QI-452785-1 SAME-DAY DISCHARGE AFTER CATHETER ABLATION OF ATRIAL FIBRILLATION IN A MULTICENTER REGISTRY (REAL-AF)
نویسندگان
چکیده
Same-day discharge (SDD) after catheter ablation of atrial fibrillation (AF) has become increasingly common, improving healthcare resource utilization, reducing procedure-related costs, and possibly increasing patient satisfaction. Nevertheless, most data regarding the safety SDD originate from cohorts, including patients a limited number centers. To determine efficacy our previously described protocol for in prospective analysis identify patients’ characteristics that render them ineligible to implement this strategy. The REAL-AF registry is multi-center registry. Based on eligibility criteria (CHA2DS2-VASc score ≤3, stable anticoagulation, absence bleeding history, no interventional procedures within 60 days ablation, BMI < 35 kg/m2), operators prospectively determined whether or not undergoing paroxysmal persistent AF were candidates (SDD non-SDD groups). After procedure, occurred if fulfilled (stable hemodynamics, evidence complications, ability ambulate). primary endpoint was describe procedural outcomes predicted by protocol, occurrence complications group. secondary percentage successfully discharged as planned (successful [S-SDD] vs. unsuccessful [U-SDD]). A total 2328 included, out which 1977 (84.9%) group), 351 (15.1%) compounded S-SDD 85.9% (1699/1977) patients. U-SDD group underwent longer (23.2±13.9 21.1±10.8; p= 0.005) procedure time (98±55 92±43; 0.038). Likewise, more (113±54 93±45; p< 0.001) (24.5±12.2 21.4±11.3; 0.001). In non-SDD, rate acute higher [4.6% (16/351 1.7% (35/1977 vs); 0.001]. reported mainly pericarditis vascular access complications. large multicenter registry, using standardized only identified high proportion suitable but also with risk Interestingly, selected presented low
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ژورنال
عنوان ژورنال: Heart Rhythm
سال: 2023
ISSN: ['1556-3871', '1547-5271']
DOI: https://doi.org/10.1016/j.hrthm.2023.03.335