Short-term (4 hours) observation after elective coronary angioplasty

被引:10
作者
Koch, KT
Piek, JJ
deWinter, RJ
David, GK
Mulder, K
Lie, KI
机构
[1] Department of Cardiology, Acad. Med. Ctr., Univ. of Amsterdam, Amsterdam
关键词
D O I
10.1016/S0002-9149(97)00786-8
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
In a prospective evaluation of the safety of short-term observation after elective percutaneous transluminal coronary angioplasty (PTCA) in 1,900 consecutive patients, 1 of 1,680 patients triaged to discharge after 4 hours of observation reached the primary end point of acute recurrent ischemia, 7 patients underwent repeat PTCA during 4 hours of observation, and 66 of 187 patients selected for prolonged observation had a complicated course. It is concluded that short-term observation after elective coronary angioplasty is safe, with a negligible risk of vessel closure after this period; triage for prolonged observation can be based appropriately on the immediate procedural result.
引用
收藏
页码:1591 / &
页数:5
相关论文
共 11 条
[1]  
BRAUNWALD E, 1989, AM J CARDIOL, V64, P1270
[2]   PERCUTANEOUS TRANS-LUMINAL CORONARY ANGIOPLASTY IN 1985-1986 AND 1977-1981 - THE NATIONAL-HEART-LUNG-AND-BLOOD-INSTITUTE REGISTRY [J].
DETRE, K ;
HOLUBKOV, R ;
KELSEY, S ;
COWLEY, M ;
KENT, K ;
WILLIAMS, D ;
MYLER, R ;
FAXON, D ;
HOLMES, D ;
BOURASSA, M ;
BLOCK, P ;
GOSSELIN, A ;
BENTIVOGLIO, L ;
LEATHERMAN, L ;
DORROS, G ;
KING, S ;
GALICHIA, J ;
ALBASSAM, M ;
LEON, M ;
ROBERTSON, T ;
PASSAMANI, E .
NEW ENGLAND JOURNAL OF MEDICINE, 1988, 318 (05) :265-270
[3]   INCIDENCE AND CONSEQUENCES OF PERIPROCEDURAL OCCLUSION - THE 1985-1986 NATIONAL HEART, LUNG, AND BLOOD INSTITUTE PERCUTANEOUS TRANSLUMINAL CORONARY ANGIOPLASTY REGISTRY [J].
DETRE, KM ;
HOLMES, DR ;
HOLUBKOV, R ;
COWLEY, MJ ;
BOURASSA, MG ;
FAXON, DP ;
DORROS, GR ;
BENTIVOGLIO, LG ;
KENT, KM ;
MYLER, RK .
CIRCULATION, 1990, 82 (03) :739-750
[4]   IN-HOSPITAL COST OF PERCUTANEOUS CORONARY REVASCULARIZATION - CRITICAL DETERMINANTS AND IMPLICATIONS [J].
ELLIS, SG ;
MILLER, DP ;
BROWN, KJ ;
OMOIGUI, N ;
HOWELL, GL ;
KUTNER, M ;
TOPOL, EJ .
CIRCULATION, 1995, 92 (04) :741-747
[5]   RANDOMIZED PROSPECTIVE EVALUATION OF PROLONGED VERSUS ABBREVIATED INTRAVENOUS HEPARIN-THERAPY AFTER CORONARY ANGIOPLASTY [J].
FRIEDMAN, HZ ;
CRAGG, DR ;
GLAZIER, SM ;
GANGADHARAN, V ;
MARSALESE, DL ;
SCHREIBER, TL ;
ONEILL, WW .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1994, 24 (05) :1214-1219
[6]   ACUTE CORONARY-OCCLUSION OCCURRING AFTER SUCCESSFUL PERCUTANEOUS TRANS-LUMINAL CORONARY ANGIOPLASTY - TEMPORAL RELATIONSHIP TO DISCONTINUATION OF ANTICOAGULATION [J].
GABLIANI, G ;
DELIGONUL, U ;
KERN, MJ ;
VANDORMAEL, M .
AMERICAN HEART JOURNAL, 1988, 116 (03) :696-700
[7]   COMPARISON OF COMPLICATIONS DURING PERCUTANEOUS TRANS-LUMINAL CORONARY ANGIOPLASTY FROM 1977 TO 1981 AND FROM 1985 TO 1986 - THE NATIONAL-HEART-LUNG-AND-BLOOD-INSTITUTE PERCUTANEOUS TRANS-LUMINAL CORONARY ANGIOPLASTY REGISTRY [J].
HOLMES, DR ;
HOLUBKOV, R ;
VLIETSTRA, RE ;
KELSEY, SF ;
REEDER, GS ;
DORROS, G ;
WILLIAMS, DO ;
COWLEY, MJ ;
FAXON, DP ;
KENT, KM ;
BENTIVOGLIO, LG ;
DETRE, K .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1988, 12 (05) :1149-1155
[8]   Safety of low dose heparin in elective coronary angioplasty [J].
Koch, KT ;
Piek, JJ ;
deWinter, RJ ;
David, GK ;
Mulder, K ;
Tijssen, JGP ;
Lie, KI .
HEART, 1997, 77 (06) :517-522
[9]  
LAARMAN GJ, 1994, BRIT HEART J, V72, P12
[10]   THE RELATIONSHIP OF ANTICOAGULATION LEVEL AND COMPLICATIONS AFTER SUCCESSFUL PERCUTANEOUS TRANSLUMINAL CORONARY ANGIOPLASTY [J].
MCGARRY, TF ;
GOTTLIEB, RS ;
MORGANROTH, J ;
ZELENKOFSKE, SL ;
KASPARIAN, H ;
DUCA, PR ;
LESTER, RM ;
KREULEN, TH .
AMERICAN HEART JOURNAL, 1992, 123 (06) :1445-1451