Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2020 Jan;95(1):105-108.
doi: 10.1002/ccd.28217. Epub 2019 Apr 7.

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

Ioannis Merinopoulos  1   2 , Upul Wickramarachchi  1   2 , James Wardley  1 , Vikram Khanna  1 , Tharusha Gunawardena  1   2 , Clint Maart  1 , Vassilios S Vassiliou  1   2   3 , Simon C Eccleshall  1
Affiliations

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

Ioannis Merinopoulos et al. Catheter Cardiovasc Interv. 2020 Jan.

Abstract

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.

Keywords: DCB-only angioplasty; day case.

PubMed Disclaimer

References

REFERENCES

    1. Neumann F-J, Sousa-Uva M, Ahlsson A, et al. 2019 ESC/EACTS Guidelines on myocardial revascularization. Eur Heart J. 2019;40:87-65.
    1. Jeger RV, Farah A, Ohlow M, et al. Drug-coated balloons for small coronary artery disease non-inferiority. Trial. 2018;6736(18):1-8.
    1. Wickramarachchi U, Eccleshall S. Drug-coated balloon-only angioplasty for native coronary disease instead of stents. Interv Cardiol Rev. 2016;11(2):110-115.
    1. 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.
    1. Kiemeneij F, Laarman GJ, Slagboom T, Van Der Wieken R. Outpatient coronary stent implantation. J Am Coll Cardiol. 1997;29(2):323-327.

MeSH terms

Substances

LinkOut - more resources