Work

Suture-Mediated Vascular Closure Improves Same-Day Discharge in Atrial Fibrillation Ablation and Left Atrial Appendage Occlusion

Year: 2026

Type: article

Abstract: BACKGROUND: Same-day discharge after atrial fibrillation ablation and left atrial appendage occlusion procedures may improve patient experience, bed availability, and procedural throughput, but prolonged bed rest remains a common operational barrier. PROJECT RATIONALE: We identified the vascular closure strategy and recovery time as modifiable constraints limiting reliable same-day discharge after large-bore femoral venous access. PROJECT SUMMARY: A multidisciplinary team implemented a standardized suture-mediated vascular closure protocol for selected atrial fibrillation ablation and left atrial appendage occlusion procedures. In a retrospective comparison of 139 consecutive cases, suture-mediated closure was associated with shorter time to ambulation, shorter time to discharge, and a higher same-day discharge rate compared with Figure-of-8 closure, without an observed increase in vascular or bleeding complications. TAKE-HOME MESSAGES: Standardized suture-mediated closure may help convert same-day discharge into a predictable operational pathway. Procedural efficiency and patient safety should be measured together.

Source: JACC Case Reports

DOI: 10.1016/j.jaccas.2026.109427

Authors: Mark J. Shen, Shal T. Shen, Hannah Serrano

Institution: Trinity Medical Center

Language: English

Topic: Atrial Fibrillation Management and Outcomes

Subfield: Cardiology and Cardiovascular Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $850