Safety of One-Day Admission Transradial Coronary Intervention.
10.4070/kcj.2004.34.7.647
- Author:
Hye Lim OH
1
;
Hyeon Cheol GWON
;
Seon Mee LEE
;
Yong Hoon KIM
;
Il Seok CHEON
;
Woo Jung CHEON
;
Jin Ho CHOI
;
Sang Chol LEE
;
Ji Dong SUNG
;
June Soo KIM
;
Eun Seok JEON
;
Duk Kyung KIM
;
Sang Hoon LEE
;
Kyung Pyo HONG
;
Jeong Euy PARK
;
Jung Don SEO
Author Information
1. Cardiac and Vascular Center, Sungkyunkwan University School of Medicine, Samsung Medical Center, Seoul, Korea. hcwon@smc.samsung.co.kr
- Publication Type:Original Article
- Keywords:
Coronary disease;
Angioplasty;
Radial artery
- MeSH:
Angina, Stable;
Angina, Unstable;
Angioplasty;
Chest Pain;
Coronary Disease;
Follow-Up Studies;
Hematoma;
Humans;
Length of Stay;
Male;
Myocardial Infarction;
Patient Satisfaction;
Percutaneous Coronary Intervention;
Punctures;
Radial Artery;
Stents;
Walking
- From:Korean Circulation Journal
2004;34(7):647-654
- CountryRepublic of Korea
- Language:English
-
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: Same day admission and discharge after TRI seems to be safe as well as satisfactory for not low-risk patients.
