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May 1, 2021EP EuropaceOpen Access

Suture-mediated vascular closure devices achieved successful deployment and immediate hemostasis in 94.7% of access sites, with no adverse events over a mean follow-up of 272 days.

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Why the study?

Vascular access site complications are the most frequent complications of AF ablation and increase morbidity and hospital stay, prompting assessment of suture-mediated vascular closure devices and same-day discharge.

Does a suture-mediated vascular closure device allow safe early mobilization and same-day discharge in patients undergoing atrial fibrillation ablation?

Population

63 consecutive AF ablation patients (132 access sites)

Comparison

Venous access site closure with a suture-mediated vascular closure device (SVD)

Design

Retrospective observational study

Follow-up

Mean 272 ± 160 days

Key result

Suture-mediated vascular closure devices achieved successful deployment and immediate hemostasis in 94.7% of access sites, with no adverse events over a mean follow-up of 272 days.

Authors

APAntonio Portolés‐HernándezJTJorge Toquero‐RamosSGSergio García-Gómez

Discussion

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Member takes

Overview

May support feasibility in EP access; hypothesis-generating and requires prospective trials before practice change.

Study Design

Type

Observational (n=63)

Structured PICO

Does a suture-mediated vascular closure device allow safe early mobilization and same-day discharge in patients undergoing atrial fibrillation ablation?

P
Population
63 patients undergoing atrial fibrillation ablation using a suture-mediated vascular closure device, followed for a mean of 272 days.
E
Exposure
Venous access site closure with a suture-mediated vascular closure device (SVD) followed by an early mobilization and same-day discharge protocol.
O
Outcome
Safety and efficacy of venous access site closure (successful deployment and hemostasis) and feasibility of early mobilization and same-day discharge.safety

Suture-mediated vascular closure devices are safe and effective for achieving rapid hemostasis after AF ablation, facilitating early mobilization and same-day discharge.

Cite This Study

Portolés‐Hernández et al. (2021) conducted an observational in Atrial fibrillation (n=63). Suture-mediated vascular closure device (SVD) was evaluated on Successful SVD deployment and immediate hemostasis. Suture-mediated vascular closure devices achieved successful deployment and immediate hemostasis in 94.7% of access sites, with no adverse events over a mean follow-up of 272 days.

synapsesocial.com/papers/6a71bf14a528af2d65c4310bhttps://doi.org/10.1093/europace/euab116.291
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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 after atrial fibrillation ablation2023 · 8 citations
  2. 2Same‐day discharge in selected patients undergoing atrial fibrillation ablation2019 · 57 citations
  3. 3Suture-Mediated Vascular Closure Improves Same-Day Discharge in Atrial Fibrillation Ablation and Left Atrial Appendage Occlusion2026
  4. 4Same day discharge following catheter ablation for atrial fibrillation- a safe and effective approach to patient care2026
  5. 5Safety of Same Day Discharge after Atrial Fibrillation Ablation2020 · 32 citations