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June 13, 2023Pacing and Clinical ElectrophysiologyOpen Access

Vascular suture mediated closure with early discharge was noninferior to traditional closure with overnight stay for 30-day emergency visits or admissions (6% vs 6%; P<0.005 for noninferiority).

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Why the study?

Overnight stay is common practice after atrial fibrillation ablation, motivating an evaluation of whether vascular suture-mediated closure and early discharge could optimize care.

Does vascular suture mediated closure system utilization and early discharge prevent emergency visits or admissions in patients undergoing atrial fibrillation ablation?

Comparison

Vascular suture mediated closure and early discharge vs traditional closure and overnight hospitalization

Design

Randomized trial

Follow-up

30 days

Key result

Vascular suture mediated closure with early discharge was noninferior to traditional closure with overnight stay for 30-day emergency visits or admissions (6% vs 6%; P<0.005 for noninferiority).

Authors

VCVíctor Castro‐UrdaElectrophysiologyMSMelodi Segura‐DominguezHospital Universitario Puerta de Hierro MajadahondaDJDiego Jiménez‐SánchezHospital Universitario Puerta de Hierro Majadahonda

Discussion

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Overview

Supports same-day discharge after AF ablation; extends RCT evidence for safe, cost-effective outpatient strategies.

Study Design

Type

RCT (n=100)

Structured PICO

Does vascular suture mediated closure system utilization and early discharge prevent emergency visits or admissions in patients undergoing atrial fibrillation ablation?

P
Population
100 patients undergoing atrial fibrillation ablation randomized to early discharge or overnight stay, followed for 30 days.
I
Intervention
Vascular suture mediated closure system utilization and early discharge
C
Comparator
Traditional closure and overnight hospitalization
O
Outcome
Emergency visit or admission in the first 30 days after proceduresafety

Main Result

Absolute Event Rate: 6% vs 6%

p-value: p=<0.005 for non-inferiority

A strategy of vascular suture-mediated closure and early discharge after atrial fibrillation ablation is feasible, reduces time to discharge and costs, and is non-inferior to overnight stay regarding 30-day admissions or emergency visits.

Cite This Study

Castro‐Urda et al. (2023) conducted an RCT in Atrial fibrillation (n=100). Vascular suture mediated closure system and early discharge vs. Traditional closure and overnight hospitalization was evaluated on Emergency visit or admission in the first 30 days after procedure (p=<0.005 for non-inferiority). Vascular suture mediated closure with early discharge was noninferior to traditional closure with overnight stay for 30-day emergency visits or admissions (6% vs 6%; P<0.005 for noninferiority).

synapsesocial.com/papers/6a61b0ef5aedc878c5f53884https://doi.org/10.1111/pace.14753
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Same-day discharge versus overnight stay after catheter ablation for atrial fibrillation: a systematic review and meta-analysis2026
  2. 2Safety of Same Day Discharge after Atrial Fibrillation Ablation2020 · 32 citations
  3. 3Efficacy and safety of same-day discharge after atrial fibrillation ablation compared with post-procedural overnight stay: a systematic review and meta-analysis2022 · 30 citations
  4. 4Same day discharge following catheter ablation for atrial fibrillation- a safe and effective approach to patient care2026
  5. 5Patient‐reported outcomes and costs associated with vascular closure and same‐day discharge following atrial fibrillation ablation2022 · 21 citations