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World J Cardiol. May 26, 2022; 14(5): 271-281
Published online May 26, 2022. doi: 10.4330/wjc.v14.i5.271
Same day discharge after structural heart disease interventions in the era of the coronavirus-19 pandemic and beyond
Abdulaziz A Asbeutah, Muhammad Junaid, Fatima Hassan, Jesus Avila Vega, Nephertiti Efeovbokhan, Rami N Khouzam, Uzoma N Ibebuogu
Abdulaziz A Asbeutah, Fatima Hassan, Jesus Avila Vega, Internal Medicine, University of Tennessee Health Science Center, Memphis, TN 38013, United States
Muhammad Junaid, Internal Medicine, Forrest City Medical Center, Forrest City, AR 72335, United States
Nephertiti Efeovbokhan, Department of Cardiology, NEA Baptist clinic, Jonesboro, AR 72401, United States
Rami N Khouzam, Department of Medicine, The University of Tennessee Health Science Center, Memphis, TN 38104, United States
Uzoma N Ibebuogu, Department of Cardiology, University of Tennessee Health Science Center, Memphis, TN 38103, United States
Author contributions: Asbeutah A, Avila Vega J, Junaid M and Efeobokhan N contributed to the literature review, manuscript drafting, and table generation; Khouzam N and Ibebuogu U critically reviewed the manuscript and provided supervision.
Conflict-of-interest statement: There is no conflict of interest associated with any of the senior author or other coauthors contributed their efforts in this manuscript.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Rami N Khouzam, MD, Professor, Department of Medicine, The University of Tennessee Health Science Center, 956 Court Avenue, Ste. A318D, Memphis, TN 38104, United States. khouzamrami@yahoo.com
Received: October 26, 2021
Peer-review started: October 26, 2021
First decision: March 7, 2022
Revised: March 14, 2022
Accepted: April 21, 2022
Article in press: April 21, 2022
Published online: May 26, 2022
Abstract

With recent advancements in imaging modalities and techniques and increased recognition of the long-term impact of several structural heart disease interventions, the number of procedures has significantly increased. With the increase in procedures, also comes an increase in cost. In view of this, efficient and cost-effective methods to facilitate and manage structural heart disease interventions are a necessity. Same-day discharge (SDD) after invasive cardiac procedures improves resource utilization and patient satisfaction. SDD in appropriately selected patients has become the standard of care for some invasive cardiac procedures such as percutaneous coronary interventions. This is not the case for the majority of structural heart procedures. With the coronavirus disease 2019 pandemic, safely reducing the duration of time spent within the hospital to prevent unnecessary exposure to pathogens has become a priority. In light of this, it is prudent to assess the feasibility of SDD in several structural heart procedures. In this review we highlight the feasibility of SDD in a carefully selected population, by reviewing and summarizing studies on SDD among patients undergoing left atrial appendage occlusion, patent foramen ovale/atrial septal defect closure, Mitra-clip, and trans-catheter aortic valve replacement procedures.

Keywords: Mitra-clip, Transcatheter aortic valve replacement, Same-day discharge, Atrial septal defect, Coronavirus

Core Tip: Same-day discharge can safely be done among a highly selected group of patients undergoing structural interventional cardiac procedures.