripheral lesions.
- This approach may offer significant clinical and cost advantages, pending further safety validation.
Abstract:
Same-day discharge after combined percutaneous carotid and coronary stenting in a single session has not been previously reported. Using a transradial approach, we completed both procedures successfully and the 63-year-old patient was discharged home after a few hours. This case illustrates that radial access allows treatment of complex coronary and peripheral lesions in a same setting and could provide clinical and cost benefits if safety is confirmed.