Observational studyJournal of cardiovascular electrophysiology2026
Patient and Procedural Factors Associated With Same-Day Discharge Following Pulsed Field Ablation for Atrial Fibrillation: Insights From the DISRUPT-AF Registry.
Observational study in Journal of cardiovascular electrophysiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06335082 (A Registry Based Collaborative to Measure Efficiency, Effectiveness, and Safety of Farapulse Pulsed Field Ablation Technology for Atrial Fibrillation), which is not on this map. Cited by 4 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
A Registry Based Collaborative to Measure Efficiency, Effectiveness, and Safety of Farapulse Pulsed Field Ablation Technology for Atrial Fibrillation
Who cites it
4 citing papers in PubMed.
- Impact of anemia prior to catheter ablation for atrial fibrillation on clinical outcomes: a U.S. retrospective cohort analysis.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2026Article
- Same day discharge can be performed safely after atrial fibrillation catheter ablation using a wide-footprint lattice-tip dual-energy system.Heart rhythm O2 · 2026Article
- Same-day discharge after electrophysiological and cardiac implantable electronic device procedures: a clinical consensus statement of the European Heart Rhythm Association (EHRA) and the Association of Cardiovascular Nursing & Allied Professions (ACNAP) of the ESC.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2026Review
- Patient and Procedural Factors Associated With Same-Day Discharge Following Pulsed Field Ablation for Atrial Fibrillation: Insights From the DISRUPT-AF Registry.Journal of cardiovascular electrophysiology · 2026Observational
Corrections and comments
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Authors and funding
26 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSame-day discharge (SDD) after catheter ablation for atrial fibrillation (AF) may improve patient satisfaction and optimize healthcare resources. Pulsed field ablation (PFA) offers a favorable safety profile, potentially enabling broader adoption of SDD strategies.
objectiveTo evaluate site-level practice patterns and participant- and procedure-related factors associated with SDD after de novo PFA for AF.
methodsWe analyzed data from participants in the DISRUPT-AF registry, a prospective, multicenter study evaluating ablation acute outcomes with a pentaspline PFA catheter. We examined participant and procedure characteristics associated with both SDD planning and success.
resultsSDD was preplanned for 81% (1203) of all cases; 93% (1118) of those preplanned were successful. Acute procedural complication rates were low across discharge strategies (0.7% SDD planned vs. 0.7% not planned, p = 0.956). SDD planning was associated with shorter procedure time (60.6 vs. 66.8 min, p < 0.001), fewer procedures starting after 2 p.m. (p < 0.001), and fewer adjunctive ablations beyond pulmonary vein isolation (PVI) (p < 0.001). Unsuccessful SDD was associated with prior stroke/transient ischemic attack (TIA) (16.0% vs. 5.9%, p < 0.001), higher CHA₂DS₂-VASc score (p = 0.001), lower left ventricular ejection fraction (p = 0.031), later procedure start (p < 0.001), and higher acute complication rates (7.1% vs. 0.3%, p < 0.001).
conclusionIn this large multicenter registry, SDD after PFA was widely adopted, safe, and successful in most planned cases. Unsuccessful SDD was strongly associated with acute complications and comorbid conditions, underscoring the need for careful candidate selection to optimize safety and efficiency. CLINICAL
trial registrationTrial Registration: NCT06335082.
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