Loading
Life sciences · Journal article
World Journal of Cardiology · August 5, 2026
Encouraging direction, but not yet definitive.
This retrospective cohort demonstrates that same-day discharge after elective PCI in an experienced ambulatory center is feasible with low 2-year major adverse events. However, the absence of a randomized comparator, single-center design, and limited surveillance for unplanned hospitalization beyond 30 days constrain definitive conclusions about safety generalizability.
Retrospective cohort study. 787 consecutive patients undergoing elective percutaneous coronary intervention at a single ambulatory surgical center (2018-2023); included higher-risk anatomy subgroups (25 left main, 332 left anterior descending procedures with 115 proximal).. Intervention: Same-day discharge after elective percutaneous coronary intervention with transradial or femoral access; median discharge time 150 minutes.. n = 787. Single ambulatory surgical center; geographic location not specified..
787 consecutive PCIs with median discharge time of 150 minutes; no deaths, strokes, emergent CABG, or hospitalizations within 24 hours By 30 days, unplanned cardiovascular hospitalizations 0.7% with no deaths or strokes Two-year outcomes: death 1.93%, myocardial infarction 0.85%, target vessel revascularization 7.62%, stroke 0.17%
Safety was not reported in the material analysed. Check the source before drawing any conclusion about harm.
Clinicians in experienced centers with structured follow-up and standardized protocols may consider same-day discharge as feasible after PCI, but should await multicenter randomized evidence before broad implementation, particularly for higher-risk anatomy (left main disease) and femoral access cases.
Single-center retrospective cohort of 787 same-day discharge PCIs showing reassuring 2-year safety outcomes (death 1.93%, MI 0.85%, stroke 0.17%), but lacks randomized comparator and longer-term hospitalization surveillance, supporting feasibility in experienced centers pending multicenter confirmation.
As stated by the source record.
Quoted from the source exactly as published.
Clinicians in experienced centers with structured follow-up and standardized protocols may consider same-day discharge as feasible after PCI, but should await multicenter randomized evidence before broad implementation, particularly for higher-risk anatomy (left main disease) and femoral access cases.
Graded across the dimensions that decide whether you should act, each from what the source actually supports. There is no single score, and where a dimension was not assessed it says so.
Same day discharge after elective percutaneous coronary intervention (PCI) is increasingly adopted, particularly with transradial access, however long-term safety evidence has been limited.Klocek et al recently published a study in the World Journal of Cardiology provide timely real-world data from a single ambulatory surgical center: 787 consecutive PCIs (2018-2023) with a median discharge time of 150 minutes.Early outcomes were reassuring: Within 24 hours there were no deaths, strokes, emergent coronary artery bypass grafting, transfers for overnight care, or hospitalizations; by 30 days, unplanned cardiovascular hospitalizations occurred in 0.7% and there were no deaths or strokes.Two-year events remained low: Death 1.93%, myocardial infarction 0.85%, target vessel revascularization 7.62%, and stroke 0.17%.Subgroup outcomes in higher-risk anatomy -25 left main and 332 left anterior descending (115 proximal) procedures -were reassuring but based on small numbers and remain hypothesisgenerating rather than confirmatory, particularly for left main disease.Femoral cases showed higher two-year target vessel revascularization (21.84% vs 5.85%; P < 0.001) without differences in death or myocardial infarction, reflecting greater baseline comorbidity rather than access site alone.Interpreted alongside the randomized and consensus evidence that preceded it, including the 2018 Society for Cardiovascular Angiography and Interventions shift from anatomy-based exclusions to milestone-based discharge readiness, this hypothesis-generating study supports the feasibility of very early discharge after PCI in experienced centers with structured follow-up and standardized protocols.Nevertheless, its retrospective, single-center design, absence of an inpatient comparator, and capture of unplanned hospitalizations only to 30 days temper conclusions.Future multicenter randomized trials and standardized postdischarge pathways are warranted.
Taken from the source record, never inferred. Follow any of these and new work involving them reaches your briefing.