Swiss National Registry on Catheter Ablation Procedures: Changing Trends over the Last 20 Years.
Détails
Télécharger: 34300187_BIB_1448B8B05AE7.pdf (1963.86 [Ko])
Etat: Public
Version: Final published version
Licence: CC BY 4.0
Etat: Public
Version: Final published version
Licence: CC BY 4.0
ID Serval
serval:BIB_1448B8B05AE7
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Swiss National Registry on Catheter Ablation Procedures: Changing Trends over the Last 20 Years.
Périodique
Journal of clinical medicine
ISSN
2077-0383 (Print)
ISSN-L
2077-0383
Statut éditorial
Publié
Date de publication
07/07/2021
Peer-reviewed
Oui
Volume
10
Numéro
14
Pages
3021
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: epublish
Publication Status: epublish
Résumé
The Swiss Ablation Registry provides a national database for electrophysiologic studies and catheter ablations. We analyzed the database to provide an in-depth look at changing trends over the last 20 years. During the study period a total of 78622 catheter ablations (age 61.0 ± 1.2 years; 63.7% male) were performed in 29 centers. The number of ablations increased by approximately ten-fold in 20 years. Ablation for atrial fibrillation (AF) was the main driver behind this increase, with more than hundred-fold (39.7% of all ablations in 2019). Atrioventricular-nodal-reentrant-tachycardia (AVNRT) and accessory pathways, being the main indications for ablation in 2000 (44.1%/25.1%, respectively), made up of only a small proportion (15.2%/3.5%,) respectively in 2019. Fluoroscopy, ablation, and procedure durations were reduced for all ablations over time. The highest repeat ablations were performed for ventricular tachycardia and AF (24.4%/24.3%). The majority of ablations (63.0%) are currently performed in private hospitals and non-university public hospitals whereas university hospitals had dominated (82.4%) at the turn of the century. A pronounced increase in the number of catheter ablations in Switzerland was accompanied by a marked decrease in fluoroscopy, ablation, and procedure durations. We observed a shift toward more complex procedures in older patients with comorbidities.
Mots-clé
catheter ablation, clinical outcome, electrophysiology, national registry, quality assurance
Pubmed
Web of science
Open Access
Oui
Création de la notice
30/07/2021 16:09
Dernière modification de la notice
08/08/2024 6:30