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The WATCHMAN Left Atrial Appendage Closure Device for Atrial Fibrillation
Published on: February 28, 2012
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Same-Day Discharge After Percutaneous Left Atrial Appendage Occlusion Procedures
Eliana S Kagal1, Nicholas Bauer1,2, Sheldon M Singh1,2
1Schulich Heart Centre, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
CJC Open
|April 1, 2024
Summary
Same-day discharge (SDD) is feasible for over 85% of patients undergoing left atrial appendage occlusion (LAAO). Rehospitalization rates within 30 days were similar for patients discharged same-day versus overnight.
Area of Science:
- Cardiology
- Medical Procedures
Background:
- Evolving data exists on same-day discharge (SDD) safety post-left atrial appendage occlusion (LAAO).
- Assessing SDD feasibility and outcomes is crucial for patient management.
Purpose of the Study:
- To evaluate the feasibility of same-day discharge (SDD) after left atrial appendage occlusion (LAAO).
- To compare 30-day rehospitalization rates between SDD and overnight admission groups post-LAAO.
Main Methods:
- Single-centre retrospective study.
- Comparison of outcomes for patients discharged same-day versus those admitted overnight after LAAO.
Main Results:
- Over 85% of patients undergoing LAAO were safely discharged on the same day.
- The 30-day rehospitalization rate was comparable between the same-day discharge and overnight admission groups.
- Approximately 10% of all patients were rehospitalized within 30 days post-LAAO.
Conclusions:
- Same-day discharge is a safe and feasible option for a majority of patients undergoing LAAO.
- LAAO patient outcomes, specifically 30-day rehospitalization, are not significantly different between same-day discharge and overnight admission strategies.
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