Abstract
Background Atrial flutter (AFL) ablation has been increasingly offered as first-line therapy and safely performed over the last decades. However, limited data exist regarding current utilization and trends in adverse outcomes arising from this procedure. Objective The aim of our study was to examine the frequency of adverse events attributable to AFL ablation and influence of hospital volume on safety outcomes. Methods Data were obtained from the Nationwide Inpatient Sample, the largest all-payer inpatient dataset in the United States. Patients with AFL who underwent catheter ablation from 2000 to 2011 were identified using ICD-9 codes. In-hospital death and common complications were identified, including cardiac perforation and tamponade, pneumothorax, stroke, transient ischemic attack, and vascular access complications. Results A total of 89,638 AFL patients were treated with catheter ablation during our study period. Total number of ablations performed increased by 154% from 2000 to 2011. The in-hospital mortality rate was 0.17% and the overall complication rate was 3.17%. Cardiac complications (1.44%) were the most frequent, followed by respiratory (0.88%), vascular (0.78%), and neurological complications (0.05%). Low hospital volume (
| Original language | English (US) |
|---|---|
| Pages (from-to) | 1317-1325 |
| Number of pages | 9 |
| Journal | Heart Rhythm |
| Volume | 13 |
| Issue number | 6 |
| DOIs | |
| State | Published - Jun 1 2016 |
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Keywords
- Ablation
- Atrial flutter
- Complications
- Safety
- Utilization
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
- Physiology (medical)
Cite this
Contemporary utilization and safety outcomes of catheter ablation of atrial flutter in the United States : Analysis of 89,638 procedures. / Patel, Nileshkumar J.; Deshmukh, Abhishek; Pau, Dhaval; Goyal, Vishal; Patel, Samir V.; Patel, Nilay; Agnihotri, Kanishk; Asirvatham, Samuel J; Noseworthy, Peter; Di Biase, Luigi; Natale, Andrea; Viles-Gonzalez, Juan F.
In: Heart Rhythm, Vol. 13, No. 6, 01.06.2016, p. 1317-1325.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Contemporary utilization and safety outcomes of catheter ablation of atrial flutter in the United States
T2 - Analysis of 89,638 procedures
AU - Patel, Nileshkumar J.
AU - Deshmukh, Abhishek
AU - Pau, Dhaval
AU - Goyal, Vishal
AU - Patel, Samir V.
AU - Patel, Nilay
AU - Agnihotri, Kanishk
AU - Asirvatham, Samuel J
AU - Noseworthy, Peter
AU - Di Biase, Luigi
AU - Natale, Andrea
AU - Viles-Gonzalez, Juan F.
PY - 2016/6/1
Y1 - 2016/6/1
N2 - Background Atrial flutter (AFL) ablation has been increasingly offered as first-line therapy and safely performed over the last decades. However, limited data exist regarding current utilization and trends in adverse outcomes arising from this procedure. Objective The aim of our study was to examine the frequency of adverse events attributable to AFL ablation and influence of hospital volume on safety outcomes. Methods Data were obtained from the Nationwide Inpatient Sample, the largest all-payer inpatient dataset in the United States. Patients with AFL who underwent catheter ablation from 2000 to 2011 were identified using ICD-9 codes. In-hospital death and common complications were identified, including cardiac perforation and tamponade, pneumothorax, stroke, transient ischemic attack, and vascular access complications. Results A total of 89,638 AFL patients were treated with catheter ablation during our study period. Total number of ablations performed increased by 154% from 2000 to 2011. The in-hospital mortality rate was 0.17% and the overall complication rate was 3.17%. Cardiac complications (1.44%) were the most frequent, followed by respiratory (0.88%), vascular (0.78%), and neurological complications (0.05%). Low hospital volume (
AB - Background Atrial flutter (AFL) ablation has been increasingly offered as first-line therapy and safely performed over the last decades. However, limited data exist regarding current utilization and trends in adverse outcomes arising from this procedure. Objective The aim of our study was to examine the frequency of adverse events attributable to AFL ablation and influence of hospital volume on safety outcomes. Methods Data were obtained from the Nationwide Inpatient Sample, the largest all-payer inpatient dataset in the United States. Patients with AFL who underwent catheter ablation from 2000 to 2011 were identified using ICD-9 codes. In-hospital death and common complications were identified, including cardiac perforation and tamponade, pneumothorax, stroke, transient ischemic attack, and vascular access complications. Results A total of 89,638 AFL patients were treated with catheter ablation during our study period. Total number of ablations performed increased by 154% from 2000 to 2011. The in-hospital mortality rate was 0.17% and the overall complication rate was 3.17%. Cardiac complications (1.44%) were the most frequent, followed by respiratory (0.88%), vascular (0.78%), and neurological complications (0.05%). Low hospital volume (
KW - Ablation
KW - Atrial flutter
KW - Complications
KW - Safety
KW - Utilization
UR - http://www.scopus.com/inward/record.url?scp=84969610735&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84969610735&partnerID=8YFLogxK
U2 - 10.1016/j.hrthm.2016.02.005
DO - 10.1016/j.hrthm.2016.02.005
M3 - Article
C2 - 26861515
AN - SCOPUS:84969610735
VL - 13
SP - 1317
EP - 1325
JO - Heart Rhythm
JF - Heart Rhythm
SN - 1547-5271
IS - 6
ER -