Arrhythmias & electrophysiology
Safety and efficacy of catheter ablation for atrial fibrillation in an ambulatory day surgery center outside the hospital setting
Authors' conclusion
Our large single-center experience represents the first report in Europe, demonstrating that AF catheter ablation in an ADSC is both safe and feasible. These results suggest that, with standardized protocols and the development of "one size fits all" technologies, this approach could see broader adoption.
Study context
- Population
- Patients who underwent catheter ablation for atrial fibrillation (AF) at a newly established ambulatory day surgery center (ADSC) outside the hospital setting; body mass index <45, first-time pulmonary vein isolation (PVI) or redo PVI/atrial tachycardia ablationpatients who underwent AF ablation
- Participants
- 450 patients
- Outcome
- Successful PVI
Methodological detailsall consecutive patients, single-center
- All consecutive patients
- Single-center
Main finding
As reported in the abstract
- Successful PVI achieved in all cases
Observational data: associations, not effects.
Further findings
Patient and procedure characteristics
- Median age
- 61 years (54-69)
- Undergoing their first AF ablation
- 95%
- Cryoballoon ablation
- 350 patients (78%)
- Paroxysmal AF
- 80%
- Median procedure duration
- 58 (50-70) minutes
Safety
Same-day hospital transfer
- Patients requiring same-day hospital transfer
- Two
- Managed conservatively
Acute procedural adverse events
- Overall acute procedural adverse events rate
- 1.2%
- No cases of tamponade or major complications requiring intervention
Medical attention required · within 30 days postprocedure
- Patients requiring medical attention
- Three patients (0.6%)
Original publication
Safety and efficacy of catheter ablation for atrial fibrillation in an ambulatory day surgery center outside the hospital setting. Heart Rhythm. Published 26 April 2025. doi:10.
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