Safety and feasibility of same-day discharge following uncomplicated transvenous lead extraction.
J Cardiovasc Electrophysiol
; 35(2): 278-287, 2024 Feb.
Article
em En
| MEDLINE
| ID: mdl-38073051
ABSTRACT
INTRODUCTION:
Transvenous lead extraction (TLE), while mostly a safe procedure, has risk of serious periprocedural complications. As such, overnight hospitalization remains a routine practice. In our center, we routinely discharge patients on the same day following an uncomplicated TLE.METHODS:
This is a retrospective study of 265 consecutive patients who underwent uncomplicated TLE in our center between 2019 and 2021. Same-day discharge (SDD) patients are compared with those who stayed at least overnight for observation after the TLE procedure (non-SDD group). To assess the safety of an SDD strategy after uncomplicated TLE, the main study endpoint was to compare the rate of major procedure-related complications at 1-, 7-, and 30-days. To identify the factors influencing the operator's decision to discharge the patient on the same day, the secondary endpoint was to analyze clinical and procedural predictors of SDD.RESULTS:
A total of 153 patients were discharged the same day after uncomplicated TLE (SDD), while 112 stayed at least overnight after the procedure (non-SDD). There was no significant difference in major procedure-related complications at 1-day (SDD 0% vs. non-SDD 1.8%, p value = ns), while patients in the SDD group had a lower rate of 7- and 30-day complications when compared with those in the non-SDD group (2.1% vs. 8.2%, p value = .0308; and 3.5% vs. 16%, p value = .0049, respectively). Noninfectious indication for TLE (OR 16.1, 95% confidence interval [CI] 4.29-77.6) and procedure end time before 1200 (OR 2.82, 95% CI 1.11-7.27) were the only independent predictors of SDD.CONCLUSION:
SDD discharge following uncomplicated TLE in selected patients (i.e., those without device infection and when the TLE procedure is completed in the morning) is feasible and safe.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Alta do Paciente
/
Hospitalização
Limite:
Humans
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article