Safety of One-Day Admission Transradial Coronary Intervention

Abstract

Background：Recent advances of percutaneous coronary intervention (PCI) and transradial coronary intervention (TRI) have made it possible to reduce the local complication rate and the time until a return to ambulation. The aim of this study is to assess the safety and the patient satisfaction of the TRI-based one-day admission program for PCI. Methods：Total 230 consecutive patients underwent TRI on the day of admission, according to pre-determined inclusion criteria, from May 2001 to October 2003. The subjects were examined for clinical and angiographic characteristics. The patients having a same-day discharge were telephone-interviewed one day and seven days after discharge to assess late complications and the patients' satisfaction. Results：The mean age of the subjects was 59±9 years and 77.4% were male patients. 169 (73.4%) had stable angina and 37 (16.1%) had unstable angina. Stents were implanted in 178 cases (69.3%). Of the 230 patients who underwent TRI, 206 patients (89.6%) could discharge on the same day after the procedure. The procedure was successful in 98.5%. The average hospital stay for them was 9.4±1.4 hours. Two subjects reported hematoma near the puncture site within 24 hours after discharge, and one reported this problem 7 days after discharge. During the follow-up, there were no cases reporting chest pain needing rehospitalization or such complications as subacute vessel closure. No deaths, myocardial infarctions or revascularization were noted during the follow-up period. The majority of the patients (n=197, 95.6%) were satisfied with the same-day admission and discharge. Conclusions：Sameday admission and discharge after TRI seems to be safe as well as satisfactory for not low-risk patients. (Korean Circulation J 2004 ; 34 (7) : 647-654) KEY WORDS：Coronary disease；Angioplasty；Radial artery.

Same-day discharge after percutaneous coronary procedures—Structured review and comprehensive meta-analysis

“…Kumar et al., 2004 [ 19 ] Observational, prospective single arm 120 Total: 97.3% Elective PCI, MV (19.4%), lesion type C (27.5%), multistent, SVG (1.7%) UK 20% 0.8% (1x stent thrombosis) MACE (death, MI, stroke, TVR, rehospitalization) at 30 days MACE at 30 days 0.67% SDD: 100% 3. Oh et al., 2004 [ 47 ] Observational, prospective, single arm Total: 230 SDD: 100% Elective PCI, MV (8.3%), lesion type C (24.3%) South Korea 10% None (1% minor hematoma, bleeding) MACE (death, MI, stroke, TVR, CABG, major bleeding) 0–24h: 1% hematoma, 1% bleeding. 0% MACE.…”

Comparison between the Left and Right Transradial Coronary Angiograms and Interventions in Elderly Patients

“…요골동맥(radial artery)을 이용한 관상동맥 조영술은 대 퇴동맥을 이용한 관상동맥 조영술에 비해 출혈 등의 혈관 부작용이 적으며 조기 보행이 가능하고 입원기간이 단축, 입 원비용 감소 등의 장점이 있어 현재 많이 이용되고 있다. [1][2][3][4] 또한 요골 동맥을 이용한 시술은 시술한 당일 퇴원이 가능 하며, 5 Table 2).…”