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


Journal

Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions
ISSN: 1522-726X
Titre abrégé: Catheter Cardiovasc Interv
Pays: United States
ID NLM: 100884139

Informations de publication

Date de publication:
01 2020
Historique:
received: 10 12 2018
accepted: 23 03 2019
pubmed: 9 4 2019
medline: 15 9 2020
entrez: 9 4 2019
Statut: ppublish

Résumé

To report our initial experience with drug coated balloon (DCB) only angioplasty and propose a protocol to achieve this safely. There are no articles published in the literature currently regarding the safety of same day discharge in patients treated with DCB-only angioplasty. 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. 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. 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.

Sections du résumé

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.

Identifiants

pubmed: 30957384
doi: 10.1002/ccd.28217
doi:

Substances chimiques

Coated Materials, Biocompatible 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

105-108

Informations de copyright

© 2019 Wiley Periodicals, Inc.

Références

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Wickramarachchi U, Eccleshall S. Drug-coated balloon-only angioplasty for native coronary disease instead of stents. Interv Cardiol Rev. 2016;11(2):110-115.
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Reference costs 2015-16. Department of Health. 2016.
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Auteurs

Ioannis Merinopoulos (I)

Department of Cardiology, Norfolk and Norwich University Hospital, Norwich, UK.
Cardiovascular Medicine, Norwich Medical School, University of East Anglia, Norwich, UK.

Upul Wickramarachchi (U)

Department of Cardiology, Norfolk and Norwich University Hospital, Norwich, UK.
Cardiovascular Medicine, Norwich Medical School, University of East Anglia, Norwich, UK.

James Wardley (J)

Department of Cardiology, Norfolk and Norwich University Hospital, Norwich, UK.

Vikram Khanna (V)

Department of Cardiology, Norfolk and Norwich University Hospital, Norwich, UK.

Tharusha Gunawardena (T)

Department of Cardiology, Norfolk and Norwich University Hospital, Norwich, UK.
Cardiovascular Medicine, Norwich Medical School, University of East Anglia, Norwich, UK.

Clint Maart (C)

Department of Cardiology, Norfolk and Norwich University Hospital, Norwich, UK.

Vassilios S Vassiliou (VS)

Department of Cardiology, Norfolk and Norwich University Hospital, Norwich, UK.
Cardiovascular Medicine, Norwich Medical School, University of East Anglia, Norwich, UK.
Cardiovascular Medicine, Royal Brompton Hospital and Imperial College, London, UK.

Simon C Eccleshall (SC)

Department of Cardiology, Norfolk and Norwich University Hospital, Norwich, UK.

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