Document Detail


The 1998 NASPE prospective catheter ablation registry.
MedLine Citation:
PMID:  10879389     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The results of the NASPE Prospective Voluntary Registry are reported. A total of 3,357 patients were entered. For those undergoing atrioventricular (AV) junctional ablation (646 patients), the success rate was 97.4% and significant complications occurred in 5 patients. A total of 1,197 patients underwent AV nodal modification for AV nodal reentrant tachycardia, which was successful in 96.1% and the only significant complication was development of AV block (1%). Accessory pathway ablation was performed in 654 patients and was successful in 94%. Major complications included cardiac tamponade (7 patients), acute myocardial infarction (1 patient), femoral artery pseudoaneurysm (1 patient), AV block (1 patient), pneumothorax (1 patient), and pericarditis (2 patients). A total of 447 patients underwent atrial flutter ablation and acute success was achieved in 86% of patients. Significant complications included inadvertent AV block (3 patients), significant tricuspid regurgitation (1 patient), cardiac tamponade (1 patient), and pneumothorax (1 patient). Atrial tachycardia was attempted for 216 patients and the success rate was higher for those with right atrial (80%) or left atrial (72%) compared to those with septal foci (52%). A total of 201 patients underwent ablation for ventricular tachycardia. The success rate was higher for those with idiopathic ventricular tachycardia compared to those with ventricular tachycardia due to ischemic heart disease or cardiomyopathy. While the number of AV junction ablation were higher for those > 60 years of age, there was no significant difference in the success rate or incidence of complication comparing patients > or = 60 to those < 60 years of age. In addition, we found no differences in incidence of success or complications comparing large volume centers (> 100 ablation/year) with lower volume centers or between teaching and non-teaching hospitals.
Authors:
M M Scheinman; S Huang
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Pacing and clinical electrophysiology : PACE     Volume:  23     ISSN:  0147-8389     ISO Abbreviation:  Pacing Clin Electrophysiol     Publication Date:  2000 Jun 
Date Detail:
Created Date:  2000-10-26     Completed Date:  2000-10-26     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7803944     Medline TA:  Pacing Clin Electrophysiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1020-8     Citation Subset:  IM    
Affiliation:
Department of Medicine, University of California, San Francisco, USA. scheinman@ep4.ucsf.edu
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Atrial Flutter / surgery
Atrioventricular Node / surgery*
Catheter Ablation / adverse effects,  statistics & numerical data*
Female
Hospitals, Teaching / statistics & numerical data
Humans
Male
Middle Aged
Prospective Studies
Recurrence
Registries*
Tachycardia / surgery
Tachycardia, Atrioventricular Nodal Reentry / surgery
Tachycardia, Ventricular / surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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