Transradial PCI and Same Day Discharge

Ali Elfandi, Jordan Safirstein

Research output: Contribution to journalReview article

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.

Original languageEnglish (US)
Article number10
JournalCurrent Treatment Options in Cardiovascular Medicine
Volume20
Issue number2
DOIs
StatePublished - Feb 1 2018
Externally publishedYes

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Outpatients
Equipment and Supplies
Hospital Costs
Standard of Care
Cardiac Catheterization
Patient Satisfaction
PubMed
Observational Studies
Meta-Analysis
Randomized Controlled Trials
Databases
Pharmacology
Safety

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine

Cite this

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title = "Transradial PCI and Same Day Discharge",
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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Transradial PCI and Same Day Discharge. / Elfandi, Ali; Safirstein, Jordan.

In: Current Treatment Options in Cardiovascular Medicine, Vol. 20, No. 2, 10, 01.02.2018.

Research output: Contribution to journalReview article

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