Same-day discharge after large-bore access in percutaneous coronary intervention of chronic total coronary occlusions
Authors' conclusion
Same-day discharge can be achieved in the majority of patients undergoing CTO PCI with large-bore (≥7 Fr) access. Similar low hospital readmission and MACE rates between SDD and non-SDD patients at 30 days demonstrate the feasibility and safety of SDD.
Study context
- Population
- Patients undergoing chronic total occlusion (CTO) percutaneous coronary intervention (PCI), single-centre CTO registry, 2013–2023; large-bore access (≥7 French (Fr) sheaths in ≥1 access site) in 99%
- Participants
- 948 patients
- Exposure
- Same-day discharge (SDD) vs non-SDD after large-bore CTO PCI
- Outcome
- Feasibility and safety of SDD
Methodological detailssingle-centre, Clinical follow-up at 30 days
- Single-centre
- Clinical follow-up at 30 days
Main finding
As reported in the abstract
SDD achieved
SDD observed
62%
Large-bore access applied
99%
Observational data: associations, not effects.
Further findings
Predictors of non-SDD
| OR (95% CI) | ||
|---|---|---|
| Local access site bleeding | 8.53 (5.24–13.87) | |
| Vascular access complications | 7.23 (1.98–26.32) | |
| 0.050.21520Odds ratio (log scale) |
- SDD patients younger, more often male, with less renal insufficiency and prior CABG
Safety
Hospital readmission · 30 days
P = non-significant
Vascular access complications
- Vascular access complications
- 3%
Major adverse cardiovascular events (MACE)
- SDD not a predictor for MACE at follow-up
Original publication
Same-day discharge after large-bore access in percutaneous coronary intervention of chronic total coronary occlusions. EuroIntervention. Published 20 May 2024. doi:10.
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