The Safety and Feasibility of Early or Same-Day Discharge after AF Management

This study looked at the whether early mobilization and same-day discharge after streamlined management of atrial fibrillation (AF). The researchers offered same-day discharge to selected patients undergoing uncomplicated AF ablation on morning lists, with ultrasound-guided femoral access, uninterrupted warfarin (or minimal novel oral anticoagulant interruption), and reversal of intraprocedural heparin with protamine. Patients were discharged with six to eight hours and given access to a dedicated nurse helpline. According to the results, when compared to 642 overnight cases, day-case procedures were “shorter, more likely to be redos, to be performed under sedation instead of general anesthesia, and less likely to involve linear lesions and electrical cardioversion. “Selective same‐day discharge after AF ablation is safe and feasible using a streamlined peri‐procedural care protocol,” the authors wrote. “Wider adoption can potentially reduce health‐care costs while improving patient experience.”

Bartoletti S, et al. Pacing Clin Electrophysiol. 2019;doi:10.1111/pace.13807