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Same-Day Discharge after Cryoballoon Ablation of Atrial Fibrillation: A Multicenter Experience
  • +12
  • Marcin Kowalski,
  • Valay Parikh,
  • Jose Salcido,
  • Nagib Chalfoun,
  • Alfred Albano,
  • Padraig O'Neil,
  • Mark Bowers,
  • Andre Gauri,
  • Kendra Braegelamnn,
  • Hae Lim,
  • Philippe Akhrass,
  • Rina Shah,
  • soad bekheit,
  • Laurence Epstein,
  • Arash Aryana
Marcin Kowalski
Commonwealth University School of Medicine

Corresponding Author:[email protected]

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Valay Parikh
Staten Island University Hospital
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Jose Salcido
Spectrum Health
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Nagib Chalfoun
Spectrum Health
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Alfred Albano
Spectrum Health
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Padraig O'Neil
Mercy General Hospital and Dignity Health Heart and Vascular Institute
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Mark Bowers
Mercy General Hospital and Dignity Health Heart and Vascular Institute
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Andre Gauri
Spectrum Health
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Kendra Braegelamnn
Medtronic, Inc.
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Hae Lim
Medtronic, Inc.
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Philippe Akhrass
Staten Island University Hospital
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Rina Shah
Staten Island University Hospital
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soad bekheit
Staten Island University Hospital
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Laurence Epstein
Northwell Health
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Arash Aryana
Mercy General Hospital and Dignity Health Heart and Vascular Institute
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Abstract

Background: It is common practice to observe patients during an overnight stay (ONS) following a catheter ablation procedure for the treatment of atrial fibrillation (AF). Objectives: To investigate the safety and economic impact of a same day discharge (SDD) protocol after cryoballoon ablation for treatment of AF in high-volume, geographically diverse US hospitals. Methods: We retrospectively reviewed 2,374 consecutive patients (1,119 SDD and 1,180 ONS) who underwent cryoballoon ablation for AF at three US centers. Baseline characteristics and longer-term safety were recorded during follow-up. The mean cost of an ONS was used to evaluate yearly cost savings as a function of the percentage of SDD cases/yearr. Results: There was no difference between SDD and ONS in the 30 day total complication rate [n=15 (1.26%) versus n=24 (2.03%); p=0.136 respectively]. The most common complication was hematoma in both the SDD (n=8; 0.67%) and ONS (n=11; 0.93%) cohorts. Sensitivity analysis demonstrated that when 50% of every 100 patients treated were discharged the same day, hospital cost savings ranged from $45,825 to $83,813 per year across US hospitals. Conclusions: SDD following cryoballoon ablation for AF appears to be safe and is associated with cost savings across different US hospitals.
14 Jun 2020Submitted to Journal of Cardiovascular Electrophysiology
15 Jun 2020Submission Checks Completed
15 Jun 2020Assigned to Editor
17 Jun 2020Reviewer(s) Assigned
24 Aug 2020Review(s) Completed, Editorial Evaluation Pending
25 Aug 2020Editorial Decision: Revise Minor
13 Nov 20201st Revision Received
04 Dec 2020Submission Checks Completed
04 Dec 2020Assigned to Editor
04 Dec 2020Reviewer(s) Assigned
05 Dec 2020Review(s) Completed, Editorial Evaluation Pending
06 Dec 2020Editorial Decision: Accept
29 Dec 2020Published in Journal of Cardiovascular Electrophysiology. 10.1111/jce.14843