RESUMO
This study assessed the safety and efficacy of early discharge after percutaneous coronary intervention (PCI) using 5Fr guiding catheters with a femoral approach in 100 patients undergoing elective coronary stenting. Patients were treated with aspirin and thienopyridines for 72 hours before PCI, and unfractionated heparin 70 IU/kg (< or = 5,000 IU) intravenously after arterial puncture. PCI was performed by femoral access using 5Fr guiding catheters and immediate postprocedural arterial sheath removal. Patients were discharged within 8 to 12 hours. No closure devices were used. Early discharge using 5Fr catheters was successful in 97% of cases. No deaths, myocardial infarction, or vascular complications occurred at 24 hours and 30 days.
Assuntos
Angioplastia Coronária com Balão/instrumentação , Angioplastia Coronária com Balão/métodos , Tempo de Internação , Alta do Paciente , Stents , Idoso , Aspirina/administração & dosagem , Estudos de Viabilidade , Feminino , Heparina/administração & dosagem , Humanos , Masculino , Pessoa de Meia-Idade , Inibidores da Agregação Plaquetária/administração & dosagem , Estudos Prospectivos , Piridinas/administração & dosagem , Fatores de Tempo , Resultado do TratamentoRESUMO
Percutaneous mitral valve commissurotomy offers a safe alternative to treat mitral valve stenosis in a select group of patients, and has produced good results. Recently, a new metallic commissurotomy device was made available for clinical use. A rare, life-threatening complication associated with this new technique is described.