Same-Day Discharge After Coronary Percutaneous Transluminal Coronary Angioplasty (PTCA)
Stopped early · Phase 4
Conditions studied: Acute Coronary Syndrome
In brief
Same day discharge is safe and feasible in selected troponin negative patients undergoing coronary planned percutaneous coronary intervention (PCI) or ad hoc PCI via the transfemoral approach.
Key facts
- Study ID
- NCT01068119
- Run by
- Piedmont Healthcare
- People needed
- 57
- Starts
- 2010-02-01
- Expected to finish
- 2012-03-01
- Last updated by the study team
- 2013-09-23
Who can join
Age: 18 and older. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- Scheduled for catheterization/coronary angiography
- Undergoing diagnostic coronary angiography to define the coronary anatomy with the intent for revascularization (ad-hoc PCI) or planned PCI to define the coronary anatomy with the intent for revascularization due to one of the following:
- exertional or rest chest pain (or angina equivalent)
- abnormal Exercise Stress Test
- abnormal nuclear tests
- abnormal pharmacologic or stress echocardiogram, or pharmacologic MRI
- abnormal EKGs
- abnormal Calcium scores
- abnormal coronary CT angiogram
- Ability and willingness to consent and Authorization for use of PHI
You may not qualify if…
- ACS (STEMI, UA/NSTEMI)
- Positive Troponin I per local laboratory standards
- Known EF<30%
- GFR<50% (calculation using the IDMS-Traceable MDRD study equation
- Dye Allergy that unable to be safely premedicated
- Known current or history of bleeding diathesis
- Current or anticipated treatment with warfarin, oral factor Xa inhibitor, oral direct thrombin inhibitor, LMWH, or TNK
- Known platelet count <100,000/mm³ or known INR >1.5 at time of enrollment
- Hgb <10 g/dL and/or Hct < 30%
- Residence >60 minutes from the hospital
- Reliable caregiver not available for home post PCI recovery
- Participation in another study that would require hospital procedures or test post PCI prior to discharge
- Inability or unwillingness to consent for study, follow up procedures and Authorization for use of PHI
- Physician clinical determination participant is not suitable for study participation
Where it is running
- Piedmont Hospital — Atlanta, Georgia, United States
Full record on ClinicalTrials.gov
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