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Transradial PCI and Same Day Discharge.
Ali Elfandi1, Jordan G Safirstein2
1Gagnon Cardiovascular Institute, Morristown Medical Center, Morristown, NJ, 07960, USA.
Current Treatment Options in Cardiovascular Medicine
|February 26, 2018
Summary
Same day discharge after transradial percutaneous coronary intervention (PCI) is safe and effective for select patients. This approach improves patient satisfaction and reduces costs without increasing complications.
Area of Science:
- Cardiovascular Medicine
- Interventional Cardiology
Background:
- Cardiac catheterization and percutaneous coronary interventions (PCI) have advanced significantly.
- Transradial PCI (TRI) is increasingly popular in the USA.
- Emerging protocols for same-day radial PCI show promising outcomes.
Purpose of the Study:
- To review the current literature on transradial PCI (TRI) and same-day discharge (SDD).
- To evaluate the safety and efficacy of SDD after TRI.
Main Methods:
- A comprehensive literature review was conducted from January 1, 2000, to August 1, 2017.
- Searches included PubMed, Cochran database, Google Scholar, and Embase using terms like 'same day discharge' and 'ambulatory radial PCI'.
- Included studies were observational, randomized clinical trials, meta-analyses, and consensus statements.
Main Results:
- The available literature supports SDD for selected patients undergoing TRI.
- Advancements in PCI devices and pharmacology have improved post-procedure safety.
- SDD programs are evolving from traditional overnight stays.
Conclusions:
- Outpatient TRI with same-day discharge is likely to become the standard of care for appropriately selected patients.
- This approach enhances patient satisfaction, hospital throughput, and reduces costs.
- Procedural complications are not increased with SDD after TRI.
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