By Dr. Abhishek K
Consultant Interventional Cardiologist, Aster Narayanadri Hospital, Tirupati
We are pleased to share another significant milestone in our ongoing efforts to optimize patient recovery pathways for coronary artery disease (CAD). Yesterday, we successfully completed a percutaneous coronary intervention (PCI) that met all criteria for our accelerated recovery and <24-hour early discharge protocol.
This structured approach prioritizes patient safety, precision-based treatment, and rapid mobilization—ensuring that eligible patients receive high-quality care with minimal hospital stay.
Clinical Overview
The patient underwent a radial-access PCI, an approach known for lower complication rates, reduced bleeding risk, and faster ambulation. The procedure was smooth and uncomplicated, with excellent angiographic results.
Key intra-procedural findings:
- Restoration of coronary blood flow with TIMI-3 flow
- No hemodynamic instability
- No arrhythmias or conduction disturbances
- Optimal stent positioning confirmed
- No residual stenosis
The patient remained stable throughout the procedure and immediate recovery period.
Post-Procedural Stability and Monitoring
Following PCI, the patient was closely observed in the CCU under standard post-PCI monitoring protocols. Clinical parameters remained stable throughout:
- Hemodynamically stable
- No ischemic symptoms
- No ECG changes
- Normal telemetry readings
- No access-site bleeding or hematoma
The radial access site was soft, clean, and dry. The patient was safely mobilized within four hours of the procedure—an important benchmark for early discharge eligibility.
Eligibility for <24-Hour Discharge
Our early discharge pathway is based on strict, evidence-based criteria.
This patient met all required parameters:
- Stable vitals for a minimum period of observation
- No chest pain or shortness of breath
- No arrhythmias
- No bleeding or vascular complications
- Independent ambulation
- Successful completion of medication counseling
By meeting these clinical criteria, the patient was cleared for discharge within 24 hours of PCI.
Patient Counseling and Follow-Up
Before discharge, the patient and family received detailed instructions on:
- Strict adherence to dual antiplatelet therapy (DAPT)
- Radial access-site care
- Expected post-PCI activity guidelines
- Warning signs requiring immediate medical attention
- Lifestyle and dietary recommendations for secondary prevention
A structured follow-up visit has been scheduled in 5–7 days for clinical review, medication adjustment, and continuity of care.
Teamwork Behind the Outcome
This achievement reflects the coordinated efforts of multiple teams working seamlessly:
- Cath Lab
- CCU
- Nursing team
- Technical staff
- Post-procedure care team
By maintaining high standards of procedural efficiency, safety, and communication, we continue to provide patients with rapid recovery while upholding the best practices in interventional cardiology.
Conclusion
This case reinforces the growing role of radial-access PCI and accelerated recovery pathways in modern cardiology. Early discharge, when backed by stringent clinical criteria and close monitoring, provides multiple advantages:
- Improved patient comfort
- Reduced hospital stay
- Lower healthcare costs
- Faster return to daily activities
Most importantly, it demonstrates that high-quality care and efficiency can coexist without compromising safety.