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September 1, 2026CJC OpenOpen Access

Same-day discharge is achieved in ~59% of patients following PFA for AF with low complications.

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Why the study?

The proportion of patients undergoing same-day discharge after pulsed field ablation for atrial fibrillation and associated post-discharge outcomes had not been systematically synthesized.

Is same-day discharge safe and feasible following pulsed field ablation for atrial fibrillation?

Comparison

Same-day discharge evaluation

Design

Systematic review and meta-analysis

Follow-up

30 days

Key result

The pooled same-day discharge proportion after pulsed field ablation for atrial fibrillation was 58.8% (95% CI 36.0-78.4%), with 30-day complication and readmission rates of 2.24% and 1.62%.

Authors

RRRyan RahimiAAAmeen AlizadaKZKevin Zhan

Discussion

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Overview

Supports same-day discharge after pulsed-field ablation for AF with low 30-day rates; leaves open need for randomized confirmation.

Study Design

Type

Meta-Analysis (n=46,013)

Structured PICO

Is same-day discharge safe and feasible following pulsed field ablation for atrial fibrillation?

P
Population
46,013 patients across 16 studies undergoing pulsed field ablation for atrial fibrillation.
E
Exposure
Same-day discharge (SDD) following pulsed field ablation (PFA)
O
Outcome
SDD proportion, 30-day all-cause readmission, and 30-day complication ratessafety

Same-day discharge after pulsed field ablation for atrial fibrillation appears feasible with low 30-day complication and readmission rates, though current evidence is of very low certainty.

Limitations

  • Reported same-day discharge use varied widely across studies due to differences in institutional practices, procedural scheduling, patient selection, and local clinical and logistical considerations.
  • Evidence for post-discharge safety was limited and was of very low certainty.
  • Evidence for post-discharge safety was limited and was of very low certainty
  • Wide variation across studies due to differences in institutional practices, procedural scheduling, patient selection, and local clinical and logistical considerations

Cite This Study

Rahimi et al. (2026) conducted a meta-analysis in Atrial Fibrillation (n=46,013). Same-day discharge following pulsed field ablation was evaluated on Same-day discharge proportion (95% CI 36.0-78.4). The pooled same-day discharge proportion after pulsed field ablation for atrial fibrillation was 58.8% (95% CI 36.0-78.4%), with 30-day complication and readmission rates of 2.24% and 1.62%.

synapsesocial.com/papers/6aa41cd2034b6aca81b15070https://doi.org/10.1016/j.cjco.2026.08.019
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