E-ISSN 0976-2833 | ISSN 0975-3583
 

Research Article 


FEASIBILITY, SAFETY AND COST EFFECTIVENESS OF SAME-DAY DISCHARGE FOR CATHETER ABLATION REQUIRING A TRANSSEPTAL PUNCTURE: A FRENCH SINGLE HIGH-VOLUME CENTER EXPERIENCE SAME-DAY DISCHARGE FOR LEFT-SIDED CATHETER ABLATION

Frédéric A. SEBAG MD, Manel MILED; PJustine BIDEL; David HAMON MD, Tarvinder DHANJAL, Nicolas LELLOUCHE MD PhD, Edouard SIMEON MD.

Cited by (1)

Abstract
Background: The number of catheter ablationsrequiring a transseptal puncture is increasing. These procedures have a significant complication rate that decreased over recentyears. As a result, we have developed a same-day discharge protocol and this study investigates the safety and efficacy of this protocol.
Methods:This single center study evaluated the complication rate following the index procedure for patients undergoing left-sided accessory pathway, atrial fibrillation (AF) or left sided premature ventricular contraction (PVC)ablation using a transseptal puncture with a same-day discharge protocol. In addition, the cost-effectiveness of the protocol was evaluated.
Results: From November 2015 to March 2020, 2654 ablations in the left cardiac cavities requiring a transseptal puncture were performed. Among them, 121 (4.6%) patients followed the same-day discharge protocol. Strict inclusion criteria (mainly low comorbidities)were applied for patients undergoing AF ablation. We used a single catheter approach to perform AF and PVC ablation. After 10 days and a specific follow-up, we observed 1 cardiac tamponade (0.8%) and3 arrhythmia recurrences (2.5%). There wereno deaths, local vascular complications or stroke. The night stay cost of 900€ could be saved for the same-day strategy compared to conventional care but the global balance was still negative at –917€ for the hospital.

Key words: catheter ablation, transseptal puncture, same-day discharge


 
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How to Cite this Article
Pubmed Style

Frédéric A. SEBAG MD, Manel MILED; PJustine BIDEL; David HAMON MD, Tarvinder DHANJAL, Nicolas LELLOUCHE MD PhD, Edouard SIMEON MD. FEASIBILITY, SAFETY AND COST EFFECTIVENESS OF SAME-DAY DISCHARGE FOR CATHETER ABLATION REQUIRING A TRANSSEPTAL PUNCTURE: A FRENCH SINGLE HIGH-VOLUME CENTER EXPERIENCE SAME-DAY DISCHARGE FOR LEFT-SIDED CATHETER ABLATION . J Cardiovasc. Dis. Res.. 2021; 12(3): 2634-2642. doi:10.31838/jcdr.2021.12.03.340


Web Style

Frédéric A. SEBAG MD, Manel MILED; PJustine BIDEL; David HAMON MD, Tarvinder DHANJAL, Nicolas LELLOUCHE MD PhD, Edouard SIMEON MD. FEASIBILITY, SAFETY AND COST EFFECTIVENESS OF SAME-DAY DISCHARGE FOR CATHETER ABLATION REQUIRING A TRANSSEPTAL PUNCTURE: A FRENCH SINGLE HIGH-VOLUME CENTER EXPERIENCE SAME-DAY DISCHARGE FOR LEFT-SIDED CATHETER ABLATION . http://www.jcdronline.org/?mno=1977 [Access: December 04, 2021]. doi:10.31838/jcdr.2021.12.03.340


AMA (American Medical Association) Style

Frédéric A. SEBAG MD, Manel MILED; PJustine BIDEL; David HAMON MD, Tarvinder DHANJAL, Nicolas LELLOUCHE MD PhD, Edouard SIMEON MD. FEASIBILITY, SAFETY AND COST EFFECTIVENESS OF SAME-DAY DISCHARGE FOR CATHETER ABLATION REQUIRING A TRANSSEPTAL PUNCTURE: A FRENCH SINGLE HIGH-VOLUME CENTER EXPERIENCE SAME-DAY DISCHARGE FOR LEFT-SIDED CATHETER ABLATION . J Cardiovasc. Dis. Res.. 2021; 12(3): 2634-2642. doi:10.31838/jcdr.2021.12.03.340



Vancouver/ICMJE Style

Frédéric A. SEBAG MD, Manel MILED; PJustine BIDEL; David HAMON MD, Tarvinder DHANJAL, Nicolas LELLOUCHE MD PhD, Edouard SIMEON MD. FEASIBILITY, SAFETY AND COST EFFECTIVENESS OF SAME-DAY DISCHARGE FOR CATHETER ABLATION REQUIRING A TRANSSEPTAL PUNCTURE: A FRENCH SINGLE HIGH-VOLUME CENTER EXPERIENCE SAME-DAY DISCHARGE FOR LEFT-SIDED CATHETER ABLATION . J Cardiovasc. Dis. Res.. (2021), [cited December 04, 2021]; 12(3): 2634-2642. doi:10.31838/jcdr.2021.12.03.340



Harvard Style

Frédéric A. SEBAG MD, Manel MILED; PJustine BIDEL; David HAMON MD, Tarvinder DHANJAL, Nicolas LELLOUCHE MD PhD, Edouard SIMEON MD (2021) FEASIBILITY, SAFETY AND COST EFFECTIVENESS OF SAME-DAY DISCHARGE FOR CATHETER ABLATION REQUIRING A TRANSSEPTAL PUNCTURE: A FRENCH SINGLE HIGH-VOLUME CENTER EXPERIENCE SAME-DAY DISCHARGE FOR LEFT-SIDED CATHETER ABLATION . J Cardiovasc. Dis. Res., 12 (3), 2634-2642. doi:10.31838/jcdr.2021.12.03.340



Turabian Style

Frédéric A. SEBAG MD, Manel MILED; PJustine BIDEL; David HAMON MD, Tarvinder DHANJAL, Nicolas LELLOUCHE MD PhD, Edouard SIMEON MD. 2021. FEASIBILITY, SAFETY AND COST EFFECTIVENESS OF SAME-DAY DISCHARGE FOR CATHETER ABLATION REQUIRING A TRANSSEPTAL PUNCTURE: A FRENCH SINGLE HIGH-VOLUME CENTER EXPERIENCE SAME-DAY DISCHARGE FOR LEFT-SIDED CATHETER ABLATION . Journal of Cardiovascular Disease Research, 12 (3), 2634-2642. doi:10.31838/jcdr.2021.12.03.340



Chicago Style

Frédéric A. SEBAG MD, Manel MILED; PJustine BIDEL; David HAMON MD, Tarvinder DHANJAL, Nicolas LELLOUCHE MD PhD, Edouard SIMEON MD. "FEASIBILITY, SAFETY AND COST EFFECTIVENESS OF SAME-DAY DISCHARGE FOR CATHETER ABLATION REQUIRING A TRANSSEPTAL PUNCTURE: A FRENCH SINGLE HIGH-VOLUME CENTER EXPERIENCE SAME-DAY DISCHARGE FOR LEFT-SIDED CATHETER ABLATION ." Journal of Cardiovascular Disease Research 12 (2021), 2634-2642. doi:10.31838/jcdr.2021.12.03.340



MLA (The Modern Language Association) Style

Frédéric A. SEBAG MD, Manel MILED; PJustine BIDEL; David HAMON MD, Tarvinder DHANJAL, Nicolas LELLOUCHE MD PhD, Edouard SIMEON MD. "FEASIBILITY, SAFETY AND COST EFFECTIVENESS OF SAME-DAY DISCHARGE FOR CATHETER ABLATION REQUIRING A TRANSSEPTAL PUNCTURE: A FRENCH SINGLE HIGH-VOLUME CENTER EXPERIENCE SAME-DAY DISCHARGE FOR LEFT-SIDED CATHETER ABLATION ." Journal of Cardiovascular Disease Research 12.3 (2021), 2634-2642. Print. doi:10.31838/jcdr.2021.12.03.340



APA (American Psychological Association) Style

Frédéric A. SEBAG MD, Manel MILED; PJustine BIDEL; David HAMON MD, Tarvinder DHANJAL, Nicolas LELLOUCHE MD PhD, Edouard SIMEON MD (2021) FEASIBILITY, SAFETY AND COST EFFECTIVENESS OF SAME-DAY DISCHARGE FOR CATHETER ABLATION REQUIRING A TRANSSEPTAL PUNCTURE: A FRENCH SINGLE HIGH-VOLUME CENTER EXPERIENCE SAME-DAY DISCHARGE FOR LEFT-SIDED CATHETER ABLATION . Journal of Cardiovascular Disease Research, 12 (3), 2634-2642. doi:10.31838/jcdr.2021.12.03.340





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