Feasibility and safety of day-case transfemoral coronary stenting

被引：20

作者：

Dalby, M ^{[1
]}

Davies, J ^{[1
]}

Rakhit, R ^{[1
]}

Mayet, J ^{[1
]}

Foale, R ^{[1
]}

Davies, R ^{[1
]}

机构：

[1] St Marys Hosp, Dept Cardiol, London W2 1NY, England

来源：

CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS | 2003年 / 60卷 / 01期

关键词：

PCI; stenting; day case; outpatient;

D O I：

10.1002/ccd.10618

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Percutaneous coronary intervention (PCI) is usually followed by overnight observation. In order to increase activity from a limited bed base, we planned to discharge a cohort of patients undergoing uncomplicated PCI procedures on the same day. Seventy patients considered suitable for same-day discharge underwent PCI procedures and a 100% stent rate was planned with device closure of the arterial access site. Procedural success was achieved in 68 (97%) of patients and 51 (73%) were discharged as day cases. None re-presented or had clinical complications within 24 hr. Nineteen (27%) were kept in hospital electively for observation. No preprocedural clinical or angiographic characteristics predicted successful or failed day-case discharge. In selected patients who undergo uncomplicated PCI with stenting and device arterial closure, same-day discharge appears safe and achievable in about three-quarters of cases. (C) 2003 Wiley-Liss, Inc.

引用

页码：18 / 24

页数：7

共 12 条

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