Safety of Same Day Discharge After Elective Percutaneous Coronary Intervention

Feasibility and Safety of Same Day Discharge After Elective Percutaneous Coronary Intervention (PCI) in a Tertiary Care Hospital in Karachi, Pakistan.

Study intends to determine if there is any difference in the occurrence of major adverse cardiology events in patients discharged on the same day as their elective cardiac angioplasty or discharged one day after their angioplasty.

Hypothesize that same day discharge is as safe as a day later discharge.

Inclusion Criteria: :

• Low risk lesion (according to the ACC classification)
• Normal Pre Catheterization laboratory investigation
• Procedure performed before 3 pm
• procedure performed with ≤ 6 French guiding Catheter
• EF ≥ 35%
• living at a distance of within 15 kilometers from hospital
• caregiver present at home
• elective procedure

Exclusion Criteria:

• Acute PCI
• high risk lesions (according to the ACC classification)
• deranged Pre Catheterization laboratory investigations
• Age >70
• Severe LV dysfunction, CVA
• procedure to be performed with a guiding catheter >6F
• Use of IIb/IIIa inhibitor
• Creatinine clearance of < 50