Long term outcome of elective day case percutaneous coronary intervention in patients with stable angina

Gaal, William J. van; Arnold, Jayanth R.; Porto, Italo; Jennings, Bethany; Ashar, Vaishali; Schrale, Ryan G.; Banning, Adrian P.

doi:10.1016/j.ijcard.2007.05.054

Cited by 13 publications

(3 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Again, same‐day discharge was found not to be associated with death or rehospitalization. This event‐free survival has been demonstrated out to 1 year . The optimal safe postprocedure observation period is felt to be between 4 and 6 hours.…”

Section: Introductionmentioning

confidence: 86%

An Audit of Outcomes After Same‐Day Discharge Post‐PCI in Acute Coronary Syndrome and Elective Patients

Hodkinson

Ramsewak

Murphy

et al. 2013

J Interven Cardiology

View full text Add to dashboard Cite

show abstract

Section: Introductionmentioning

confidence: 86%

An Audit of Outcomes After Same‐Day Discharge Post‐PCI in Acute Coronary Syndrome and Elective Patients

Hodkinson

Ramsewak

Murphy

et al. 2013

J Interven Cardiology

View full text Add to dashboard Cite

show abstract

“…However, this study included individuals undergoing PCI through both radial and femoral access, while our trial only included patients undergoing PCI through femoral access [19]. Perret et al concluded that discharging patients the same day after an ad hoc PCI is safe, and the characteristics of the participants in that study were similar to ours [20]. A retrospective cohort study on the occurrence of adverse outcomes in patients undergoing same-day discharge after PCI for treatment of stable angina found no statistical signi cance in the occurrence of long-term adverse events after 1 year, further validating the safety of the intervention employed in the study [21].…”

Section: Discussionmentioning

confidence: 59%

Randomized Controlled Trial to Evaluate the Safety of Same-Day Discharge After Percutaneous Coronary Intervention (PCI)

Gowani

Dhakam

Noor

et al. 2021

Preprint

View full text Add to dashboard Cite

Objective: Cardiovascular disease have a large disease burden in developing countries. Percutaneous coronary intervention (PCI) is one of the modalities used to restore the blood flow in atherosclerotic coronary vessels. The aim of this randomized controlled trial was to evaluate the safety of same-day discharge compared to overnight hospital stay after low-risk elective PCI in a tertiary care hospital in Pakistan.Results: From September 2014 to September 2015, a total of 210 patients who underwent low-risk PCI were randomized to overnight stay or same-day discharge. Primary endpoint of the study was a major adverse event, a composite of death, myocardial infarction, repeat revascularization, rehospitalization, and any access site complications (major bleeding or hematoma) after the procedure. No major adverse events were noted within 24 hours in either group. The only reported adverse event was myocardial infarction secondary to stent thrombosis on the third day after PCI in the same-day discharge group. No mortality or access site complications occurred in either group. In our cohort, same-day discharge after low-risk PCI was safe and should be considered for certain patients to eliminate the cost of an overnight hospital stay.clinical trial registry number: NCT02214082. Registered on 11th August 2014

show abstract

“…If unable to differentiate based on these parameters, a fourth investigator (PMik) would select between the papers with the article providing most data regarding our secondary objectives being selected for inclusion. Sixty-seven papers were included in the final statistical analysis4–7 10–72 (figure 1). Efforts to exclude data pertaining to CTO procedures within a larger dataset were made by the authors.…”

Section: Methodsmentioning

confidence: 99%

Coronary perforation incidence, outcomes and temporal trends (COPIT): a systematic review and meta-analysis

et al. 2022

View full text Add to dashboard Cite

Coronary perforation is a potentially life-threatening complication of percutaneous coronary intervention (PCI). We studied incidence, outcomes and temporal trends following PCI-related coronary artery perforation (CAP).MethodsProspective systematic review and meta-analysis including meta-regression using MEDLINE and EMBASE to November 2020. We included ‘all-comer’ PCI cohorts including large PCI registries and randomised controlled trials and excluding registries or trials limited to PCI in high-risk populations such as chronic total occlusion PCI or cohorts treated only with atheroablative devices. Regression analysis and corresponding correlation coefficients were performed comparing perforation incidence, mortality rate, tamponade rate and the rate of Ellis III perforations against the midpoint (year) of data collection to determine if a significant temporal relationship was present.Results3997 studies were screened for inclusion. 67 studies met eligibility criteria with a total of 5 568 191 PCIs included over a 38-year period (1982–2020). The overall pooled incidence of perforation was 0.39% (95% CI 0.34% to 0.45%) and remained similar throughout the study period. Around 1 in 5 coronary perforations led to tamponade (21.1%). Ellis III perforations are increasing in frequency and account for 43% of all perforations. Perforation mortality has trended lower over the years (7.5%; 95% CI 6.7% to 8.4%). Perforation risk factors derived using meta-regression were female sex, hypertension, chronic kidney disease and previous coronary bypass grafting. Coronary perforation was most frequently caused by distal wire exit (37%) followed by balloon dilation catheters (28%). Covered stents were used to treat 25% of perforations, with emergency cardiac surgery needed in 17%.ConclusionCoronary perforation complicates approximately 1 in 250 PCIs. Ellis III perforations are increasing in incidence although it is unclear whether this is due to reporting bias. Despite this, the overall perforation mortality rate (7.5%) has trended lower in recent years. Limitations of our findings include bias that may be introduced through analysis of multidesign studies and registries without pre-specified standardised perforation reporting CMore research into coronary perforation management including the optimal use of covered stents seems warranted.PROSPERO registration numberCRD42020207881.

show abstract

Long term outcome of elective day case percutaneous coronary intervention in patients with stable angina

Cited by 13 publications

References 6 publications

An Audit of Outcomes After Same‐Day Discharge Post‐PCI in Acute Coronary Syndrome and Elective Patients

An Audit of Outcomes After Same‐Day Discharge Post‐PCI in Acute Coronary Syndrome and Elective Patients

Randomized Controlled Trial to Evaluate the Safety of Same-Day Discharge After Percutaneous Coronary Intervention (PCI)

Coronary perforation incidence, outcomes and temporal trends (COPIT): a systematic review and meta-analysis

Contact Info

Product

Resources

About