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Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure
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Same-Day Discharge After Elective Percutaneous Transcatheter Cardiovascular Interventions
Amar Krishnaswamy1, Toshiaki Isogai1, Emmanouil S Brilakis2
1Department of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio, USA.
JACC. Cardiovascular Interventions
|July 12, 2023
Summary
Same-day discharge after percutaneous cardiovascular interventions is safe and beneficial. Key elements for success include patient selection, post-procedure observation, and support systems.
Area of Science:
- Cardiovascular Medicine
- Interventional Cardiology
- Health Services Research
Background:
- Percutaneous transcatheter interventions are standard for cardiovascular diseases.
- Technological and procedural advances enable safe, early hospital discharge.
Purpose of the Study:
- To review the rationale, data, and framework for same-day discharge in cardiovascular interventions.
- To highlight benefits and key elements for successful same-day discharge pathways.
Main Methods:
- Literature review of percutaneous coronary, peripheral, and structural cardiovascular interventions.
- Analysis of data supporting same-day discharge protocols.
Main Results:
- Same-day discharge is safe and offers benefits to patients, providers, and healthcare systems.
- Successful pathways require appropriate patient/procedure selection, observation, and support.
Conclusions:
- A framework for same-day discharge can be established across various interventional cardiology procedures.
- Optimizing same-day discharge pathways enhances efficiency and patient care.
Keywords:
hospital-based resource utilizationpatient selection criteriapercutaneous transcatheter cardiovascular interventionpostprocedure managementsame-day dischargeMore Related Videos
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