Evaluating the effectiveness of echocardiographic guidance in diminishing postoperative wound complications for left atrial appendage closure: A clinical retrospective study

Author:

Li Chong‐shou1,Li Xiao‐fang2,Huang Xiao‐yan1,Chen Fang‐fang3

Affiliation:

1. Ultrasound Imaging Department The Second Affiliated Hospital of Wenzhou Medical University Wenzhou China

2. College of Basic Science Ningbo University of Finance & Economics Ningbo China

3. Neonatal Special Care Unit The Second Affiliated Hospital of Wenzhou Medical University Wenzhou China

Abstract

AbstractEchocardiographic guidance in left atrial appendage (LAA) closure procedures is increasingly recognized for its potential to enhance patient outcomes in atrial fibrillation (AF). This retrospective study assesses its impact on hospital stay duration, readmission rates and surgical site wound complications in 200 AF patients. Divided equally into an echocardiographically guided group (Group E) and a non‐guided group (Group N), the analysis focused on detailed patient data encompassing hospital stay, 30‐day readmission and wound complications. Findings revealed that Group E experienced a significantly shorter average hospital stay of 3.5 days, compared with 6.5 days in Group N, along with a lower 30‐day readmission rate (5% vs. 18% in Group N). Furthermore, Group E showed a considerable reduction in surgical site wound complications, such as infections and hematomas. The study concludes that echocardiographic guidance in LAA closure procedures markedly improves postoperative wound outcomes, underscoring its potential as a standard practice in cardiac surgeries for AF patients. This approach not only optimizes patient safety and postoperative recovery but also enhances healthcare resource utilization.

Publisher

Wiley

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