Swiss National Registry on Catheter Ablation Procedures: Changing Trends over the Last 20 Years

Journal of Clinical Medicine

卷:10

Sven Reek¹  Etienne Delacretaz²  Marianne Zimmerli³  Andrea Menafoglio⁴  Tobias Reichlin⁵  Angelo Auricchio⁶  Emre Yalcinkaya⁷  Nadine Molitor⁷  Firat Duru⁷  Christian Sticherling⁸  Michael Kühne⁸  Haran Burri⁹  Claudia Herrera-Siklody¹⁰ 

[1] Department of Cardiology, Hirslanden Clinica Aarau, 5001 Aarau, Switzerland;

[2] Department of Cardiology, Hirslanden Clinique Cecil, 1011 Lausanne, Switzerland;

[3] Department of Cardiology, Hospital Thun, 3600 Thun, Switzerland;

[4] Department of Cardiology, Hospital of Bellinzona and Valli, 6500 Bellinzona, Switzerland;

[5] Department of Cardiology, Inselspital University Hospital Bern, University of Bern, 3010 Bern, Switzerland;

[6] Department of Cardiology, Istituto Cardiocentro Ticino, 6900 Lugano, Switzerland;

[7] Department of Cardiology, University Heart Center Zurich, 8091 Zurich, Switzerland;

[8] Department of Cardiology, University Hospital Basel, 4031 Basel, Switzerland;

[9] Department of Cardiology, University Hospital Geneva, 1205 Geneva, Switzerland;

[10] Department of Cardiology, University Hospital Lausanne, 1011 Lausanne, Switzerland;

关键词: catheter ablation;    electrophysiology;    national registry;    clinical outcome;    quality assurance;   

DOI  :  10.3390/jcm10143021

来源: DOAJ

【 摘 要 】

The Swiss Ablation Registry provides a national database for electrophysiologic studies and catheter ablations. We analyzed the database to provide an in-depth look at changing trends over the last 20 years. During the study period a total of 78622 catheter ablations (age 61.0 ± 1.2 years; 63.7% male) were performed in 29 centers. The number of ablations increased by approximately ten-fold in 20 years. Ablation for atrial fibrillation (AF) was the main driver behind this increase, with more than hundred-fold (39.7% of all ablations in 2019). Atrioventricular-nodal-reentrant-tachycardia (AVNRT) and accessory pathways, being the main indications for ablation in 2000 (44.1%/25.1%, respectively), made up of only a small proportion (15.2%/3.5%,) respectively in 2019. Fluoroscopy, ablation, and procedure durations were reduced for all ablations over time. The highest repeat ablations were performed for ventricular tachycardia and AF (24.4%/24.3%). The majority of ablations (63.0%) are currently performed in private hospitals and non-university public hospitals whereas university hospitals had dominated (82.4%) at the turn of the century. A pronounced increase in the number of catheter ablations in Switzerland was accompanied by a marked decrease in fluoroscopy, ablation, and procedure durations. We observed a shift toward more complex procedures in older patients with comorbidities.

【 授权许可】

Unknown