Molitor, Nadine; Yalcinkaya, Emre; Auricchio, Angelo; Burri, Haran; Delacretaz, Etienne; Kühne, Michael; Menafoglio, Andrea; Reek, Sven; Reichlin, Tobias; Herrera-Siklody, Claudia; Zimmerli, Marianne; Sticherling, Christian; Duru, Firat (2021). Swiss National Registry on Catheter Ablation Procedures: Changing Trends over the Last 20 Years. Journal of clinical medicine, 10(14) MDPI 10.3390/jcm10143021
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Swiss_National_Registry_on_Catheter_Ablation_Procedures_Changing_Trends_over_the_Last_20_Years.pdf - Published Version Available under License Creative Commons: Attribution (CC-BY). Download (2MB) | Preview |
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.
Item Type: |
Journal Article (Original Article) |
|---|---|
Division/Institute: |
04 Faculty of Medicine > Department of Cardiovascular Disorders (DHGE) > Clinic of Cardiology |
UniBE Contributor: |
Reichlin, Tobias Roman |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
2077-0383 |
Publisher: |
MDPI |
Language: |
English |
Submitter: |
Vjollca Coli |
Date Deposited: |
17 Jan 2022 15:21 |
Last Modified: |
23 May 2023 23:59 |
Publisher DOI: |
10.3390/jcm10143021 |
PubMed ID: |
34300187 |
Uncontrolled Keywords: |
catheter ablation clinical outcome electrophysiology national registry quality assurance |
BORIS DOI: |
10.48350/163323 |
URI: |
https://boris.unibe.ch/id/eprint/163323 |
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