Swiss National Registry on Catheter Ablation Procedures: Changing Trends over the Last 20 Years.

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Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_1448B8B05AE7
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Swiss National Registry on Catheter Ablation Procedures: Changing Trends over the Last 20 Years.
Journal
Journal of clinical medicine
Author(s)
Molitor N., Yalcinkaya E., Auricchio A., Burri H., Delacretaz E., Kühne M., Menafoglio A., Reek S., Reichlin T., Herrera-Siklody C., Zimmerli M., Sticherling C., Duru F.
ISSN
2077-0383 (Print)
ISSN-L
2077-0383
Publication state
Published
Issued date
07/07/2021
Peer-reviewed
Oui
Volume
10
Number
14
Pages
3021
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
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.
Keywords
catheter ablation, clinical outcome, electrophysiology, national registry, quality assurance
Pubmed
Web of science
Open Access
Yes
Create date
30/07/2021 16:09
Last modification date
08/08/2024 6:30
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