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Reunião Anual Conjunta dos Grupos de Estudo de Cirurgia Cardíaca, Doenças Valvulares e Ecocardiografia da SPC
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A. Basics
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01. History of Cardiology
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05. Atrial Fibrillation
06. Supraventricular Tachycardia (non-AF)
07. Syncope and Bradycardia
08. Ventricular Arrhythmias and Sudden Cardiac Death (SCD)
09. Device Therapy
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21. Pulmonary Circulation, Pulmonary Embolism, Right Heart Failure
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30. Cardiovascular Disease in Special Populations
31. Pharmacology and Pharmacotherapy
32. Cardiovascular Nursing
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Same-day discharge after elective uncomplicated percutaneous coronary interventions: safety and feasibility
Session:
Posters - H. Interventional Cardiology and Cardiovascular Surgery
Speaker:
Fernando Guilherme Ribeiro Mané
Congress:
CPC 2021
Topic:
H. Interventional Cardiology and Cardiovascular Surgery
Theme:
25. Interventional Cardiology
Subtheme:
25.2 Coronary Intervention
Session Type:
Posters
FP Number:
---
Authors:
Fernando Ribeiro Mané; Rui Flores; Paulo Medeiros; Carla Rodrigues; Rodrigo Silva; Isabel Campos; João Costa; Carlos Braga; Jorge Marques
Abstract
<p>INTRODUCTION: Percutaneous coronary intervention (PCI) is the most commonly performed interventional procedure in developed countries. Radial access, improvement of catheter profiles and other technical advances have increased safety while maintaining a high degree of efficacy. Consequently, same-day discharge (SDD) can be considered for a significant number of patients who otherwise would have required admission. </p> <p> </p> <p>AIMS: The authors aimed to evaluate safety and feasibility of elective outpatient PCI in low-risk selected patients. </p> <p> </p> <p>METHODS:A retrospective single-centre observational study of patients with chronic coronary syndromes who underwent elective PCI from October 2019 to November 2020. Patents who qualified same-day discharge were defined according to clinical, angiographic and sociodemographic characteristics. SDD-PCI patient, procedure characteristics and adverse events (all-cause mortality, acute coronary syndrome, stent thrombosis, reintervention, major bleeding, stroke, contrast-induced renal failure, vascular access complications) at 30-days were analysed.</p> <p> </p> <p>RESULTS: The majority of patients undergoing elective PCI were discharged in the same day (64%). Distribution across the months of observation are illustrated in figure 1. </p> <p>During the observation period 94 patients had SDD-PCI (79% were male, age 66±9). Of those, fourteen patients (15%) experienced multivessel revascularization. Left anterior descending artery was a target artery in 49 patients (52%); circumflex artery in 27 patients (29%) and right coronary artery in 33 patients (35%). </p> <p>There were no adverse events during the 30-day follow-up period of the patients treated in ambulatory regimen.</p> <p> </p> <p>CONCLUSION: The presented descriptive analysis endorses that SDD-PCI is a safe procedure in selected patients. The potential role in decreasing bed-shortage and hospital overcrowding is pivotal considering the actual healthcare problems associated with the COVID-19 pandemic.</p>
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