Efficacy and safety of Proglide use and early discharge after atrial fibrillation ablation compared to standard approach. PROFA trial

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Abstract

Background and Objectives: The common practice after atrial fibrillation ablation is to admit patients for an overnight stay. The aim of this study was to compare a strategy of vascular suture mediated closure system utilization and early discharge (strategy A) compared to traditional closure and overnight hospitalization (strategy B) regarding feasibility, safety, quality of life and health care cost effectiveness. Methods and Results: Hundred patients were randomized to compare both strategies. No clinical differences were reported except diabetes mellitus. Six patients (6%) had and emergency visit or were admitted in the first 30 days after procedure. Three occurred in strategy A versus three in strategy B (p = 1) (p

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Castro-Urda, V., Segura-Dominguez, M., Jiménez-Sánchez, D., Aguilera-Agudo, C., García-Izquierdo, E., De la Rosa Rojas, Y., … Fernández-Lozano, I. (2023). Efficacy and safety of Proglide use and early discharge after atrial fibrillation ablation compared to standard approach. PROFA trial. PACE - Pacing and Clinical Electrophysiology, 46(7), 598–606. https://doi.org/10.1111/pace.14753

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