Why the study?
Prolonged bed rest after large-bore femoral venous access limits reliable same-day discharge after atrial fibrillation ablation and left atrial appendage occlusion procedures.
Does a standardized suture-mediated vascular closure protocol improve same-day discharge rates in patients undergoing atrial fibrillation ablation and left atrial appendage occlusion compared to Figure-of-8 closure?
Population
139 consecutive cases undergoing selected atrial fibrillation ablation and left atrial appendage occlusion procedures
Comparison
Standardized suture-mediated vascular closure protocol vs Figure-of-8 closure
Design
Retrospective cohort comparison
Key result
In 139 consecutive cases, suture-mediated vascular closure was associated with shorter time to ambulation and discharge, and a higher same-day discharge rate compared with Figure-of-8 closure.
Authors
Loading...
May support earlier discharge after venous access procedures; hypothesis-generating and requires randomized confirmation before practice change.
Cohort (n=139)
Does a standardized suture-mediated vascular closure protocol improve same-day discharge rates in patients undergoing atrial fibrillation ablation and left atrial appendage occlusion compared to Figure-of-8 closure?
Suture-mediated vascular closure facilitates same-day discharge after AF ablation and LAA occlusion by reducing time to ambulation and discharge without increasing bleeding complications.
Shen et al. (2026) conducted a cohort in Atrial fibrillation ablation and left atrial appendage occlusion (n=139). Suture-mediated vascular closure vs. Figure-of-8 closure was evaluated on Time to ambulation, time to discharge, and same-day discharge rate. In 139 consecutive cases, suture-mediated vascular closure was associated with shorter time to ambulation and discharge, and a higher same-day discharge rate compared with Figure-of-8 closure.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: