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

Abstract

Percutaneous coronary intervention is awell-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 aclear 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. The aim of this consensus statement is to provide apractical framework for the safe and effective implementation of coronary outpatient clinics in Austria. Based on astructured literature review and an in-depth analysis of available practice guidelines aconsensus statement was developed and peer-reviewed within the working group of interventional cardiology (AGIK) of the Austrian Society of Cardiology. Based on the available literature same-day discharge coronary procedures show afavorable safety profile with no increase in the risk of major adverse events compared to an overnight stay. This document provides adetailed consensus in various clinical settings. The most important prerequisite for same-day discharge is, however, adequate selection of suitable patients and astructured peri-interventional and postinterventional management plan. Based on the data analysis this consensus document provides detailed practice guidelines for the safe operation of daycare cathlab programs in Austria.