Impact of centre volume on atrial fibrillation ablation outcomes in Europe: A report from the ESC EHRA EORP Atrial Fibrillation Ablation Long-Term (AFA LT) Registry

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00023001%3A_____%2F21%3A00080812" target="_blank" >RIV/00023001:_____/21:00080812 - isvavai.cz</a>

Result on the web

<a href="https://academic.oup.com/europace/article/23/1/49/5952760" target="_blank" >https://academic.oup.com/europace/article/23/1/49/5952760</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1093/europace/euaa236" target="_blank" >10.1093/europace/euaa236</a>

Result language

angličtina

Original language name

Impact of centre volume on atrial fibrillation ablation outcomes in Europe: A report from the ESC EHRA EORP Atrial Fibrillation Ablation Long-Term (AFA LT) Registry

Original language description

Aims: The aim of the study was to investigate differences in clinical outcomes and complication rates among European atrial fibrillation (AF) ablation centres related to the volume of AF ablations performed. Methods and results: Data for this analysis were extracted from the ESC EHRA EORP European AF Ablation Long-Term Study Registry. Based on 33rd and 67th percentiles of number of AF ablations performed, the participating centres were classified into high volume (HV) (≥ 180 procedures/year), medium volume (MV) (&lt;180 and ≥74/year), and low volume (LV) (&lt;74/year). A total of 91 centres in 26 European countries enrolled in 3368 patients. There was a significantly higher reporting of cardiovascular complications and stroke incidence in LV centres compared with HV and MV (P = 0.039 and 0.008, respectively) and a lower success rate after AF ablation (55.3% in HV vs. 57.2% in LV vs. 67.4% in MV centres, P &lt; 0.001), despite lower CHA2DS2-VASc score of patients, enrolled in LVs and less complex ablation techniques used. Adjustments of confounding factors (including type of AF ablation) led to elimination of these differences. Conclusion: Low-volume centres tended to present slightly higher cardiovascular complications&apos; and stroke incidence and a lower unadjusted success rate after AF ablation, despite the fact that ablation procedures and patients were of lower risk compared with MV and HV centres. On the other hand, adjusted overall complication and recurrence rates were non-significantly different among different volume centres, a fact reflecting the heterogeneity of patient and procedural profiles, and a counterbalance between expertise and risk level among participating centres. © 2020 The Author(s).

Czech name

—

Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30201 - Cardiac and Cardiovascular systems

Project

—

Continuities

N - Vyzkumna aktivita podporovana z neverejnych zdroju

Publication year

2021

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Europace

ISSN

1099-5129

e-ISSN

—

Volume of the periodical

23

Issue of the periodical within the volume

1

Country of publishing house

GB - UNITED KINGDOM

Number of pages

10

Pages from-to

49-58

UT code for WoS article

000637048100006

EID of the result in the Scopus database

2-s2.0-85100702545