Pericardial drain removal following atrial fibrillation ablation: The longer we delay, the more we pay.

The authors discuss pericardial drain removal after atrial fibrillation ablation. Topics mentioned include percutaneous pericardiocentesis combined with protamine reversal of systemic heparinization, addition of 4-factor prothrombin complex concentrate in patients undergoing catheter ablation with uninterrupted factor Xa inhibition, and fear of rebleeding and reaccumulation of pericardial fluid necessitating repeat pericardiocentesis.