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Same day discharge after chronic total occlusion interventions: A single center experience
Michael Koutouzis1, Catherine Liontou1, Iosif Xenogiannis2
1Red Cross General Hospital, Athens, Greece.
Summary
Same day discharge (SDD) after chronic total occlusion (CTO) percutaneous coronary intervention (PCI) is feasible and safe for selected patients. This approach reduces hospitalization costs and improves patient comfort without compromising safety outcomes.
Area of Science:
- Cardiology
- Interventional Cardiology
- Vascular Medicine
Background:
- Chronic total occlusion (CTO) percutaneous coronary intervention (PCI) is linked to elevated complication rates and healthcare expenses.
- Reducing post-PCI hospitalization duration enhances patient comfort and supports cost-containment strategies.
Purpose of the Study:
- To evaluate the feasibility and safety of same-day discharge (SDD) following CTO PCI.
- To compare 30-day outcomes between SDD and non-SDD patients undergoing CTO PCI.
Main Methods:
- Retrospective analysis of 173 patients undergoing CTO PCI between January 2016 and June 2019.
- Comparison of 30-day major adverse cardiovascular events (MACE) between SDD and non-SDD groups.
- Analysis of patient characteristics and procedural factors associated with SDD.
Main Results:
- Fifty-one patients (30%) underwent SDD. SDD patients had lower rates of diabetes mellitus, hypertension, and acute coronary syndrome presentation.
- Forearm access was utilized in all SDD patients versus 83% of non-SDD patients.
- The 30-day MACE incidence was 0% in the SDD group and 1.6% in the non-SDD group. Diabetes and longer procedural times were associated with lower SDD probability.
Conclusions:
- Same-day discharge (SDD) is a feasible and safe strategy for select patients undergoing uncomplicated CTO PCI via a forearm approach.
- This approach may contribute to reduced healthcare costs and improved patient experience.
