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

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

Purpose 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...

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Veröffentlicht in:Journal of interventional cardiac electrophysiology 2021-11, Vol.62 (2), p.419-425
Hauptverfasser: Rajendra, Anil, Hunter, Tina D., Morales, Gustavo, Osorio, Jose
Format: Artikel
Sprache:eng
Schlagworte:
Ablation
Anesthesia
Anticoagulants
Bleeding
Cardiac arrhythmia
Cardiology
Catheters
Complications
Congestive heart failure
Contact force
COVID-19
Criteria
Evaluation
Fibrillation
Medical instruments
Medicine
Medicine & Public Health
Patients
Propofol
Radiofrequency ablation
Risk groups
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Zusammenfassung:Purpose 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. Methods 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 
ISSN:1383-875X
1572-8595
DOI:10.1007/s10840-020-00914-8