{Reference Type}: Journal Article
{Title}: Safety and efficacy of same-day discharge for premature ventricular complex ablations.
{Author}: Padanilam MS;Patel PJ;Joshi SA;Nair GV;Clark BA;Shah A;Field J;Prystowsky EN;Gilge JL;
{Journal}: Europace
{Volume}: 26
{Issue}: 8
{Year}: 2024 Aug 3
{Factor}: 5.486
{DOI}: 10.1093/europace/euae205
{Abstract}: <B>OBJECTIVE: </B>Patients undergoing catheter ablation (CA) of ventricular arrhythmias (VAs) are generally observed overnight in the hospital given the concern for complications. To evaluate the efficacy and safety of same-day discharge (SDD) of patients undergoing elective CA of premature ventricular complexes (PVCs).<BR><B>RESULTS: </B>A retrospective evaluation of all patients undergoing elective VA ablation at Ascension St Vincent Hospital from 1 January 2018 to 31 December 2019 was undertaken. Of those, the patients undergoing PVC ablation were divided into SDD and non-SDD. Patients underwent SDD at the discretion of the operator. The primary safety outcome was the 30-day incidence of complications and death. The primary efficacy outcome was procedural success. Among 188 patients who underwent VA ablation, 98 (52.1%) were PVC ablations, and of those, 55 (56.1%) were SDD. There was no difference in age, gender, comorbidities, or ejection fraction between the two groups. Patients that were non-SDD were more likely to be on chronic anticoagulation (P = 0.03), have ablation in the LV (P = 0.04), have retrograde access (P = 0.03), and receive heparin during the procedure (P = 0.01). There were no complications in the SDD group compared with one (2.3%) in the non-SDD group. There was no difference in primary efficacy between the two groups with a 90.9% acute success in the SDD and 88.4% in the non-SDD (P = 0.68).<BR><B>CONCLUSIONS: </B>Same-day discharge for CA of PVCs is feasible and could lower healthcare resource utilization without compromising outcomes in this unique population.