Prospective implementation of a same-day discharge protocol for catheter ablation of paroxysmal atrial fibrillation.

Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing
Anil RajendraJose Osorio

Abstract

Overnight stays associated with catheter ablation (CA) for paroxysmal atrial fibrillation (PAF) account for a significant proportion of treatment cost. Same-day discharge (SDD) after CA may be attractive to both patients and hospitals, especially in light of current restrictions on overnight stays due to COVID-19. This study reports on the selection criteria, protocol, and safety of SDD after CA of PAF. Patients undergoing CA for PAF were evaluated to assess the risk of groin, respiratory, cardiac, or bleeding complications. SDD eligibility criteria were stable anticoagulation with no bleeding history, systolic heart failure, respiratory conditions, or interventional procedures within 60 days, and recommended BMI < 35. Patient proximity to the hospital was also considered. Anesthesia with propofol was used, and ablations were performed with a contact force catheter. Patients rested for 6 h post-procedure and then ambulated over 1-2 h. Discharge followed if they were stable without evidence of complications. A nurse called all patients the following morning to elicit evidence of complications. Of 44 planned SDD procedures between April 2017 and June 2018, 41 resulted in SDD after 7.2 ± 1.0 h, 2 patients stayed overnight for obse...Continue Reading

References

Jul 7, 2009·The American Journal of Cardiology·Eloi MarijonUNKNOWN RETAC Group
Jul 17, 2010·Postgraduate Medical Journal·Laurent M HaegeliRichard A Leather
May 13, 2015·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Mark D TheodoresonFaizel Osman
Mar 24, 2018·Journal of Cardiovascular Electrophysiology·Rahul G MuthalalyBruce A Koplan
Aug 8, 2018·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Aaisha OpelRichard J Schilling
May 30, 2019·Journal of Atrial Fibrillation·Dr Mondragon IgnacioScazzuso Fernando
Sep 21, 2019·Pacing and Clinical Electrophysiology : PACE·Stefano BartolettiDhiraj Gupta
May 22, 2020·Journal of Atrial Fibrillation·Devender N AkulaSacchetti Alfred
Jun 20, 2020·JACC. Clinical Electrophysiology·Marc W DeyellJason G Andrade

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