Safety and outcome of day care based coronary angioplasty in stable cardiac patients - Pilot Trial

摘要

Background: Trans radial percutaneous coronary intervention(PCI) in a day-care (DC) setting might reduce logistic constraints onhospital resources.There are no published data DC- PCI fromIndia.Objective: To study safety and outcomes in stable cardiac patientsundergoing DC-PCI.Methods: This is a single centre nonrandomized prospestivecontrolled trial of patients undergoing elective radial PCI and senthome on same day or after overnight stay after an uncomplicatedprocedure. There were no angiographic exclusion criteria exceptleft main disease. Primary end point was composite of majoradverse cardiac and cerebral events until 24 hours after PCI. Secondaryend points were puncture site complications, contrastinduced injury, composite of major adverse cardiac and cerebralevents within six months after PCI.Results: From 1 March 2013 to 31 December 2013, 56 patients wereenrolled for day care percutaneous coronary intervention. In sametime period we enrolled 56 patients among those who underwentPCI as per routine hospital protocol. No major adverse cardiac andcerebral events were noted in first 24 hours in the DC group.Onepatient from DCgroup developed anterior wall myocardialinfarction three days afterPCI. Coronary angiogram showedrecanalised left anterior descending artery.No other incidence ofmajor adverse cardiac and cerebral events noted on six months offollow up.Table 1Procedural Characteristics.Conclusion: Our study showed safety and feasibility of DC PCI inthe Indian scenario. However a larger study may be needed toestablish the findings.