Arrhythmias & electrophysiology
Safety and feasibility of cardiac electrophysiology procedures in ambulatory surgery centers
Authors' conclusion
The results from this large multicenter study suggest that ASCs represent a safe and effective setting to perform a variety of cardiac electrophysiology procedures including CA.
Study context
- Population
- Consecutive cardiac electrophysiology procedures with same-day discharge at 6 ambulatory surgery centers (ASCs), mainly during the coronavirus pandemic under the CMS Hospitals Without Walls program
- Participants
- 4,037 procedures
- Exposure
- Cardiac implantable electronic device (CIED) implantation vs catheter ablation (CA) in ASCs; ASCs vs hospital outpatient departments
- CIED implantationn = 1,453reference
- CAn = 1,779
- Transesophageal echocardiography/cardioversionn = 779
- Electrophysiology studiesn = 26
- Outcome
- Safety and outcomes (adverse events)
Methodological detailsmulticentre, 6 ambulatory surgery centres, consecutive procedures, same-day discharge
- Multicentre
- 6 ambulatory surgery centres
- Consecutive procedures
- Same-day discharge
Main finding
As reported in the abstract
Adverse events
P = 0.93
Observational data: associations, not effects.
Further findings
| Outcome | CIED implantation | CA | P value |
|---|---|---|---|
| Urgent/unplanned postprocedure hospitalizationCIED implantation vs CA | 0.48% | 0.45% | P = 0.89 |
- Adverse events, ASCs vs hospital outpatient departments · CIED: 0.76% vs 0.65%
- P = 0.71
- Adverse events, ASCs vs hospital outpatient departments · CA: 0.73% vs 0.80%
- P = 0.79
Original publication
Safety and feasibility of cardiac electrophysiology procedures in ambulatory surgery centers. Heart Rhythm. Published 5 August 2024. doi:10.
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