Same-day discharge after percutaneous coronary procedures—Consensus statement of the working group of interventional cardiology (AGIK) of the Austrian Society of Cardiology
ÖKG · 2024 · Austria
Source and licence
- Authors
- Mathias C Brandt, Hannes Alber, Rudolf Berger et al.
- Title
- Same-day discharge after percutaneous coronary procedures—Consensus statement of the working group of interventional cardiology (AGIK) of the Austrian Society of Cardiology
- Journal
- Wiener Klinische Wochenschrift, 2024
- Licence
- CC BY 4.0
- Changes
- Verbatim excerpts; formatting adapted
Full text retrieved 2026-10-27 from Europe PMC · PMC11093795
Licence statement of the original publication
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Open the original publication →Full text on Europe PMC
Recommendations
We found no explicitly labelled recommendations in this publication; its recommendations are in the running text of the original.
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.
Contents of the original publication
The section headings of the original.
- Introduction
- Aims
- Methods
- Consensus development
- Review of scientific evidence
- Current trends for PCP in an outpatient setting
- International trends
- Current clinical practice in Austria
- Safety profile and outcome of SDD PCP
- Review of clinical trials and meta-analyses
- Data on safety of SDD in specific patients and settings
- Patient satisfaction
- Cost effectiveness
- Guidelines and international consensus statements
- Practical recommendations
- Hospital environment
- Preprocedural considerations
- Coronary angiography and PCI
- Postprocedural monitoring
- Discharge decision
- Clinical follow-up of SDD PCP patients
- Conclusion
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