Who is the operator, that is the question: a multicentre study of catheter ablation of atrial fibrillation
Autor: | Yukihiko Yoshida, Mayuho Maeda, Yukiko Nakano, Haruo Hirayama, Akinori Sairaku, Haruki Hashimoto, Yasuki Kihara |
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Rok vydání: | 2016 |
Předmět: |
Male
medicine.medical_specialty Time Factors medicine.medical_treatment Operative Time Catheter ablation Kaplan-Meier Estimate 030204 cardiovascular system & hematology Disease-Free Survival Pulmonary vein 03 medical and health sciences Postoperative Complications 0302 clinical medicine Operator (computer programming) Japan Recurrence Risk Factors Physiology (medical) Atrial Fibrillation medicine Humans Prospective Studies 030212 general & internal medicine Aged Proportional Hazards Models Quality Indicators Health Care Surrogate endpoint business.industry Hazard ratio Atrial fibrillation Middle Aged medicine.disease Ablation Confidence interval Surgery Treatment Outcome Catheter Ablation Female Clinical Competence Cardiology and Cardiovascular Medicine business Hospitals High-Volume |
Zdroj: | Europace. 18:1352-1356 |
ISSN: | 1532-2092 1099-5129 |
Popis: | Aims A worldwide survey reported that the success rate of atrial fibrillation (AF) ablation was higher in high-volume centers compared with low-volume centers. We tested whether the procedure volume of each operator was associated with the outcome of AF ablation in high-volume centres. Methods and results We studied 471 patients with paroxysmal AF who underwent pulmonary vein (PV) isolation for the first time in three cardiovascular centers where the annual AF ablation volume was >100 procedures. We classified a total of 10 primary operators according to their operation volume on the basis of ACC/AHA/ACP CLINICAL COMPETENCE STATEMENT; high-volume operator (≥50 cases/year, N = 3) or low-volume operator ( |
Databáze: | OpenAIRE |
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