Korean Circ J.  2001 Oct;31(10):1013-1018. 10.4070/kcj.2001.31.10.1013.

Safety of transradial coronary intervention with early discharge in selected patients

• Jeon SH
• Lee YS
• Chang JE
• Cho HK
• Chung IM
• Park SH
• Shin GJ
• Park SH

• KMID: 2029587
• DOI: http://doi.org/10.4070/kcj.2001.31.10.1013

Abstract

BACKGROUND
AND OBJECT: Transradial percutaneous coronary intervention enables early ambulation and caused less complications at the puncture site. This study was performed to evaluate the safety of transradial coronary intervention with early discharge in selected patients. MATERIALS AND METHOD: Thirty patients were studied retrospectively. Twenty five patients had transradial percutaneous coronary intervention with next morning discharge and 5 patients had transradial percutaneous coronary intervention on an outpatient basis. Each patient was checked for cardiovascular complication and any other problems at the puncture site immediately after, 2 weeks after and 1 month after the procedure.
RESULTS
This study group consisted of 30 patients with a mean age of 60+/-10 years. The indication for intervention were unstable angina (63.3%), stable angina (20.0%), and restenosis at 6-month follow-up after intervention. A total of 21 stents were implanted at 40 lesions. No major cardiovascular complication nor puncture site complication was reported at 1 month follow-up.
CONCLUSION
Early discharge is supposed to be safe for those with optimal angiographic results and no clinical problems for at least 5 hours after intervention.

Keyword

Radial artery; Coronary angioplasty; Safety; Outpatient

MeSH Terms

Angina, Stable
Angina, Unstable
Early Ambulation
Follow-Up Studies
Humans
Outpatients
Percutaneous Coronary Intervention
Punctures
Radial Artery
Retrospective Studies
Stents