Same-Day Discharge After Elective Percutaneous Transcatheter Cardiovascular Interventions.

Krishnaswamy, Amar; Isogai, Toshiaki; Brilakis, Emmanouil S; Nanjundappa, Aravinda; Ziada, Khaled M; Parikh, Sahil A; Rodés-Cabau, Josep; Windecker, Stephan; Kapadia, Samir R (2023). Same-Day Discharge After Elective Percutaneous Transcatheter Cardiovascular Interventions. JACC. Cardiovascular Interventions, 16(13), pp. 1561-1578. Elsevier 10.1016/j.jcin.2023.05.015

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Percutaneous transcatheter interventions have evolved as standard therapies for a variety of cardiovascular diseases, from revascularization for atherosclerotic vascular lesions to the treatment of structural cardiac diseases. Concomitant technological innovations, procedural advancements, and operator experience have contributed to effective therapies with low complication rates, making early hospital discharge safe and common. Same-day discharge presents numerous potential benefits for patients, providers, and health care systems. There are several key elements that are shared across the spectrum of interventional cardiology procedures to create a successful same-day discharge pathway. These include appropriate patient and procedure selection, close postprocedural observation, predischarge assessments specific for each type of procedure, and the existence of a patient support system beyond hospital discharge. This review provides the rationale, available data, and a framework for same-day discharge across the spectrum of coronary, peripheral, and structural cardiovascular interventions.

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