| Is outpatient coronary angioplasty and stenting feasible and safe? Results of a retrospective analysis. | |
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MedLine Citation:
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PMID: 12571694 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To assess the safety of coronary angioplasty with or without stenting and with same day discharge in a population of outpatients or referred patients. This study also assessed the changing practice in the access route and the increasing use of stents. METHODS AND RESULTS: In this retrospective and descriptive study, the authors reviewed the files of ambulatory or referred patients hospitalized within seven days of a heart catheterization with coronary angiography between January 1997 and December 1999. Overall, 1856 patients were included, of which 546 (29.4%) had a coronary angioplasty. In the first six months, stents were used in 13.3% of outpatients and 23.5% of referred patients, while in the last six months 75.0% of outpatients and 73.0% of referred patients were stented. A total of 156 patients were triaged for a prolonged observation period of which 66 (12.1%) received some treatment (heparin, abciximab, coronary artery bypass graft or transfusion). Two patients (0.4%) had acute thrombosis. No patients experienced complications that could have been prevented by a one or two day routine observation period. While 47% of patients were accessed by the radial artery in the first six months, 77.2% of patients were accessed by the radial artery in the last six months. Significant access complications occurred in 11 patients (0.6%). CONCLUSION: Outpatient angioplasty is feasible and, according to the retrospective analysis of the authors' admittedly incomplete data, safe. The use of stents facilitates same-day discharge. Pre-, per- and postprocedural triage allows identification of high risk patients for a longer observation period with or without additional treatment. |
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Authors:
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Sébastien Clément-Major; François Lemire |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: The Canadian journal of cardiology Volume: 19 ISSN: 0828-282X ISO Abbreviation: Can J Cardiol Publication Date: 2003 Jan |
Date Detail:
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Created Date: 2003-02-06 Completed Date: 2003-03-04 Revised Date: 2008-04-09 |
Medline Journal Info:
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Nlm Unique ID: 8510280 Medline TA: Can J Cardiol Country: Canada |
Other Details:
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Languages: eng Pagination: 47-50 Citation Subset: IM |
Affiliation:
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Faculty of Medicine, Division of Cardiology, Centre Hospitalier de l'Université de Montréal, University of Montréal, Québec. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Ambulatory Care
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methods* Angioplasty, Transluminal, Percutaneous Coronary / methods* Coronary Angiography Coronary Disease / therapy* Feasibility Studies Female Femoral Artery / surgery Heart Catheterization / methods* Humans Male Radial Artery / surgery Referral and Consultation Retrospective Studies Safety Stents / utilization* Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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