Angioplastía coronaria percutánea ambulatoria: cohorte de criterios extendidos
Date
Subject
Intervención coronaria percutánea
procedimiento ambulatorio
seguridad
criterios de selección de pacientes
República Dominicana
Percutaneous coronary intervention
ambulatory procedure
safety
patient selection criteria
Dominican Republic
procedimiento ambulatorio
seguridad
criterios de selección de pacientes
República Dominicana
Percutaneous coronary intervention
ambulatory procedure
safety
patient selection criteria
Dominican Republic
Language:
Journal Title
Journal ISSN
Volume Title
Publisher
Intituto Tecnológico de Santo Domingo (INTEC)
Introducción y objetivo:
La intervención coronaria percutánea (ICP) se ha vuelto la técnica de revascularización coronaria más utilizada, esto ha llevado a explorar la seguridad de su realización de forma ambulatoria con éxito y una gran disminución de costos en pacientes altamente seleccionados. Por lo que esta investigación busca comparar la seguridad y satisfacción de la ICP ambulatoria en pacientes con criterios de selección extendidos, como >70 años y/o cuya indicación para el procedimiento sea: angina inestable o infarto agudo sin elevación del segmento ST (NSTEMI).
Material y métodos:
Se realizó un estudio retrospectivo, unicéntrico. La población fueron los pacientes sometidos a ICP en Santiago, República Dominicana entre enero y diciembre de 2022. En la muestra final se incluyeron setenta pacientes. Fueron dados de alta en menos de 24 horas después del procedimiento y fueron llamados a las 24-48 horas y 7-14 días. Para el análisis estadístico, los pacientes fueron divididos en tres grupos: pacientes sin criterios extendidos, pacientes >70 años y pacientes con criterios extendidos por motivo de intervención, se analizó la satisfacción, la necesidad de ingreso hospitalarios y complicaciones.
Resultados:
El 87.1% de los pacientes >70 años se realizó el procedimiento por angina inestable, siendo este el motivo más común. El 98.9% no reportó alteraciones en el examen de la punción arterial, el hematoma en sitio de punción arterial se presentó en 1.67% de los pacientes con criterios extendidos por indicación. La mayoría de los pacientes estaban asintomáticos al seguimiento de 24-48 horas y 7-14 días después de la angioplastia.
Conclusión:
La angioplastia coronaria percutánea ambulatoria es aparentemente segura, tanto en pacientes menores como mayores de 70 años, así como en aquellos con angina inestable o NSTEMI como indicación para el procedimiento, a pesar de este aumento en la complejidad de los pacientes, la tasa de complicaciones periprocedimiento se ha mantenido constante.
Introduction and objective: Percutaneous coronary intervention (PCI) has become the most used coronary revascularization technique. This has led to the exploration of the safety of its successful outpatient performance and a great reduction in costs in highly selected patients. Therefore, this research seeks to compare the safety and satisfaction of outpatient PCI in patients with extended selection criteria, such as those over 70 years of age and/or whose indication for the procedure is: unstable angina or acute non-ST segment elevation infarction (NSTEMI). Material and methods: A retrospective, single-center study was carried out. The study population was patients undergoing PCI in Santiago, Dominican Republic between January and December 2022. Seventy patients were included in the final sample. They were discharged less than 24 hours after the procedure and then recalled at 24-48 hours and 7-14 days. For statistical analysis, patients were divided into three groups: patients without extended criteria, patients >70 years of age and patients with extended criteria due to the reason for the intervention. The level of satisfaction, the need for hospital admission and the presence of complications were analyzed. Results: 87.1% of patients >70 years old underwent the procedure for unstable angina, this being the most common reason. 98.9% did not report alterations in the arterial puncture examination, hematoma at the arterial puncture site occurred in 1.67% of patients with extended criteria by indication. Most patients were asymptomatic at follow-up 24-48 hours and 7-14 days after angioplasty. Conclusion: Outpatient percutaneous coronary angioplasty is apparently safe, both in patients younger and older than 70 years, as well as in those with unstable angina or NSTEMI as an indication for the procedure, despite this increase in patient complexity, the rate of periprocedural complications has remained constant.
Introduction and objective: Percutaneous coronary intervention (PCI) has become the most used coronary revascularization technique. This has led to the exploration of the safety of its successful outpatient performance and a great reduction in costs in highly selected patients. Therefore, this research seeks to compare the safety and satisfaction of outpatient PCI in patients with extended selection criteria, such as those over 70 years of age and/or whose indication for the procedure is: unstable angina or acute non-ST segment elevation infarction (NSTEMI). Material and methods: A retrospective, single-center study was carried out. The study population was patients undergoing PCI in Santiago, Dominican Republic between January and December 2022. Seventy patients were included in the final sample. They were discharged less than 24 hours after the procedure and then recalled at 24-48 hours and 7-14 days. For statistical analysis, patients were divided into three groups: patients without extended criteria, patients >70 years of age and patients with extended criteria due to the reason for the intervention. The level of satisfaction, the need for hospital admission and the presence of complications were analyzed. Results: 87.1% of patients >70 years old underwent the procedure for unstable angina, this being the most common reason. 98.9% did not report alterations in the arterial puncture examination, hematoma at the arterial puncture site occurred in 1.67% of patients with extended criteria by indication. Most patients were asymptomatic at follow-up 24-48 hours and 7-14 days after angioplasty. Conclusion: Outpatient percutaneous coronary angioplasty is apparently safe, both in patients younger and older than 70 years, as well as in those with unstable angina or NSTEMI as an indication for the procedure, despite this increase in patient complexity, the rate of periprocedural complications has remained constant.
Description
Type
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
info:eu-repo/semantics/publishedVersion
Source
Science and Health; Vol. 8 No. 3 (2024): Science and Health, september-december; 25-32
Ciencia y Salud; Vol. 8 Núm. 3 (2024): Ciencia y Salud, septiembre-diciembre; 25-32
2613-8824
2613-8816
10.22206/cysa.2024.v8i3
Ciencia y Salud; Vol. 8 Núm. 3 (2024): Ciencia y Salud, septiembre-diciembre; 25-32
2613-8824
2613-8816
10.22206/cysa.2024.v8i3