Current case mix and results of catheter ablation of regular supraventricular tachycardia: are we giving unrealistic expectations to patients?
Current case mix and results of catheter ablation of regular supraventricular tachycardia: are we giving unrealistic expectations to patients?
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目前常规室上性心动过速导管消融的病例组合和结果：我们是否给患者带来了不切实际的期望？
DOI：
10.1093/europace/eum162
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发表时间：
2007
期刊：
影响因子：
--
通讯作者：
R. Schilling
中科院分区：
文献类型：
--
作者：
R. Showkathali;M. Earley;D. Gupta;M. Alzetani;S. Harris;P. Kistler;S. Sporton;R. Schilling
目标管理系统
导管消融（CA）已成为常规室上性心动过速（SVT）的首选治疗方法。本研究的目的是调查大型单一中心当前的临床结果是否与已发表的试验和国家心脏病学会网站上向患者引用的成功率一样好。
方法和结果
我们记录并前瞻性地分析了我们机构在 2 年时间内针对 SVT 进行的所有 CA 手术的急性和随访 (FU) 结果。我们将我们的结果与文献中引用的 CA 90-98% 的成功率进行了比较。两年多来，我们在我们的机构总共进行了 547 例 CA，其中 389 例 (71%) 是常规 SVT。其中，71 个程序（18%）是重做程序。总体急性手术成功率为 96.1% (374/389)。 389 例手术中的 367 例 (94.3%) 可获得随访数据。总体 6 周成功率在 74.7% 到 91.3% 之间变化，具体取决于 SVT 类型（平均 83.9%）。与首次消融（从头）手术（261/301，86.7%）相比，重做手术的 FU 成功率较低（47/66，71.2%），P = 0.003。
结论
已公布的成功率比大型单一中心目前的成功率要高得多。在同意过程中向患者提供的有关结果的信息可能不准确。
AIMS
Catheter ablation (CA) has become the treatment of choice for regular supraventricular tachycardia (SVT). The purpose of this study was to investigate whether the current clinical results in a large single centre are as good as success rates quoted to patients from published trials and national cardiology society websites.
METHODS AND RESULTS
We recorded and analysed prospectively the acute and follow-up (FU) results of all CA procedures performed for SVT at our institution over a 2-year period. We compared our results with the success rates of 90-98% for CA quoted in the literature. We performed a total of 547 CA at our institution over 2 years, of which 389 (71%) were for regular SVT. Of these, 71 procedures (18%) were redo procedures. The overall acute procedural success rate was 96.1% (374/389). Follow-up data were available for 367 of 389 (94.3%) procedures. The overall 6-week success rate varied between 74.7 and 91.3% depending on the SVT type (average 83.9%). The FU success rates were lower for redo procedures (47/66, 71.2%) when compared with first ablation (de novo) procedures (261/301, 86.7%), P = 0.003.
CONCLUSION
Published success rates are much better than current success rates in a large single centre. It is possible that the information regarding outcome given to patients during the consent process is not accurate.
影响因子：
37.8
作者：
Calkins, H;Yong, P;Prystowsky, E
通讯作者：
Prystowsky, E