Who is the operator, that is the question: a multicentre study of catheter ablation of atrial fibrillation
Who is the operator, that is the question: a multicentre study of catheter ablation of atrial fibrillation
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DOI：
10.1093/europace/euv424
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发表时间：
2016-09-01
期刊：
影响因子：
6.1
通讯作者：
Kihara, Yasuki
中科院分区：
文献类型：
--
作者：
Sairaku, Akinori;Yoshida, Yukihiko;Kihara, Yasuki
目的一项世界范围内的调查报告了心房颤动（AF）消融在大容量中心的成功率高于小容量中心。我们测试了每位操作者的手术量是否与大容量中心房颤消融的结果相关。方法和结果我们研究了471例阵发性房颤患者，他们首次在3个心血管中心接受肺静脉（PV）隔离治疗，这些中心每年房颤消融量为100例。我们以ACC/AHA/ACP临床能力评定量表为基础，根据手术量对10名主要手术人员进行分类；大容量操作员（>= 50例/年，N = 3）或小容量操作员(
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 (