Why the study?
Despite growing evidence supporting same-day discharge safety after EP and CIED procedures, adoption across Europe remains heterogeneous.
This consensus statement provides a framework to harmonize clinical practice and support the safe expansion of same-day discharge after EP and CIED procedures across Europe.
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Captured external expert commentary on this paper, strongest first. Original sources are linked where available.
“We can state that an appropriately selected patient same day discharge can be safely performed.”
“We define same day discharge as the scenario when a patient presents for either an EP or CIED procedure undergoes the procedure and is discharged on the same day. So without an overnight stay.”
“will change clinical practice.”
Enables safe SDD after EP and CIED procedures in selected patients; extends prior safety evidence with structured implementation framework.
Same-day discharge (SDD) following electrophysiology (EP) and cardiac implantable electronic device (CIED) procedures has emerged as a contemporary care model driven by improvements in procedural safety, efficiency, and healthcare resource constraints. Despite growing evidence supporting its safety in selected patients, adoption of SDD across Europe remains heterogeneous. This clinical consensus statement, developed by the European Heart Rhythm Association (EHRA) of the ESC in collaboration with the Association of Cardiovascular Nursing & Allied Professions (ACNAP) of the ESC, provides an evidence-based and practice-oriented framework for the implementation of SDD pathways after EP and CIED interventions. Based on a structured review of contemporary trials, registries, and expert consensus, the document addresses patient selection, peri-procedural management, early complication surveillance, discharge criteria, and post-discharge follow-up. Procedure-specific considerations are provided for catheter ablation and device implantation. This consensus aims to harmonize clinical practice, reduce variability in care, and support the safe and sustainable expansion of SDD across diverse European healthcare systems.
Scherr et al. (2026) conducted a review in Electrophysiology and cardiac implantable electronic device procedures. Same-day discharge (SDD) was evaluated. Same-day discharge after electrophysiology and cardiac implantable electronic device procedures is supported by a new clinical consensus statement providing an evidence-based implementation framework.
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