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Current Safety of Pulmonary Vein Isolation in Atrial Fibrillation: First expierence of Same Day Discharge.

Introduction: Pulmonary vein isolation (PVI) has become the standard treatment of symptomatic atrial fibrillation. Patients remain hospitalized for at least 24 hours to detect potential complications in most centers worldwide. There is still lack of data about the safety of same-day discharge. Objectives: The aim was to compare the safety of same-day discharge with next-day discharge after overnight monitoring. The rate of new hospitalization and visits to the emergency department and the cost-effectiveness of the same-day discharge approach were evaluated. Methods: We conducted a longitudinal and prospective cohort study of all the consecutive patients undergoing scheduled pulmonary vein ablation of either paroxysmal or persistent atrial fibrillation (AF). The complications were recorded by type and time of occurrence. Results: Overall 58 patients were discharged within the same day and 137 patients stayed overnight after PVI. No significant differences in demographic, comorbidities and non-clinic predictors of complications. No complications were reported after the sixth hour. We observed a significant difference in the number of visits to emergency department: 15.5% for the same-day discharge group vs. 30.7% for the overnight hospitalization group (p 0.03). Only 50% of the reasons to visit the emergency department were cardiovascular causes. No cases of pericardial tamponade were reported and none of the patients required new hospitalization up to 30 days of follow up. Conclusions: Same-day discharge after PVI is safe and cost-effective. This is the first study analyzing the experience in patients undergoing AVP. This approach would provide significant benefits for patients and health care providers.

Credits: Mondragon Ignacio,Joaquín J. Jarma, Vecchio Nicolas, Daquarti Gustavo, Tomas Leandro, Caro Milagros, Elias Vasquez, Giniger Alberto, Rivera Santiago, Albina Gaston, Scazzuso Fernando

Biosense Webster
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Introduction to AFib
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