Safety of Same-Day Discharge after Percutaneous Coronary Intervention with Orbital Atherectomy

Evan Shlofmitz, Allen Jeremias, Alec Goldberg, Thomas Pappas, Andrew Berke, George Petrossian, Theofanis Tsiamtsiouris, Andrew Lituchy, Michael Lee, Richard Shlofmitz

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

Background: Severely calcified lesions present many challenges to percutaneous coronary intervention (PCI). Orbital atherectomy (OA) aids vessel preparation and treatment of severely calcified coronary lesions. Same-day discharge (SDD) after PCI has numerous advantages including cost savings and improved patient satisfaction. The aim of this study is to evaluate the safety of SDD among patients treated with OA in a real-world setting. Methods: This was a single-center retrospective analysis of patients undergoing OA. In-hospital and 30-day outcomes were assessed for major adverse cardiac events (MACE), device-related events and hospital readmissions. Results: There were 309 patients treated with OA of whom 94 had SDD (30.4%). Among SDD patients, there were no acute procedural complications and all patients were safely discharged on the day of the procedure. MACE at 30 days occurred in 1 patient (1.06%) due to major bleeding in the setting of a gastric arteriovenous malformation. There were 8 patients with unplanned 30-day readmissions (8.5%). Conclusion: SDD after OA in patients with heavily calcified lesions appears to be safe, with low rates of adverse events and readmissions in select patients. In patients with SDD treated with OA, unplanned readmission occurred at a similar rate to the statewide average 30-day PCI readmission rate. Larger studies are needed to confirm the safety of this treatment paradigm and the potential cost savings.

Original languageEnglish
Pages (from-to)573-576
Number of pages4
JournalCardiovascular Revascularization Medicine
Volume20
Issue number7
DOIs
StatePublished - Jul 2019
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2018 Elsevier Inc.

Keywords

  • Orbital atherectomy
  • Percutaneous coronary intervention
  • Same-day discharge

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