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A decade of cathete...
A decade of catheter ablation of cardiac arrhythmias in Sweden : ablation practices and outcomes
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- Holmqvist, Fredrik (author)
- Lund University,Lunds universitet,Electrocardiology Research Group - CIEL,Forskargrupper vid Lunds universitet,Lund University Research Groups,Skåne University Hospital,Lund Univ, Sweden
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- Kesek, Milos (author)
- Department of Cardiology, Umeå University Hospital, Umeå, Sweden,Norrland University Hospital,Umea Univ Hosp, Sweden
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- Englund, Anders (author)
- Karolinska Institute,Karolinska Institutet,Karolinska Inst, Sweden
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- Blomström-Lundqvist, Carina (author)
- Uppsala universitet,Kardiologi,Department of Cardiology, Uppsala University Hospital, Uppsala, Sweden,Uppsala Univ Hosp, Sweden
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- Karlsson, Lars O. (author)
- Linköpings universitet,Avdelningen för kardiovaskulär medicin,Medicinska fakulteten,Region Östergötland, Kardiologiska kliniken US
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- Kennebäck, Göran (author)
- Karolinska Institutet,Karolinska University Hospital,Karolinska Univ Hosp, Sweden
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- Poçi, Dritan, 1969- (author)
- Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Department of Cardiology,Örebro University Hospital,Univ Hosp Orebro, Sweden
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- Samo-Ayou, Romeo (author)
- Department of Cardiology, Skaraborg Hospital, Skövde, Sweden,Skaraborg Hosp, Sweden
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- Sigurjónsdóttir, Runa (author)
- Department of Cardiology, Sahlgrenska University Hospital, Gothenburg, Sweden,Sahlgrens Univ Hosp, Sweden
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- Ringborn, Michael (author)
- Thoracic Center, Blekinge County Hospital, Karlskrona, Sweden,Blekinge Cty Hosp, Sweden
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- Herczku, Csaba (author)
- Department of Cardiology, Norra Älvsborg County Hospital, Trollhättan, Sweden,Norra Älvsborgs Länssjukhus,Norra Alvsborg Cty Hosp, Sweden
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- Carlson, Jonas (author)
- Lund University,Lunds universitet,Electrocardiology Research Group - CIEL,Forskargrupper vid Lunds universitet,Lund University Research Groups,Skåne University Hospital,Lund Univ, Sweden
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- Fengsrud, Espen (author)
- Department of Cardiology, University Hospital Örebro, Örebro, Sweden,Univ Hosp Orebro, Sweden
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- Tabrizi, Fariborz (author)
- Karolinska Institute,Stockholm South General Hospital,Karolinska Inst, Sweden
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- Höglund, Niklas (author)
- Department of Cardiology, Umeå University Hospital, Umeå, Sweden,Norrland University Hospital,Umea Univ Hosp, Sweden
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- Lönnerholm, Stefan (author)
- Uppsala universitet,Kardiologi,Department of Cardiology, Uppsala University Hospital, Uppsala, Sweden,Uppsala Univ Hosp, Sweden
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- Kongstad, Ole (author)
- Lund University,Lunds universitet,Clinical studies af Atrial Fibrillation,Forskargrupper vid Lunds universitet,Lund University Research Groups,Skåne University Hospital,Lund Univ, Sweden
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- Jönsson, Anders (author)
- Linköpings universitet,Institutionen för medicin och hälsa,Medicinska fakulteten,Region Östergötland, Kardiologiska kliniken US
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- Insulander, Per (author)
- Karolinska Institutet,Karolinska University Hospital,Karolinska Univ Hosp, Sweden
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(creator_code:org_t)
- 2018-11-17
- 2019
- English.
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In: European Heart Journal. - : Oxford University Press (OUP). - 0195-668X .- 1522-9645. ; 40:10, s. 820-830
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Abstract
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- Aims: Catheter ablation is considered the treatment of choice for many tachyarrhythmias, but convincing 'real-world' data on efficacy and safety are lacking. Using Swedish national registry data, the ablation spectrum, procedural characteristics, as well as ablation efficacy and reported adverse events are reported.Methods and Results: Consecutive patients (≥18 years of age) undergoing catheter ablation in Sweden between 01 January 2006 and 31 December 2015 were included in the study. Follow-up (repeat ablation and vital status) was collected through 31 December 2016. A total of 26 642 patients (57 ± 15 years, 62% men), undergoing a total of 34 428 ablation procedures were included in the study. In total, 4034 accessory pathway/Wolff-Parkinson-White syndrome (12%), 7358 AV-nodal re-entrant tachycardia (21%), 1813 atrial tachycardia (5.2%), 5481 typical atrial flutter (16%), 11 916 atrial fibrillation (AF, 35%), 2415 AV-nodal (7.0%), 581 premature ventricular contraction (PVC, 1.7%), and 964 ventricular tachycardia (VT) ablations (2.8%) were performed. Median follow-up time was 4.7 years (interquartile range 2.7-7.0). The spectrum of treated arrhythmias changed over time, with a gradual increase in AF, VT, and PVC ablation (P < 0.001). Decreasing procedural times and utilization of fluoroscopy with time, were seen for all arrhythmia types. The rates of repeat ablation differed between ablation types, with the highest repeat ablation seen in AF (41% within 3 years). The rate of reported adverse events was low (n = 595, 1.7%). Death in the immediate period following ablation was rare (n = 116, 0.34%).Conclusion: Catheter ablations have shifted towards more complex procedures over the past decade. Fluoroscopy time has markedly decreased and the efficacy of catheter ablation seems to improve for AF.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Keyword
- Catheter ablation
- Adverse events
- Outcome
- Cardiology
- Kardiologi
- Adverse events
- Catheter ablation
- Outcome
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Holmqvist, Fredr ...
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Kesek, Milos
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Englund, Anders
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Blomström-Lundqv ...
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Karlsson, Lars O ...
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Kennebäck, Göran
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show more...
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Poçi, Dritan, 19 ...
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Samo-Ayou, Romeo
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Sigurjónsdóttir, ...
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Ringborn, Michae ...
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Herczku, Csaba
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Carlson, Jonas
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Fengsrud, Espen
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Tabrizi, Faribor ...
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Höglund, Niklas
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Lönnerholm, Stef ...
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Kongstad, Ole
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Jönsson, Anders
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Insulander, Per
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Cardiac and Card ...
- Articles in the publication
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European Heart J ...
- By the university
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Uppsala University
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Örebro University
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Karolinska Institutet
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Lund University
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Linköping University