Feasibility of a Systematic Same-Day Discharge Approach After Elective Mitral Transcatheter Edge-to-Edge Repair

Area of Science:

• Cardiology
• Interventional Cardiology
• Cardiac Surgery

Background:

• Mitral valve disease necessitates advanced treatment options.
• Transcatheter edge-to-edge repair (TEER) offers a minimally invasive approach for mitral regurgitation.
• Optimizing patient recovery pathways is crucial for healthcare efficiency.

Purpose of the Study:

• To evaluate the feasibility and safety of same-day discharge after elective mitral-transcatheter edge-to-edge repair (M-TEER).
• To identify patient selection criteria for same-day discharge post-M-TEER.
• To assess the proportion of patients eligible for an accelerated discharge protocol.

Main Methods:

• Retrospective analysis of patients undergoing elective M-TEER.
• Inclusion of patients meeting specific clinical and procedural criteria.
• Monitoring for adverse events and readmission rates in same-day discharge cohort.

Main Results:

• Same-day discharge is a viable option for carefully selected patients undergoing elective M-TEER.
• The procedure demonstrated safety in this accelerated discharge group.
• An estimated 20% of patients undergoing elective M-TEER could potentially be candidates for same-day discharge.

Conclusions:

• Same-day discharge after M-TEER is safe and feasible in a selected patient population.
• This approach can potentially streamline recovery and reduce healthcare resource utilization.
• Further research can refine patient selection for same-day discharge protocols.