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Practice Guideline
. 2024 May;136(Suppl 3):61-74.
doi: 10.1007/s00508-024-02348-y. Epub 2024 May 14.

Same-day discharge after percutaneous coronary procedures-Consensus statement of the working group of interventional cardiology (AGIK) of the Austrian Society of Cardiology

Mathias C Brandt  1 , Hannes Alber  2 , Rudolf Berger  3 , Ronald K Binder  4 , Julia Mascherbauer  5 , Alexander Niessner  6 , Martin Schmid  7 , Matthias Frick  8 ; Austrian working group of interventional cardiology
Affiliations
Practice Guideline

Same-day discharge after percutaneous coronary procedures-Consensus statement of the working group of interventional cardiology (AGIK) of the Austrian Society of Cardiology

Mathias C Brandt et al. Wien Klin Wochenschr. 2024 May.

Abstract

Introduction: Percutaneous coronary intervention is a well-established revascularization strategy for patients with coronary artery disease. Recent technical advances such as radial access, third generation drug-eluting stents and highly effective antiplatelet therapy have substantially improved the safety profile of coronary procedures. Despite several practice guidelines and a clear patient preference of early hospital discharge, the percentage of coronary procedures performed in an outpatient setting in Austria remains low, mostly due to safety concerns.

Methods: The aim of this consensus statement is to provide a practical framework for the safe and effective implementation of coronary outpatient clinics in Austria. Based on a structured literature review and an in-depth analysis of available practice guidelines a consensus statement was developed and peer-reviewed within the working group of interventional cardiology (AGIK) of the Austrian Society of Cardiology.

Results: Based on the available literature same-day discharge coronary procedures show a favorable safety profile with no increase in the risk of major adverse events compared to an overnight stay. This document provides a detailed consensus in various clinical settings. The most important prerequisite for same-day discharge is, however, adequate selection of suitable patients and a structured peri-interventional and postinterventional management plan.

Conclusion: Based on the data analysis this consensus document provides detailed practice guidelines for the safe operation of daycare cathlab programs in Austria.

Keywords: Ambulatory treatment; Austria; Consensus document; Coronary intervention; Outpatient coronary procedure.

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Conflict of interest statement

M.C. Brandt, H. Alber, R. Berger, R.K. Binder, J. Mascherbauer, A. Niessner, M. Schmid and M. Frick declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Concise checklist summarizing inclusion/exclusion criteria for SDD strategy prior to admission, during/after coronary procedure and during clinical follow-up/before discharge
See this image and copyright information in PMC

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