Organization and procedures in contemporary catheter ablation centres: data from the 2018 Italian Catheter Ablation Registry
| Autor: | Gabriele Zanotto, Giuseppe Boriani, Emanuele Bertaglia, Federico Guerra, Massimo Zoni Berisso, Roberto De Ponti, Pietro Palmisano, Associazione Italiana di Aritmologia e Cardiostimolazione, Giuseppe Stabile, Maurizio Landolina, Giovanni Bisignani, Antonio D'Onofrio, Giovan Battista Forleo, Ezio Soldati, Renato Pietro Ricci |
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| Rok vydání: | 2021 |
| Předmět: |
Tachycardia
medicine.medical_specialty Intracardiac echocardiography medicine.medical_treatment Catheter ablation arrhythmias catheter ablation registry Hospital 3d mapping Cardiology Service Atrial Fibrillation medicine Humans Tachycardia Atrioventricular Nodal Reentry Registries business.industry Atrial fibrillation Cardiology Service Hospital Italy Atrial Flutter Cardiac Electrophysiology Catheter Ablation General Medicine Ablation medicine.disease Cardiothoracic surgery Mapping system Radiology medicine.symptom Cardiology and Cardiovascular Medicine business Atrioventricular Nodal Reentry |
| Zdroj: | Journal of Cardiovascular Medicine. 22:631-636 |
| ISSN: | 1558-2035 1558-2027 |
| DOI: | 10.2459/jcm.0000000000001183 |
| Popis: | Aims This report describes the findings of the 2018 Italian Catheter Ablation Registry of the Italian Association of Arrhythmology and Cardiac Pacing (AIAC). Methods The Italian Catheter Ablation Registry systematically collects data on the ablation procedures performed in Italy. Data collection was retrospective. A standardized questionnaire was completed by participating centres. Results We collected data on 15 714 catheter ablation procedures performed in Italy during 2018 in 94 electrophysiology centres. In most centres (75/94, 80%), a single electrophysiology laboratory was available, and a hybrid electrophysiology laboratory was available in 15% (14/94) of centres. In most (93%) centres, at least two electrophysiologists were involved in the catheter ablation procedures. In only 13 out of 94 (14%) electrophysiology laboratories, an anaesthesiologist assists every electrophysiology procedure; in most cases (74/94, 79%), an on-demand anaesthesiology service was available. On-site cardiothoracic surgery was reported in 43 out of 94 (46%) centres.Nonfluoroscopic navigation systems were available in most centres (88/94, 93%). Intracardiac echocardiography was used in 59 out of 94 (63%) electrophysiology laboratories. Atrial fibrillation (31%) was the most frequently treated ablation target, followed by atrioventricular nodal re-entrant tachycardia (20%) and cavo-tricuspid isthmus (15%). In 61.7% of all procedures, a 3D mapping system was used. In about one-third of procedures, a near-zero approach was performed. Conclusion In most Italian electrophysiology centres, a single electrophysiology laboratory was available and at least two electrophysiologists were involved in the ablation procedures. An increasing number of procedures were performed by means of a nonfluoroscopic mapping system with a near-zero approach. |
| Databáze: | OpenAIRE |
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