[Percutaneous coronary intervention and immediate re-transfer to the referring hospital for patients with acute coronary syndrome. A single-center experience].
Giornale italiano di cardiologia (2006) · 2006-04-01 · Observational study
Abstract
BACKGROUND: Current guidelines recommend early transfer of patients with acute coronary syndromes from primary care centers to hospitals with cath lab facilities. Few data exist about safety of re-transfer to primary care centers immediately after successful percutaneous coronary interventions. METHODS: We analyzed data regarding 102 consecutive patients (73 male, 29 female, mean age 69 +/- 10.9 years) transferred to the Bolzano hospital from centers without cath lab facilities for urgent percutaneous coronary intervention in acute coronary syndromes and planned immediate re-transfer after the procedure. Data about complications during re-transfer were obtained using a prepared data sheet completed by physicians and/or paramedics involved in the transport. RESULTS: Eighty-eight (87.1%) patients were re-transferred immediately after the cath lab procedure. Arterial hemostasis was achieved with arterial closure devices before leaving the cath lab. During re-transfer, 61 (69%) patients were accompanied by physicians and 27 (31%) patients by paramedics. No ischemic, arrhythmic or hemorrhagic complications were observed. CONCLUSIONS: In our experience immediate re-transfer to the referring hospital after successful urgent percutaneous coronary intervention for acute coronary syndrome is feasible and safe. If the patient is clinically stable after the procedure, re-transfer may not require the presence of a physician.