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The WATCHMAN Left Atrial Appendage Closure Device for Atrial Fibrillation
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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
PubMed

Insights

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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