Abstract
To investigate the learning curve for atrial fibrillation (AF), supraventricular tachycardia (SVT), and premature ventricular contraction (PVC) radiofrequency ablation (RFA) using zero fluoroscopy. This is a retrospective, single-center study of 167 patients undergoing ablation between 2016 and 2019. Minimal fluoroscopy approach was initiated after the first 20 cases of PVI and SVT RFA. Procedures were divided consecutively into increments of 10 cases to determine operator learning curve. A total of 64 (38%) had SVT ablations, 26 (16%) had PVC ablations, and 77 (46%) had AF and underwent PVI. For SVT RFA, fluoroscopy time improved from 4.1 ± 3.5 min during the first 10 cases to 0.8 ± 1.2 min after 50 cases (p = 0.0001). Sixty-two out of 64 (97%) of cases were successful. In PVC RFA, fluoroscopy time was 7.7 ± 5.5 min for the first 5, 2.3 ± 3.4 min after 15, and 0 min after 20 cases (p = 0.0008). Twenty-four out of 26 (92%) of cases were acutely successful with recurrence in 2/26 (8%) of patients over 9 ± 9 months. In PVI, fluoroscopy time was 9.9 ± 3.3 min over the first 20 cases, 2.6 ± 2.3 min after 40 cases, and 0.1 min after 50 cases (p < 0.0001). PVI procedure time was 170 ± 34 min after 60 cases from 235 ± 41 min initially...Continue Reading
References
Nov 13, 2010·Pacing and Clinical Electrophysiology : PACE·Katja GistJohn Clark
Oct 23, 2012·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Gill Louise BuchananUNKNOWN Women In Innovation Group
Mar 27, 2015·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Lloyd W KleinUNKNOWN Society for Cardiovascular Angiography and Interventions
Apr 25, 2015·JACC. Cardiovascular Interventions·Charles E Chambers
Sep 6, 2015·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Marzia GiaccardiAndrea Colella
Sep 19, 2016·The American Journal of Cardiology·Li YangDao Wen Wang
Feb 6, 2017·Pacing and Clinical Electrophysiology : PACE·Mansour RazminiaRichard F Kehoe
Feb 20, 2017·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Bruce B LermanJim W Cheung
Jan 19, 2018·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Philipp SommerGerhard Hindricks
Jan 23, 2019·Pragmatic and Observational Research·Paul C ZeiChad R Brodt
Aug 20, 2019·Journal of Cardiovascular Electrophysiology·Amato SantoroFilippo Lamberti
Nov 19, 2019·Pacing and Clinical Electrophysiology : PACE·Tina BaykanerPaul C Zei
Citations
Feb 18, 2021·Pacing and Clinical Electrophysiology : PACE·Yuji WakamatsuYasuo Okumura
Mar 6, 2021·Journal of Arrhythmia·Muzaffar AliJayaprakash Shenthar
Mar 31, 2021·Journal of Cardiovascular Electrophysiology·Filippo M CautiMatteo Anselmino
May 18, 2021·Clinical Cardiology·Lorraine Lok Wing ChiangUNKNOWN International Health Informatics Study (IHIS) Network
Aug 25, 2021·Journal of Cardiovascular Electrophysiology·Chanavuth KanitsoraphanLeenhapong Navaravong