2025 HRS／ACC 科学声明： 心内导管消融术当日出院指导原则.pdfVIP

HRS/ACCscientificstatement:Guidingprinciplesonsame-daydischarge

forintracardiaccatheterablationprocedures

AmitJ.Shanker,MD,FACC,FHRS,Co-Chair1,*SamuelO.Jones,MD,MPH,FACC,FHRS,Co-Chair2,†

JamesC.Blankenship,MD,MACC,MHCM,MSCAI,3,†JimW.Cheung,MD,FACC,FHRS,4,†

IjeomaA.Ekeruo,MD,FACC,FHRS,5,†JodieL.Hurwitz,MD,FACC,FHRS,6,*

ChristopherF.Liu,MD,FACC,FHRS,7,*FaisalM.Merchant,MD,FACC,FHRS,8,*

WilberW.Su,MD,FACC,FHRS,9,†PaulD.Varosy,MD,FACC,FHRS10,*

DOCUMENTREVIEWERS:KennethA.Ellenbogen,MD,FACC,FHRS,DhanunjayaR.Lakkireddy,MD,

FACC,FHRS,PamelaK.Mason,MD,FACC,FHRS,SunilV.Rao,MD,FACC,FSCAI,EmilyP.

Zeitler,MD,FACC

Fromthe1St.LawrenceHealthSystem,Potsdam,NewYork,2ChattanoogaHeartInstitute,Chattanooga,Tennessee,3UniversityofNewMexico

HealthSciencesCenter,Albuquerque,NewMexico,4WeillCornellMedicineCenter,NewYork,NewYork,5ArrhythmiaCareCenter,Houston,

Texas,6NorthTexasHeartCenter,Dallas,Texas,7WeillCornellMedicalCollege,NewYork,NewYork,8EmoryHealthcare,Atlanta,Georgia,

9BannerHealth,Phoenix,Arizona,and10UCHealth,Denver,Colorado.

*RepresentativeoftheHeartRhythmSociety(HRS)

†RepresentativeoftheAmericanCollegeofCardiology(ACC)

ABSTRACT

Percutaneouscatheterablationininterventionalcardiacelectrophysiologyhasevolvedoverthepastseveraldecades.Techno-

logicadvancesandevolvingproceduralstrategieshaveimprovedproceduralefficiencies,increasedsuccessrates,andlowered

complicationrates.Theseadvanceshaveincreasedtheabilitytotreatmorepatientssuccessfully;however,limitationstoaccess

havegrown.Accesschallenges(exacerbatedduringtheCOVID-19publichealthemergency)andeconomicpressureshave

drivenashiftinpracticetrendstoreducehospitalizationdurationandoptimizeres