Safety and Feasibility of Same-Day Discharge After Left Atrial Appendage Closure

Thomas S. Gilhofer, Taku Inohara, Ashkan Parsa, Minette Walker, Naomi Uchida, Michael Tsang, Jacqueline Saw

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)

Abstract

Subacute or late complications > 24 hours after left atrial appendage closure (LAAC) are infrequent. We therefore created a clinical pathway to enable safe same-day discharge (SDD) after LAAC. Patients were assessed for overall physical conditioning, lack of significant frailty and comorbidities limiting physical abilities, good home support, and patient preference. Of 78 LAACs performed, 24 patients (30.8%) were discharged the same day: 21 were transesophageal echocardiography guided and 3 intracardiac echocardiography guided. SDD clinical pathway patients were discharged 395.4 ± 56.6 minutes after leaving the procedural room. There were no clinical complications at 1 month or in long-term follow-up. SDD is safe and feasible after LAAC, following a dedicated clinical pathway and surveillance in carefully selected patients.

Original languageEnglish
Pages (from-to)945-947
Number of pages3
JournalCanadian Journal of Cardiology
Volume36
Issue number6
DOIs
Publication statusPublished - 2020 Jun
Externally publishedYes

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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