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- W3185578445 abstract "There is significant interest in minimizing hospitalization after electrophysiology procedures. To evaluate the clinical course after PVC ablation to determine potential barriers to SDD. A single center retrospective review was conducted of all first case outpatient PVC ablations performed in 2018-2020. Barriers to SDD included any need for monitoring or intervention after 8PM. Any acute patient concerns within 30 days after discharge, including symptom-triggered phone calls and urgent clinical encounters, were compared between those who underwent or could have undergone SDD (group A) and those with a barrier to SDD (group B). The impact of overnight telemetry monitoring on PVC management was also assessed. PVC ablation was performed in 77 patients (44% male, age 58 ± 14 yrs). Procedure duration was 192 ± 57 min and completion time was 12:07PM ± 60 min. No periprocedural complications occurred. Four patients (5%) underwent SDD. Of the 73 patients who remained overnight, only 14 (19%) patients would have experienced a barrier to SDD (Figure). There was no significant difference in 30-day acute patient concerns between groups A and B (25% vs 50%, p=0.10). Overnight telemetry monitoring revealed new PVCs or disappearance of residual post-procedure PVCs in 25 (34%) patients. However, there was no significant association between patients who had new PVC findings on overnight telemetry and patients who underwent PVC-related medication changes (n=18) post-procedure (p=0.78). Same day discharge after first case PVC ablation is safe and feasible. These data provide the basis for prospective studies of actual SDD after PVC ablation." @default.
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- W3185578445 date "2021-08-01" @default.
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- W3185578445 title "B-PO05-127 SAFETY OF SAME-DAY DISCHARGE AFTER PREMATURE VENTRICULAR CONTRACTION ABLATION" @default.
- W3185578445 doi "https://doi.org/10.1016/j.hrthm.2021.06.1046" @default.
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