{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T18:58:53Z","timestamp":1790362733547,"version":"4.1.0"},"reference-count":8,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2025,8,6]],"date-time":"2025-08-06T00:00:00Z","timestamp":1754438400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,8,6]],"date-time":"2025-08-06T00:00:00Z","timestamp":1754438400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cardiovasc electrophysiol"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Vascular recovery from catheter ablation (CA) has traditionally required a period of leg immobilization which can lead to discomfort and prolonged time to discharge.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The objective of this study was to compare a strategy of immediate leg mobilization (IM) using suture\u2010mediated closure devices against traditional vascular recovery consisting of figure\u2010of\u2010eight suture and 4\u2009h bed rest (BR) after CA of atrial fibrillation (AF) using large vascular access sheaths for cryoballoon ablation (CBA) and pulsed field ablation (PFA).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Two hundred subjects were retrospectively analyzed: 100 IM and 100 BR. Vascular closure in IM consisted of a single suture\u2010mediated closure delivered to each of three venotomies. Following the procedure, both legs could be mobilized immediately with no head\u2010of\u2010bed restriction. Ambulation was instructed at 1\u2009h, and discharge at 3\u2009h postprocedure. Hemostasis in BR was achieved using figure\u2010of\u2010eight sutures and 4\u2009h of BR. The primary endpoint was the incidence of vascular complications. The secondary endpoint was time to discharge.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The mean age was 68.4\u2009\u00b1\u200911.7\u2009years. In total, 72% of subjects in IM and 5% of the subjects in BR were treated with PFA. There was no difference in vascular complications (1 IM vs. 0 BR,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.316). Time to discharge was shorter in IM (4.2\u2009\u00b1\u20092.6\u2009h vs. 6.0\u2009\u00b1\u20092.7\u2009h,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Immediate mobilization with suture\u2010mediated vascular closure following CBA or PFA was associated with no difference in vascular complications compared to 4 h BR and shorter time to discharge. Further studies are needed to illustrate potential benefits to patient comfort and satisfaction.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jce.70050","type":"journal-article","created":{"date-parts":[[2025,8,6]],"date-time":"2025-08-06T11:40:51Z","timestamp":1754480451000},"page":"2539-2543","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Immediate Leg Mobilization is Feasible After Catheter Ablation of Atrial Fibrillation Using Large Vascular Access Sheaths (Pulsed Field and Cryoballoon Ablation)"],"prefix":"10.1111","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7270-3720","authenticated-orcid":false,"given":"Riya","family":"Sam","sequence":"first","affiliation":[{"name":"Division of Cardiology Endeavor Health System \u2013 NorthShore University Health System Glenbrook Illinois USA"},{"name":"University of Chicago Pritzker School of Medicine Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-0203-0772","authenticated-orcid":false,"given":"Romil","family":"Patel","sequence":"additional","affiliation":[{"name":"Division of Cardiology Endeavor Health System \u2013 NorthShore University Health System Glenbrook Illinois USA"},{"name":"University of Chicago Pritzker School of Medicine Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lavisha","family":"Singh","sequence":"additional","affiliation":[{"name":"Division of Cardiology Endeavor Health System \u2013 NorthShore University Health System Glenbrook Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Westby","family":"Fisher","sequence":"additional","affiliation":[{"name":"Division of Cardiology Endeavor Health System \u2013 NorthShore University Health System Glenbrook Illinois USA"},{"name":"University of Chicago Pritzker School of Medicine Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4053-597X","authenticated-orcid":false,"given":"Mark","family":"Metzl","sequence":"additional","affiliation":[{"name":"Division of Cardiology Endeavor Health System \u2013 NorthShore University Health System Glenbrook Illinois USA"},{"name":"University of Chicago Pritzker School of Medicine Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jose","family":"Nazari","sequence":"additional","affiliation":[{"name":"Division of Cardiology Endeavor Health System \u2013 NorthShore University Health System Glenbrook Illinois USA"},{"name":"University of Chicago Pritzker School of Medicine Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alex","family":"Ro","sequence":"additional","affiliation":[{"name":"Division of Cardiology Endeavor Health System \u2013 NorthShore University Health System Glenbrook Illinois USA"},{"name":"University of Chicago Pritzker School of Medicine Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hany","family":"Demo","sequence":"additional","affiliation":[{"name":"Division of Cardiology Endeavor Health System \u2013 NorthShore University Health System Glenbrook Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4497-3520","authenticated-orcid":false,"given":"Jeremiah","family":"Wasserlauf","sequence":"additional","affiliation":[{"name":"Division of Cardiology Endeavor Health System \u2013 NorthShore University Health System Glenbrook Illinois USA"},{"name":"University of Chicago Pritzker School of Medicine Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,8,6]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2023.08.017"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/pace.13764"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacep.2019.08.013"},{"key":"e_1_2_11_5_1","unstructured":"https:\/\/www.accessdata.fda.gov\/cdrh_docs\/pdf\/P960043S118C.pdf."},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9149(99)00882-6"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/pace.14753"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/euad022"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/euae105"}],"container-title":["Journal of Cardiovascular 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