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Peer-reviewedCC BY 4.0JACC Case Reports

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

  • Mark J. Shen1
  • Shal T. Shen1
  • Hannah Serrano2
  1. 1Department of Cardiovascular Research, Cardiovascular Medicine, PLLC, Moline, Illinois, USA
  2. 2Department of Cardiology, UnityPoint Health-Trinity, Rock Island, Illinois, USA
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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.

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Cite

BibTeXRIS
BibTeX
@article{shen2026suturemediated,
  title = {{Suture-Mediated Vascular Closure Improves Same-Day Discharge in Atrial Fibrillation Ablation and Left Atrial Appendage Occlusion}},
  author = {Mark J. Shen and Shal T. Shen and Hannah Serrano},
  journal = {JACC Case Reports},
  year = {2026},
  month = sep,
  doi = {10.1016/j.jaccas.2026.109427},
  url = {https://doi.org/10.1016/j.jaccas.2026.109427},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Suture-Mediated Vascular Closure Improves Same-Day Discharge in Atrial Fibrillation Ablation and Left Atrial Appendage Occlusion
AU  - Mark J. Shen
AU  - Shal T. Shen
AU  - Hannah Serrano
PY  - 2026
DA  - 2026/09/16
JO  - JACC Case Reports
DO  - 10.1016/j.jaccas.2026.109427
UR  - https://doi.org/10.1016/j.jaccas.2026.109427
AB  - 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.
SN  - 2666-0849
ER  -