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Transradial PCI and Same Day Discharge

  • Coronary Artery Disease (D Feldman and V Voudris, Section Editors)
  • Published:
Current Treatment Options in Cardiovascular Medicine Aims and scope Submit manuscript

Abstract

Purpose of review

The evolution of cardiac catheterization has led to the development of well-refined, more effective, and safer devices that allow cardiovascular interventionalists to deliver high-quality percutaneous interventions (PCI). Transradial PCI (TRI) has gained more popularity in the USA over the past 10 years, and as experience and volume of TRI grow, studies adopting same day radial PCI protocols have emerged and are showing promising results. We sought to review the current literature on TRI and same day discharge (SDD).

Recent findings

This literature review was performed to evaluate the studies that were published over the last 17 years regarding TRI and SDD. A literature search using PubMed, Cochran database, Google Scholar, and Embase was performed for studies evaluating TRI and SDD from January 1, 2000, to August 1, 2017. Observational studies, randomized clinical trials, meta-analyses, and consensus statements were included in our review. We used the following terms in our search: “same day,” “same day discharge,” “outpatient,” and “ambulatory radial PCI.” Articles with data pertinent to the subject matter were included. We did not limit our searches to specific journals.

Summary

The available literature supports SDD for selected radial PCI patients. The advancement in PCI devices and pharmacology has enhanced the safety of post-PCI disposition leading to the evolution from traditional overnight stays to the development of same day discharge programs. We conclude that outpatient TRI for appropriately selected patients will be the standard of care in the future. This will lead to increased patient satisfaction, improved hospital throughput, and reduced hospital costs, without increased procedural complications.

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Papers of particular interest, published recently, have been highlighted as: •   Of importance ••   Of major importance

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Authors and Affiliations

  1. Gagnon Cardiovascular Institute, Morristown Medical Center, Morristown, NJ, 07960, USA

    Ali Elfandi MD & Jordan G. Safirstein MD, FACC, FSCAI

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Correspondence to Jordan G. Safirstein MD, FACC, FSCAI.

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Elfandi, A., Safirstein, J.G. Transradial PCI and Same Day Discharge. Curr Treat Options Cardio Med 20, 10 (2018). https://doi.org/10.1007/s11936-018-0605-3

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