ACC 2025: Key Takeaways on Same-Day Discharge (SDD) After Intracardiac Ablation
ACC 2025: Key Takeaways on Same-Day Discharge (SDD) After Intracardiac Ablation.
Source: JACC: Clinical Electrophysiology, April 24, 2025. DOI: 10.1016/j.jacep.2025.03.019
1. What it’s about:
The ACC 2025 statement supports same-day discharge (SDD) after electrophysiology (EP) ablation in uncomplicated low-risk patients including AF.
Advances in catheter ablation have led to reduced procedure times and complication rates.
Eligible patients must be hemodynamically stable.
2. Why it matters:
SDD improves hospital efficiency, reduces costs, and expands patient access—especially in high-volume or resource-limited settings.
3. Is it safe?
Yes—multiple international studies and U.S. claims data show no increase in 30-day complications or readmissions compared to overnight stay (ONS).
4. Clinical benefit:
SDD supports workflow optimization, increases bed availability.
5. What’s needed for safe implementation:
Structured monitoring protocols (4–6 hrs), Shared decision-making between physician and patient, home readiness, and reliable post-discharge follow-up. Institutional preparedness is key.https://www.jacc.org/doi/10.1016/j.jacep.2025.03.019
