loading page

Same-Day Discharge after Cryoballoon Ablation of Atrial Fibrillation: A Multicenter Experience
  • +12
  • Marcin Kowalski,
  • Valay Parikh,
  • Jose Salcido,
  • Nagib Chalfoun,
  • Alfred Albano,
  • Padraig O'Neil,
  • Mark Bowers,
  • Andre Gauri,
  • Kendra Braegelamnn,
  • Hae Lim,
  • Philippe Akhrass,
  • Rina Shah,
  • soad bekheit,
  • Laurence Epstein,
  • Arash Aryana
Marcin Kowalski
Commonwealth University School of Medicine

Corresponding Author:marcin212@gmail.com

Author Profile
Valay Parikh
Staten Island University Hospital
Author Profile
Jose Salcido
Spectrum Health
Author Profile
Nagib Chalfoun
Spectrum Health
Author Profile
Alfred Albano
Spectrum Health
Author Profile
Padraig O'Neil
Mercy General Hospital and Dignity Health Heart and Vascular Institute
Author Profile
Mark Bowers
Mercy General Hospital and Dignity Health Heart and Vascular Institute
Author Profile
Andre Gauri
Spectrum Health
Author Profile
Kendra Braegelamnn
Medtronic, Inc.
Author Profile
Hae Lim
Medtronic, Inc.
Author Profile
Philippe Akhrass
Staten Island University Hospital
Author Profile
Rina Shah
Staten Island University Hospital
Author Profile
soad bekheit
Staten Island University Hospital
Author Profile
Laurence Epstein
Northwell Health
Author Profile
Arash Aryana
Mercy General Hospital and Dignity Health Heart and Vascular Institute
Author Profile

Abstract

Background: It is common practice to observe patients during an overnight stay (ONS) following a catheter ablation procedure for the treatment of atrial fibrillation (AF). Objectives: To investigate the safety and economic impact of a same day discharge (SDD) protocol after cryoballoon ablation for treatment of AF in high-volume, geographically diverse US hospitals. Methods: We retrospectively reviewed 2,374 consecutive patients (1,119 SDD and 1,180 ONS) who underwent cryoballoon ablation for AF at three US centers. Baseline characteristics and longer-term safety were recorded during follow-up. The mean cost of an ONS was used to evaluate yearly cost savings as a function of the percentage of SDD cases/yearr. Results: There was no difference between SDD and ONS in the 30 day total complication rate [n=15 (1.26%) versus n=24 (2.03%); p=0.136 respectively]. The most common complication was hematoma in both the SDD (n=8; 0.67%) and ONS (n=11; 0.93%) cohorts. Sensitivity analysis demonstrated that when 50% of every 100 patients treated were discharged the same day, hospital cost savings ranged from $45,825 to $83,813 per year across US hospitals. Conclusions: SDD following cryoballoon ablation for AF appears to be safe and is associated with cost savings across different US hospitals.
14 Jun 2020Submitted to Journal of Cardiovascular Electrophysiology
15 Jun 2020Submission Checks Completed
15 Jun 2020Assigned to Editor
17 Jun 2020Reviewer(s) Assigned
24 Aug 2020Review(s) Completed, Editorial Evaluation Pending
25 Aug 2020Editorial Decision: Revise Minor
13 Nov 20201st Revision Received
04 Dec 2020Submission Checks Completed
04 Dec 2020Assigned to Editor
04 Dec 2020Reviewer(s) Assigned
05 Dec 2020Review(s) Completed, Editorial Evaluation Pending
06 Dec 2020Editorial Decision: Accept
29 Dec 2020Published in Journal of Cardiovascular Electrophysiology. 10.1111/jce.14843