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Published on: February 26, 2013
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Same-Day Discharge After Uncomplicated Transcatheter Tricuspid Valve-In-Valve Implantation
Joseph Mun Hoong Chan1, Jason H Anderson1,2, Donald J Hagler1,2
1Department of Pediatric and Adolescent Medicine/Division of Pediatric Cardiology, Mayo Clinic, Rochester, Minnesota, USA.
Summary
Same-day discharge after tricuspid valve-in-valve (TVIV) implantation is safe for most patients. This approach allows for early discharge following uncomplicated procedures with adequate recovery, reducing hospital stays.
Area of Science:
- Cardiology
- Interventional Cardiology
- Cardiac Surgery
Background:
- Tricuspid valve-in-valve (TVIV) implantation traditionally involves overnight observation.
- A shift towards same-day discharge is emerging, but safety data is limited.
Purpose of the Study:
- To describe the practice of same-day discharge post-TVIV.
- To identify factors influencing the decision for overnight observation after TVIV.
Main Methods:
- Retrospective review of medical records for uncomplicated TVIV procedures.
- Analysis of patient data from 2011 to 2023 at Mayo Clinic.
Main Results:
- Of 65 patients studied, 18 (69%) of the most recent 26 underwent same-day discharge.
- No mortality or procedure-related readmissions were observed.
- Minor complications like access site bleeding or arrhythmias occurred in a small number of patients.
Conclusions:
- Same-day discharge is a viable option for select adult patients post-TVIV.
- Adequate hemostasis and recovery from anesthesia are key criteria for same-day discharge.
Keywords:
congenital heart diseaseelective procedurepatient selectionprocedural outcomessame‐day discharge (SDD)tricuspid valve‐in‐valve (TVIV)
