Safety and feasibility of same-day discharge for catheter ablation of atrial fibrillation: a systematic review and meta-analysis

Jafry, Ali; Akhtar, Khawaja Hassan; Khan, Jehanzeb; Clifton, Shari; Reese, Jessica; Sami, Khadija Noor; Khan, Muhammad Haris; Khan, Muhammad Shahzeb; Munir, Muhammad Bilal; Gopinathannair, Rakesh; Piccini, Jonathan P.; Asad, Zain Ul Abideen

doi:10.1007/s10840-022-01145-9

Cited by 15 publications

(12 citation statements)

References 33 publications

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“…14,15 catheter ablation have been reported in numerous single-center and multicenter cohorts, as well as in systematic reviews and metaanalyses, dating back to at least 2010. [5][6][7][8][14][15][16] In the current study, there were few differences in patient profiles between patients discharged the same day and those who stayed in the hospital overnight: higher rates of hypertension and presence of aortic plaques, and higher CHA 2 DS 2 -VASc risk scores in the non-SDD group, suggesting that comorbidities should be considered when assessing patient eligibility for SDD. Findings from other studies have been inconsistent in observed differences in patient profiles between SDD and non-SDD cohorts.…”

Section: Discussionmentioning

confidence: 58%

“…In an era of heightened concern about infectious disease transmission, reducing exposure to other patients by prompt hospital discharge may reduce risk. The safety and cost‐effectiveness of SDD after catheter ablation have been reported in numerous single‐center and multicenter cohorts, as well as in systematic reviews and meta‐analyses, dating back to at least 2010 5–8,14–16 …”

Section: Discussionmentioning

confidence: 99%

“…Same‐day discharge (SDD) following catheter ablation for AF may improve patients' experiences and reduce resource utilization, thereby lowering costs 2–4 . SDD has been shown to be safe with varied patient types and hospital discharge policies 2,4–8 …”

Section: Introductionmentioning

confidence: 99%

“…[2][3][4] SDD has been shown to be safe with varied patient types and hospital discharge policies. 2,[4][5][6][7][8] Managing vascular access sites with closure devices can enable early and safe ambulation and discharge. 9 A recent multicenter cohort study substantiated access-site bleeding (23%) as the most likely reason for admission after AF ablation.…”

Section: Introductionmentioning

confidence: 99%

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Same‐day discharge following catheter ablation and venous closure with VASCADE MVP: A postmarket registry

Eldadah

Ahmad

Bunch

et al. 2022

Cardiovasc electrophysiol

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Introduction Early and safe ambulation can facilitate same‐day discharge (SDD) following catheter ablation, which can reduce resource utilization and healthcare costs and improve patient satisfaction. This study evaluated procedure success and safety of the VASCADE MVP venous vascular closure system in patients with atrial fibrillation (AF). Methods The AMBULATE SDD Registry is a two‐stage series of postmarket studies in patients with paroxysmal or persistent AF undergoing catheter ablation followed by femoral venous access‐site closure with VASCADE MVP. Efficacy endpoints included SDD success, defined as the proportion of patients discharged the same day who did not require next‐day hospital intervention for procedure/access site–related complications, and access site sustained success within 15 days of the procedure. Results Overall, 354 patients were included in the pooled study population, 151 (42.7%) treated for paroxysmal AF and 203 (57.3%) for persistent AF. SDD was achieved in 323 patients (91.2%) and, of these, 320 (99.1%) did not require subsequent hospital intervention based on all study performance outcomes. Nearly all patients (350 of 354; 98.9%) achieved total study success, with no subsequent hospital intervention required. No major access‐site complications were recorded. Patients who had SDD were more likely to report procedure satisfaction than patients who stayed overnight. Conclusion In this study, 99.7% of patients achieving SDD required no additional hospital intervention for access site–related complications during follow‐up. SDD appears feasible and safe for eligible patients after catheter ablation for paroxysmal or persistent AF in which the VASCADE MVP is used for venous access‐site closure.

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Section: Discussionmentioning

confidence: 58%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Same‐day discharge following catheter ablation and venous closure with VASCADE MVP: A postmarket registry

Eldadah

Ahmad

Bunch

et al. 2022

Cardiovasc electrophysiol

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“…Guidelines support performing percutaneous coronary intervention as an outpatient procedure in select patients 17 . Ablation procedures for supraventricular tachycardia, atrial flutter, and AF 18–20 are being performed on an outpatient basis. Even for more complex cardiac procedures like transcatheter aortic valve replacement and leadless pacemaker implantation, a same‐day discharge strategy appears safe and feasible 21–23 .…”

Section: Discussionmentioning

confidence: 99%

Same‐day discharge for left atrial appendage occlusion procedure: A systematic review and meta‐analysis

Khan

Parmar

Bhamare

et al. 2023

Cardiovasc electrophysiol

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Introduction: Most patients undergoing a left atrial appendage occlusion (LAAO) procedure are admitted for overnight observation. A same-day discharge strategy offers the opportunity to improve resource utilization without compromising patient safety. We compared the patient safety outcomes and post-discharge complications between same-day discharge versus hospital admission (HA) (>1 day) in patients undergoing LAAO procedure.Methods: A systematic search of MEDLINE and Embase was conducted. Outcomes of interest included peri-procedural complications, re-admissions, discharge complications including major bleeding and vascular complications, ischemic stroke, all-cause mortality, and peri-device leak >5 mm. Mantel-Haenszel risk ratios (RRs) with 95% CIs were calculated.Results: A total of seven observational studies met the inclusion criteria. There was no statistically significant difference between same-day discharge versus HA

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2024 European Heart Rhythm Association/Heart Rhythm Society/Asia Pacific Heart Rhythm Society/Latin American Heart Rhythm Society expert consensus statement on catheter and surgical ablation of atrial fibrillation

Tzeis,

Gerstenfeld,

Kalman

et al. 2024

J Interv Card Electrophysiol

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Safety and feasibility of same-day discharge for catheter ablation of atrial fibrillation: a systematic review and meta-analysis

Cited by 15 publications

References 33 publications

Same‐day discharge following catheter ablation and venous closure with VASCADE MVP: A postmarket registry

Same‐day discharge following catheter ablation and venous closure with VASCADE MVP: A postmarket registry

Same‐day discharge for left atrial appendage occlusion procedure: A systematic review and meta‐analysis

2024 European Heart Rhythm Association/Heart Rhythm Society/Asia Pacific Heart Rhythm Society/Latin American Heart Rhythm Society expert consensus statement on catheter and surgical ablation of atrial fibrillation

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