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Outpatient coronary stent implantation
F Kiemeneij1, G J Laarman, T Slagboom
1Amsterdam Department of Interventional cardiology (ADIC)-Onze Lieve Vrouwe Gasthuis (OLVG), The Netherlands.
Journal of the American College of Cardiology
|February 1, 1997
Summary
Outpatient coronary Palmaz-Schatz stent implantation via the transradial approach is feasible. Patients can be safely discharged the same day following successful procedures, with no immediate complications observed.
Area of Science:
- Interventional Cardiology
- Vascular Surgery
Background:
- The transradial approach optimizes coronary stenting by reducing bleeding and hospital stay.
- Immediate patient mobilization facilitates outpatient treatment protocols.
Purpose of the Study:
- To assess the feasibility of outpatient Palmaz-Schatz coronary stent implantation.
- To evaluate the safety and efficacy of same-day discharge after transradial stenting.
Main Methods:
- Palmaz-Schatz stent implantation performed via radial artery approach in patients on Coumadin and Ticlopidin.
- Heparin administered during procedure; sheath removal and mobilization immediately post-procedure.
- Same-day discharge criteria assessed; follow-up at 24 hours, 2 weeks, and 1 month.
Main Results:
- 100 outpatients (90% CCS classes III/IV) received 125 stents for 110 lesions.
- No cardiac or bleeding events within 24 hours post-stenting (95% CI 0-3.6).
- One late bleeding complication (abdominal aortic aneurysm), two readmissions (subacute thrombosis, angina/anemia) at 2 weeks; no complications at 1 month.
Conclusions:
- Transradial Palmaz-Schatz coronary stenting allows for safe same-day discharge.
- Outpatient management is a viable option after successful transradial coronary stenting.