1. Low incidence of major complications after the first six hours post atrial fibrillation ablation: Is same‐day discharge safe and feasible in most patients?
- Author
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Paul Nordin, Astrid, Drca, Nikola, Insulander, Per, Bastani, Hamid, Bourke, Tara, Braunschweig, Frieder, Kennebäck, Göran, von Olshausen, Gesa, Sadigh, Bita, Saluveer, Ott, Tapanainen, Jari, Schwieler, Jonas, Åkerström, Finn, and Jensen‐Urstad, Mats
- Subjects
HEART failure risk factors ,TRANSIENT ischemic attack ,STROKE ,CARDIOMYOPATHIES ,RADIO frequency therapy ,SURGICAL complications ,CATHETER ablation ,ATRIAL fibrillation ,SURGERY ,PATIENTS ,DISEASE incidence ,TERTIARY care ,CRYOSURGERY ,TREATMENT duration ,RISK assessment ,MEDICAL records ,DESCRIPTIVE statistics ,REOPERATION ,BODY mass index ,DISCHARGE planning ,PATIENT safety ,LONGITUDINAL method ,DISEASE risk factors - Abstract
Aims: This study evaluates the incidence of procedural complications related to catheter ablation of atrial fibrillation (AF) to assess the potential feasibility and safety of same‐day discharge in a large cohort. Methods: We performed an analysis of prospectively collected data of complications of all patients staying overnight after undergoing AF ablation between 2001 and 2020 at a tertiary center. Using medical records, we analyzed complications occurring intraprocedurally until 6 h postablation and between 6 h postablation and discharge the day after the ablation procedure. Results: In 5414 AF ablations, we identified a total of 108 (2.0%) major complications occurring intraprocedural or before discharge. Most major complications occurred intraprocedurally or within 6 h after the procedure (n = 96, 1.8%). Twelve (0.2%) major complications occurred between 6 h Postablation and discharge. The most common of these major complications were congestive heart failure (n = 6) and transient ischemic attack (TIA, n = 4). During this time span, 61 (1.1%) minor complications occurred. Factors independently associated with major complications intraprocedurally and until discharge were body mass index (BMI) ≥ 30 kg/m2 (p =.009), significant valvular disease (p =.001), cardiomyopathy (p <.001), prior stroke or TIA (p =.014), first‐time procedure versus repeat procedure (p =.013), cryoablation versus radiofrequency (p <.001), and procedure duration (p <.001). Conclusion: After AF ablation, very few complications occurred between 6 h postprocedure and discharge the next day. Therefore, same‐day discharge is a safe option for a majority of patients. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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