Short-Term (4 Hours) Observation After Elective Coronary Angioplasty

In a prospective evaluation of the safety of short-term observation after elective percutaneous transluminal coronary angioplasty (PTCA) in 1,900 consecutive patients, 1 of 1,680 patients triaged to discharge after 4 hours of observation reached the primary end point of acute recurrent ischemia, 7 p...

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Bibliographic Details
Published in:The American journal of cardiology 1997-12, Vol.80 (12), p.1591-1594
Main Authors: Koch, Karel T., Piek, Jan J., de Winter, Robbert J., David, George K., Mulder, Karla, Lie, Kong I.
Format: Article
Language:English
Subjects:
Aged
Angioplasty
Angioplasty, Balloon, Coronary - adverse effects
Biological and medical sciences
Diseases of the cardiovascular system
Female
Humans
Length of Stay
Male
Medical sciences
Middle Aged
Myocardial Ischemia - therapy
Patient Readmission
Prospective Studies
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Recurrence
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Summary:In a prospective evaluation of the safety of short-term observation after elective percutaneous transluminal coronary angioplasty (PTCA) in 1,900 consecutive patients, 1 of 1,680 patients triaged to discharge after 4 hours of observation reached the primary end point of acute recurrent ischemia, 7 patients underwent repeat PTCA during 4 hours of observation, and 66 of 187 patients selected for prolonged observation had a complicated course. It is concluded that short-term observation after elective coronary angioplasty is safe, with a negligible risk of vessel closure after this period; triage for prolonged observation can be based appropriately on the immediate procedural result.
ISSN:0002-9149
1879-1913
DOI:10.1016/S0002-9149(97)00786-8