https://doi.org/10.4081/monaldi.2024.2833
Same-day discharge after elective percutaneous closure of patent foramen ovale
Submitted: October 30, 2023
Accepted: December 6, 2023
Published: February 2, 2024
Accepted: December 6, 2023
Abstract Views: 698
PDF_EARLY VIEW: 228
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
Percutaneous closure of the patent foramen ovale (PFO) is increasingly performed in specific patients with cryptogenic stroke or clinical evidence of a paradoxical embolism. This study was performed to determine the safety of same-day discharge (SDD) following such procedures. This is a prospective, observational study of patients undergoing elective percutaneous PFO closure in a single tertiary center in Portugal between January 2020 and July 2023. AmplatzerTM devices (St. Jude Medical, St. Paul, MN, USA) and NobblestichTM EL (HeartStitch, Inc., Fountain Valley, CA, USA) were used. After 6 months, the following events were looked at: post-procedural paroxysmal atrial fibrillation, stroke, unplanned cardiac re-hospitalization, urgent cardiac surgery, major vascular complications, pericardial effusions, device embolization, and death. We studied 122 consecutive patients (52% female, 68; 48±12 years old) who had elective percutaneous closure with success and no complications. Forty-nine (40%) had SDD. AmplatzerTM devices were used more frequently in the SDD group, while NobblestichTM EL was more common in the overnight group. During the overnight group's follow-up period, there was one non-cardiovascular death; there were no further events. SDD after elective percutaneous closure of PFO was shown to be a safe and successful patient management method, including NobblestichTM, which we describe for the first time. Our results prove the safety of this same-day discharge strategy. We hypothesize that in the near future, in selected cases, PFO closure might become an ambulatory procedure.
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Ethics Approval
The study was performed according to the recommendations of Helsinki Declaration. Observational study is not mandatory to be proposed to the local ethical committee.How to Cite
Martins da Costa, Catarina, Ana Filipa Amador, Roberto Pinto, Bruno Bragança, Inês Oliveira, João Carlos Silva, and Rui André Rodrigues. 2024. “Same-Day Discharge After Elective Percutaneous Closure of Patent Foramen Ovale”. Monaldi Archives for Chest Disease, February. https://doi.org/10.4081/monaldi.2024.2833.
Copyright (c) 2024 The Author(s)
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