Same-day discharge after transvenous lead extraction: feasibility and outcomes
Gourg Atteya1, Michael Alston1, Austin Sweat1
1Cardiovascular Division, Northwell Health, Zucker School of Medicine at Hofstra/Northwell, 300 Community Drive, Manhasset, NY 11030, USA.
Summary
Same-day discharge is safe for patients undergoing transvenous lead extraction (TLE) without infection. This study found 22 patients safely discharged the same day, with no complications within 30 days.
Area of Science:
- Cardiology
- Medical Devices
- Electrophysiology
Background:
- Same-day discharge (SDD) is established as safe for electrophysiology procedures.
- Data on SDD for transvenous lead extraction (TLE) is lacking.
- This study investigates the feasibility of SDD in TLE patients.
Purpose of the Study:
- To evaluate the safety and feasibility of same-day discharge (SDD) for patients undergoing transvenous lead extraction (TLE).
- To assess outcomes and complications in TLE patients discharged on the same day.
Main Methods:
- A modified SDD protocol was applied to TLE patients without infectious indications.
- Patient characteristics, extraction details, and outcomes were reviewed.
- 29 patients met SDD criteria, with 22 discharged same-day and 7 staying for preference.
Main Results:
- 22 out of 29 eligible TLE patients were discharged the same day.
- The average age was 65.9 years, with 41% females.
- No procedure or device-related complications, morbidities, or mortalities occurred within 30 days.
Conclusions:
- Same-day discharge is safe and feasible for select TLE patients without infection.
- Early procedure completion and strict adherence to SDD criteria are key.
- This approach can be safely applied to a carefully selected TLE patient cohort.
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