Seguridad de la angioplastía coronaria ambulatoria por vía transradial: Experiencia de un centro

the increasing number of percutaneous coronary angioplasty (ptca) procedures poses a strain on the availability of hospital. there is evidence that no complications of ptca are observed 4 o 6 hr after the procedure. aim: to evaluate the safety of early discharge after ptca methods: patients submitted to ptca from january to august 2010 who were discharged after a 4 hr observation period had their clinical and angiographic characteristics assessed. infarction, stent thrombosis and 30 day mortality were determined. results: 414 patients were included. mean age was 63.2 years (sd 10.4), 80% of them males. 53% had 2 or 3 vessel disease. ptca was successful in 95.9 % of cases. 49% of coronary artery lesions were type b2 or c. 3 minor bleeding episodes occurred before 24 hr after the procedure. no major bleedings, new revascularization, acute myocardial infarction, stroke were seen up to 30 days post procedure. there was no mortality. conclusion: early discharge after trans-radial artery ptca is safe even for treatment of complex coronary artery lesions.