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Same-Day Discharge After Percutaneous Coronary Intervention—Reply | Acute Coronary Syndromes | JAMA Cardiology | ÌÇÐÄvlog

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Comment & Response
¶Ù±ð³¦±ð³¾²ú±ð°ùÌý2016

Same-Day Discharge After Percutaneous Coronary Intervention—Reply

Author Affiliations
  • 1University of Illinois at Chicago
  • 2Penn State Heart and Vascular Institute, Penn State Milton S. Hershey Medical Center, Hershey, Pennsylvania
  • 3Duke Clinical Research Institute, Durham, North Carolina
JAMA Cardiol. 2016;1(9):1080. doi:10.1001/jamacardio.2016.3370

In Reply We read with interest the thoughtful comments from Hodkinson et al. Despite casting a wide net during our publication search process, we did not identify their publication.1 It was an unintentional oversight. We were pleased to discover that their findings were consistent with the main conclusions of our article: appropriately selected patients can be discharged safely within 6 hours after percutaneous coronary intervention (PCI).

As many of our international colleagues have noticed, early discharge is feasible for many patients after PCI. In the article by Hodkinson et al,1 the patient population from Northern Ireland was complex with high-risk lesions, multivessel procedures, and acute presentations. The studies in our analysis were mixed but primarily composed a more stable patient cohort. However, in the Canada-based Early Discharge After Transradial Stenting of Coronary Arteries trial, there were many complex patients undergoing PCI procedures that were discharged safely. These data are also supported by an observational analysis by Small et al.2 While radial access was predominantly used in the study by Hodkinson et al,1 our studies included a mix of femoral and radial access procedures.

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