Day case discharge of patients treated with drug coated balloon only angioplasty for de novo coronary artery disease: A single center experience.

Merinopoulos, I ; Wickramarachchi, U ; et al.

In: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions, Jg. 95 (2020), Heft 1, S. 105-108

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Objective: To report our initial experience with drug coated balloon (DCB) only angioplasty and propose a protocol to achieve this safely.

Background: There are no articles published in the literature currently regarding the safety of same day discharge in patients treated with DCB-only angioplasty.

Methods: Retrospective review of all our patients treated with DCB-only angioplasty from September 2017 to April 2018 with identification of potential complications relating to same day discharge.

Results: A total of 100 consecutive patients who underwent elective DCB-only angioplasty for de novo coronary artery disease and were discharged on the same day as the procedure were included. In 99% no cardiac symptoms relating to the procedure requiring urgent hospitalization or urgent investigations were identified. One patient was readmitted the next day requiring stenting of the previously treated lesion. Our 30-day mortality was zero. Some 97 hospital bed days were saved with 100 patients treated.

Conclusion: Elective day-case DCB-only angioplasty according to our local protocol is safe and cost-effective and should be considered for the majority of the patients.

Titel:	Day case discharge of patients treated with drug coated balloon only angioplasty for de novo coronary artery disease: A single center experience.
Autor/in / Beteiligte Person:	Merinopoulos, I ; Wickramarachchi, U ; Wardley, J ; Khanna, V ; Gunawardena, T ; Maart, C ; Vassiliou, VS ; Eccleshall, SC
Link:	Full Text Finder (Volltext)
Zeitschrift:	Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions, Jg. 95 (2020), Heft 1, S. 105-108
Veröffentlichung:	New York, NY : Wiley-Liss, c1999-, 2020
Medientyp:	academicJournal
ISSN:	1522-726X (electronic)
DOI:	10.1002/ccd.28217
Schlagwort:	Aged Angioplasty, Balloon, Coronary adverse effects Clinical Protocols Coronary Artery Disease diagnostic imaging England Equipment Design Female Hospitals, High-Volume Humans Male Middle Aged Retrospective Studies Risk Factors Time Factors Treatment Outcome Angioplasty, Balloon, Coronary instrumentation Cardiac Catheters Coated Materials, Biocompatible Coronary Artery Disease therapy Length of Stay Patient Discharge
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article Language: English [Catheter Cardiovasc Interv] 2020 Jan; Vol. 95 (1), pp. 105-108. <i>Date of Electronic Publication: </i>2019 Apr 07. MeSH Terms: Cardiac Catheters* ; Coated Materials, Biocompatible* ; Length of Stay* ; Patient Discharge* ; Angioplasty, Balloon, Coronary / instrumentation ; Coronary Artery Disease / therapy ; Aged ; Angioplasty, Balloon, Coronary / adverse effects ; Clinical Protocols ; Coronary Artery Disease / diagnostic imaging ; England ; Equipment Design ; Female ; Hospitals, High-Volume ; Humans ; Male ; Middle Aged ; Retrospective Studies ; Risk Factors ; Time Factors ; Treatment Outcome References: Neumann F-J, Sousa-Uva M, Ahlsson A, et al. 2019 ESC/EACTS Guidelines on myocardial revascularization. Eur Heart J. 2019;40:87-65. ; Jeger RV, Farah A, Ohlow M, et al. Drug-coated balloons for small coronary artery disease non-inferiority. Trial. 2018;6736(18):1-8. ; Wickramarachchi U, Eccleshall S. Drug-coated balloon-only angioplasty for native coronary disease instead of stents. Interv Cardiol Rev. 2016;11(2):110-115. ; Kumar S, Anantharaman R, Das P, et al. Radial approach to day case intervention in coronary artery lesions (RADICAL): a single Centre safety and feasibility study. Heart. 2004;90(11):1340-1341. ; Kiemeneij F, Laarman GJ, Slagboom T, Van Der Wieken R. Outpatient coronary stent implantation. J Am Coll Cardiol. 1997;29(2):323-327. ; Cortese B, Silva Orrego P, Agostoni P, et al. Effect of drug-coated balloons in native coronary artery disease left with a dissection. JACC Cardiovasc Interv. 2015;8(15):2003-2009. ; Black AJ, Namay DL, Niederman AL, et al. Tear or dissection after coronary angioplasty. Morphologic correlates of an ischemic complication. Circulation. 1989;79(5):1035-1042. ; Rahman Z, Ullah M, Choudhury AK. coronary artery dissection and perforation complicating percutaneous coronary intervention - A review. Cardiovascular Journal. 2011;12(2):239-247. ; Ludman PF, Gavalova L. National audit of percutaneous coronary interventions annual report. 2015. ; Theuerle J, Yudi M, Farouque O, et al. Utility of the ACC/AHA lesion classification as a predictor of procedural, 30-day and 12-month outcomes in the contemporary percutaneous coronary intervention era. Catheter Cardiovasc Interv. 2018;92(3):227-234. ; Albertal M, Van LG, Regar E, et al. Uncomplicated moderate coronary artery dissections after balloon angioplasty: good outcome without stenting. Heart. 2001;86:193-198. ; Merinopoulos I, Gunawardena T, Wickramarachchi U, Ryding A, Eccleshall S, Vassiliou V. Percutaneous coronary intervention in the elderly: are drug-coated balloons the future? Curr Cardiol Rev. 2018;14(1):45-52. ; Reference costs 2015-16. Department of Health. 2016. ; Amin AP, Pinto D, House JA, et al. Association of same-day discharge after elective percutaneous coronary intervention in the United States with costs and outcomes. JAMA Cardiol. 2018;63110:1-9. ; Rinfret S, Kennedy WA, Lachaine J, et al. Economic impact of same-day home discharge after uncomplicated transradial percutaneous coronary intervention and bolus-only abciximab regimen. JACC Cardiovasc Interv. 2010;3(10):1011-1019. Contributed Indexing: Keywords: DCB-only angioplasty; day case Substance Nomenclature: 0 (Coated Materials, Biocompatible) Entry Date(s): Date Created: 20190409 Date Completed: 20200914 Latest Revision: 20200914 Update Code: 20240513

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