Feasibility and safety of same-day discharge after percutaneous coronary angioplasty: A prospective study in all coming patients.

The optimization of pharmacological therapies and coronary stents leads to simplification of the coronary angioplaty procedures with very low complications rate. To evaluate feasibility and safety of routine ambulatory coronary angioplasty (PTCA) in all coming patients (pts) Since June 2020, all pts undergoing staged PTCA or coronary angiogram with ad-hoc PTCA were included. Exclusion criteria were: pts with acute coronary syndroms, or complicated PTCA procedures. 328 pts were included, (33% of all PTCA procedures), median age 69, (IQR 61-76), (259 men, 79%). Ad-hoc PTCA was performed in 224 pts, (68.3%), with a radial approach in 322 pts, (98.2%). Median distance between home and hospital was 34 kms, (IQR 10-59), with a median delay of 30 mns, (IQR 20-50). 28 pts were alone at home, (8.5%). 184 pts had 1 vessel disease (VD), (56.1%), 94 (28.7%) 2 VD, 47 (14.3%) 3 VD, and 25 (7.6%) had a left main stenosis. 26 pts, (8%), had no previous anti-agregant therapy, and 133 (40.5%) had only 1 anti-agregant. PTCA concerned 1 vessel in 260 pts (79.3%), 2 vessels in 61 (18.6%) and 3 or more in 7 pts (2.1%) and left main in 19 pts, (5.8%). Mean number of vessels per pt was 1.23, lesions 1.42 per pt, and stents 1.36 per pt. Early ambulation was achieved at 1 hour, and discharge at 5 hours, (IQR 4-6). All patients were contacted between 24 and 72 hours, with no response in 61 (18.6%), and with no major complications in all others pts, (death, myocardial revascularization, myocardial infarction or stroke). Same day discharge after PTCA in all coming pts is a quite feasible and safe procedure. [ABSTRACT FROM AUTHOR]