{
  "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.\n\nProject Rationale: We identified the vascular closure strategy and recovery time as modifiable constraints limiting reliable same-day discharge after large-bore femoral venous access.\n\nProject 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.\n\nTake-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.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Cardiovascular Research, Cardiovascular Medicine, PLLC, Moline, Illinois, USA",
    "Department of Cardiology, UnityPoint Health-Trinity, Rock Island, Illinois, USA"
  ],
  "article_type": "case report",
  "arxiv": null,
  "author_total": 3,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Mark J. Shen"
    },
    {
      "affs": [
        0
      ],
      "name": "Shal T. Shen"
    },
    {
      "affs": [
        1
      ],
      "name": "Hannah Serrano"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/d61fexnzxcw2x.bib",
  "cited_by": 0,
  "doi": "10.1016/j.jaccas.2026.109427",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13728303/",
  "id": "d61fexnzxcw2x",
  "issns": [
    "2666-0849"
  ],
  "landing_url": "https://doi.org/10.1016/j.jaccas.2026.109427",
  "language": "en",
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Outcomes and Quality"
    ],
    [
      "heading",
      "Quality Improvement Projects"
    ],
    [
      "openalex",
      "2705|Atrial Fibrillation Management and Outcomes"
    ]
  ],
  "openalex": "W7213432511",
  "pdf_url": null,
  "pmcid": "PMC13728303",
  "pmid": "42752032",
  "published": "2026-09-16",
  "publisher": "Elsevier",
  "ris": "https://research.draconitic.com/paper/d61fexnzxcw2x.ris",
  "sources": [
    {
      "first_seen": "2026-11-06T12:24:00Z",
      "native_id": "PMC13728303",
      "source": "pmc",
      "url": "https://doi.org/10.1016/j.jaccas.2026.109427"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2705|Atrial Fibrillation Management and Outcomes",
      "subfield": "cardiovascular"
    }
  ],
  "title": "Suture-Mediated Vascular Closure Improves Same-Day Discharge in Atrial Fibrillation Ablation and Left Atrial Appendage Occlusion",
  "title_text": "Suture-Mediated Vascular Closure Improves Same-Day Discharge in Atrial Fibrillation Ablation and Left Atrial Appendage Occlusion",
  "type": "peer-reviewed",
  "updated_at": "2026-11-07T12:21:19Z",
  "url": "https://research.draconitic.com/paper/d61fexnzxcw2x",
  "venue": "JACC Case Reports",
  "versions": []
}