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Feasibility and Safety of Same-Day Discharge Following Complex PCI: Sub-Analysis From a Dedicated Same-Day Discharge
Federico Liberman1, Lucio T Padilla1, Santiago Ordoñez1
1Cardiovascular Institute of Buenos Aires (ICBA), Buenos Aires, Argentina.
Summary
Same-day discharge (SDD) after complex percutaneous coronary intervention (PCI) is safe and feasible. This approach optimizes resource use without compromising patient safety in selected cases.
Area of Science:
- Cardiology
- Interventional Cardiology
- Health Services Research
Background:
- Same-day discharge (SDD) after percutaneous coronary intervention (PCI) is established for standard cases.
- Evidence for SDD in complex PCI is limited.
- This study evaluates SDD for complex PCI within a structured framework.
Purpose of the Study:
- To assess the safety and feasibility of SDD for complex PCI.
- To compare major adverse cardiac events (MACE) in complex versus non-complex PCI patients undergoing SDD.
Main Methods:
- Retrospective analysis of elective SDD PCI cases (2015-2023).
- Complex PCI defined by anatomical/procedural criteria (e.g., left main, Syntax score >33).
- Comparison of 30-day MACE between complex and non-complex PCI groups.
Main Results:
- 1671 of 3725 SDD PCIs were complex.
- No significant differences in in-hospital or 30-day mortality, or readmissions.
- Complex PCI group had higher rates of diabetes, prior PCI, and multivessel interventions.
Conclusions:
- SDD is feasible and safe for selected complex PCI patients.
- Structured care models support SDD adoption for complex cases.
- SDD optimizes resource utilization without compromising safety.
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