In-Hospital Complications Associated With Catheter Ablation of Atrial Fibrillation in the United States Between 2000 and 2010 Analysis of 93 801 Procedures
In-Hospital Complications Associated With Catheter Ablation of Atrial Fibrillation in the United States Between 2000 and 2010 Analysis of 93 801 Procedures
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DOI：
10.1161/circulationaha.113.003862
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发表时间：
2013-11-05
期刊：
影响因子：
37.8
通讯作者：
Viles-Gonzalez, Juan F.
中科院分区：
文献类型：
--
作者：
Deshmukh, Abhishek;Patel, Nileshkumar J.;Viles-Gonzalez, Juan F.
房颤消融术在创新、有效性和安全性方面取得了巨大进展。然而，关于该手术引起的不良结局的负担和趋势的数据有限。我们的研究的目的是检查不良事件的频率归因于心房颤动（AF）消融术和经营者和医院体积上outcomes.Methods和结果的影响与使用全国住院病人样本，我们确定了AF患者导管消融治疗。我们研究了常见并发症，包括心脏穿孔和心包填塞、气胸、卒中、短暂性脑缺血发作、血管通路并发症（出血/血肿、需要手术修复的血管并发症和意外动脉穿刺）以及AF消融术描述的院内死亡，我们使用经验证的国际疾病分类第九版临床修改诊断代码定义了这些并发症。从2000年到2010年，估计进行了93801次房颤消融。并发症的总发生率为6.29%，其中合并心脏并发症（2.54%）最常见。心脏并发症其次为血管并发症（1.53%）、呼吸系统并发症（1.3%）和神经系统并发症（1.02%）。住院病死率为0.46%。年度运营商（
Background Atrial fibrillation ablation has made tremendous progress with respect to innovation, efficacy, and safety. However, limited data exist regarding the burden and trends in adverse outcomes arising from this procedure. The aim of our study was to examine the frequency of adverse events attributable to atrial fibrillation (AF) ablation and the influence of operator and hospital volume on outcomes.Methods and Results With the use of the Nationwide Inpatient Sample, we identified AF patients treated with catheter ablation. We investigated common complications including cardiac perforation and tamponade, pneumothorax, stroke, transient ischemic attack, vascular access complications (hemorrhage/hematoma, vascular complications requiring surgical repair, and accidental arterial puncture), and in-hospital death described with AF ablation, and we defined these complications by using validated International Classification of Diseases, Ninth Revision, Clinical Modification diagnosis codes. An estimated 93801 AF ablations were performed from 2000 to 2010. The overall frequency of complications was 6.29% with combined cardiac complications (2.54%) being the most frequent. Cardiac complications were followed by vascular complications (1.53%), respiratory complications (1.3%), and neurological complications (1.02%). The in-hospital mortality was 0.46%. Annual operator (