Department of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio, USA.
Minneapolis Heart Institute and Minneapolis Heart Institute Foundation, Minneapolis, Minnesota, USA.
JACC Cardiovasc Interv. 2023 Jul 10;16(13):1561-1578. doi: 10.1016/j.jcin.2023.05.015.
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.
经皮导管介入治疗已经发展成为各种心血管疾病的标准治疗方法，从动脉粥样硬化血管病变的血运重建到结构性心脏病的治疗。伴随而来的技术创新、手术进展和操作者经验，使得并发症发生率低的有效治疗成为可能，从而使早期出院变得安全且常见。对于患者、医疗服务提供者和医疗保健系统来说，当天出院具有诸多潜在益处。有几个关键因素贯穿于介入心脏病学治疗的全过程，为成功的当天出院途径创造了条件。这些因素包括：合适的患者和手术选择、密切的术后观察、针对每种手术类型的出院前评估，以及在患者出院后提供医院之外的支持系统。本文综述了在冠状动脉、外周血管和结构性心血管介入治疗的整个范围内实施当天出院的基本原理、现有数据和框架。
