{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T22:57:21Z","timestamp":1790290641308,"version":"4.1.0"},"reference-count":13,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2025,7,31]],"date-time":"2025-07-31T00:00:00Z","timestamp":1753920000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,7,31]],"date-time":"2025-07-31T00:00:00Z","timestamp":1753920000000},"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":["Pacing Clinical Electrophis"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Same\u2010day discharge (SDD) after catheter ablation is increasingly adopted to improve patient convenience and reduce healthcare costs. While SDD following radiofrequency ablation (RFA) is well\u2010documented, no data exist on SDD in patients undergoing pulsed\u2010field ablation (PFA) for atrial fibrillation (AF).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the safety of SDD in patients undergoing PFA and RFA for AF, with an exploratory comparison of practice patterns and outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>From a prospectively maintained registry, we included all consecutive patients undergoing PFA for AF (FARAWAVE catheter) since its FDA approval and patients undergoing AF RFA between March and October 2023 (comparison group). Outcomes included rates of major complications (vascular complications, cerebrovascular accidents, transient ischemic attacks (TIA), phrenic nerve injury, and pericardial effusion requiring intervention), minor complications, readmissions within 30 days, and all\u2010cause mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The study included 955 PFA patients, of whom 207 (21.7%) were discharged the same day, and 1072 RFA patients, of whom 127 (11.8%) were discharged the same day. Vascular closure modalities differed significantly across groups (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001). Major complications, including stroke and TIA, occurred in 0.5% of PFA non\u2010SDD and 1.1% of RFA non\u2010SDD patients (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.29,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.24), with no major complications in SDD groups and no deaths across all groups. Minor complications were 0.5% for PFA SDD versus 1.1% for PFA non\u2010SDD (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.44) and 1.6% for both RFA SDD and RFA non\u2010SDD (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.99), and not significantly different between PFA SDD and RFA SDD (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.31). Readmission rates (UTI, AF, aspiration pneumonia) were similar between SDD patients at 1.4% for PFA and 2.4% for RFA (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.54). A lower CHA2DS2\u2010VASc score predicted the practice pattern of SDD in the PFA cohort (OR = 0.754, 95% CI: 0.663\u20130.858,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001), while being octogenarian reduced the likelihood of SDD (OR = 0.265, 95% CI: 0.105\u20130.666,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.005).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In this cohort, SDD was found to be a safe and viable option for both PFA and RFA. In this practice, the rates of same\u2010day discharge were higher in the PFA group versus the RFA group and is being increasingly adopted.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/pace.70005","type":"journal-article","created":{"date-parts":[[2025,7,31]],"date-time":"2025-07-31T17:33:27Z","timestamp":1753983207000},"page":"852-858","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Safety of Same\u2010Day Discharge Following Pulsed\u2010Field Ablation Versus Radiofrequency Ablation: A Comparative Analysis"],"prefix":"10.1111","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-6239-3655","authenticated-orcid":false,"given":"Adele","family":"Watfa","sequence":"first","affiliation":[{"name":"Cardiac Electrophysiology and Pacing Section, Department of Cardiovascular Medicine Cleveland Clinic  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arwa","family":"Younis","sequence":"additional","affiliation":[{"name":"Cardiac Electrophysiology and Pacing Section, Department of Cardiovascular Medicine Cleveland Clinic  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamad","family":"Mdaihly","sequence":"additional","affiliation":[{"name":"Cardiac Electrophysiology and Pacing Section, Department of Cardiovascular Medicine Cleveland Clinic  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joe","family":"Demian","sequence":"additional","affiliation":[{"name":"Cardiac Electrophysiology and Pacing Section, Department of Cardiovascular Medicine Cleveland Clinic  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chadi","family":"Tabaja","sequence":"additional","affiliation":[{"name":"Cardiac Electrophysiology and Pacing Section, Department of Cardiovascular Medicine Cleveland Clinic  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pasquale","family":"Santangeli","sequence":"additional","affiliation":[{"name":"Cardiac Electrophysiology and Pacing Section, Department of Cardiovascular Medicine Cleveland Clinic  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bryan","family":"Baranowski","sequence":"additional","affiliation":[{"name":"Cardiac Electrophysiology and Pacing Section, Department of Cardiovascular Medicine Cleveland Clinic  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroshi","family":"Nakagawa","sequence":"additional","affiliation":[{"name":"Cardiac Electrophysiology and Pacing Section, Department of Cardiovascular Medicine Cleveland Clinic  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tyler Louis","family":"Taigen","sequence":"additional","affiliation":[{"name":"Cardiac Electrophysiology and Pacing Section, Department of Cardiovascular Medicine Cleveland Clinic  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koji","family":"Higuchi","sequence":"additional","affiliation":[{"name":"Cardiac Electrophysiology and Pacing Section, Department of Cardiovascular Medicine Cleveland Clinic  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas D.","family":"Callahan","sequence":"additional","affiliation":[{"name":"Cardiac Electrophysiology and Pacing Section, Department of Cardiovascular Medicine Cleveland Clinic  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4495-3845","authenticated-orcid":false,"given":"Shady","family":"Nakhla","sequence":"additional","affiliation":[{"name":"Cardiac Electrophysiology and Pacing Section, Department of Cardiovascular Medicine Cleveland Clinic  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed","family":"Kanj","sequence":"additional","affiliation":[{"name":"Cardiac Electrophysiology and Pacing Section, Department of Cardiovascular Medicine Cleveland Clinic  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mina K.","family":"Chung","sequence":"additional","affiliation":[{"name":"Cardiac Electrophysiology and Pacing Section, Department of Cardiovascular Medicine Cleveland Clinic  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jakub","family":"Sroubek","sequence":"additional","affiliation":[{"name":"Cardiac Electrophysiology and Pacing Section, Department of Cardiovascular Medicine Cleveland Clinic  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin Z.","family":"Lee","sequence":"additional","affiliation":[{"name":"Cardiac Electrophysiology and Pacing Section, Department of Cardiovascular Medicine Cleveland Clinic  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mandeep","family":"Bhargava","sequence":"additional","affiliation":[{"name":"Cardiac Electrophysiology and Pacing Section, Department of Cardiovascular Medicine Cleveland Clinic  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Walid I.","family":"Saliba","sequence":"additional","affiliation":[{"name":"Cardiac Electrophysiology and Pacing Section, Department of Cardiovascular Medicine Cleveland Clinic  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oussama M.","family":"Wazni","sequence":"additional","affiliation":[{"name":"Cardiac Electrophysiology and Pacing Section, Department of Cardiovascular Medicine Cleveland Clinic  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayman A.","family":"Hussein","sequence":"additional","affiliation":[{"name":"Cardiac Electrophysiology and Pacing Section, Department of Cardiovascular Medicine Cleveland Clinic  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,7,31]]},"reference":[{"issue":"8","key":"e_1_2_9_2_1","first-page":"837","article-title":"Worldwide Epidemiology of Atrial Fibrillation: A Global Burden of Disease 2010 Study","volume":"129","author":"Chugh S.","year":"2014","journal-title":"Circulation (New York, 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G.","year":"2015","journal-title":"Journal of Atrial Fibrillation"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hlc.2020.02.016"},{"issue":"6","key":"e_1_2_9_14_1","first-page":"A24","article-title":"26\u2005Day Case CRYO\u2010Balloon Ablation Procedures: A Single Centre Experience in Trends, Safety and Cost Effective Analysis","volume":"104","author":"Arujuna A.","year":"2018","journal-title":"Heart (British Cardiac Society)"}],"container-title":["Pacing and Clinical 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