Catheter ablation of postinfarction ventricular tachycardia: Ten-year trends in utilization, in-hospital complications, and in-hospital mortality in the United States

Palaniswamy, Chandrasekar; Kolte, Dhaval; Harikrishnan, Prakash; Khera, Sahil; Aronow, Wilbert S.; Mujib, Marjan; Mellana, William Michael; Eugenio, Paul; Lessner, Seth; Ferrick, Aileen M.; Fonarow, Gregg C.; Ahmed, Ali; Cooper, Howard A.; Frishman, William H.; Panza, Julio A.; Iwai, Sei

doi:10.1016/j.hrthm.2014.07.012

Cited by 128 publications

(98 citation statements)

References 15 publications

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“…24 In comparison with a recent report using data from the National Inpatient Survey examining patients undergoing ablation for postinfarct VT, we found higher AE and in-hospital death rates (17.6% versus 11.2% and 3.3% versus 1.6%) (24), but MAE and in-hospital death rates were similar to those seen in clinical trials of ablation for recurrent VT with predominantly ischemic heart disease. 1,4,24 Overall, the odds of death among HF patients with or without CAD were significantly elevated when compared with odds of death in patients without structural heart disease but statistically similar to one another. In patients without structural heart disease, MAE rates were lower than that reported from Brigham and Women's Hospital and in a Spanish registry (1.4% versus 3.4% versus 3.4%), although the occurrence of in-hospital death was higher (0.3% versus 0% versus 0%).…”

Section: Discussionmentioning

confidence: 85%

“…Relationships between annual VT ablation volumes of <10, 10 to 25, and >25 were quantified on the basis of recently published data, suggesting a relationship between these VT ablation volumes and in-hospital complications. 1 Data about proceduralist volume were not available.…”

Section: What the Study Addsmentioning

confidence: 99%

mentioning

confidence: 99%

“…1,2 Previous studies suggest that patients without structural heart disease experience greater procedural success and fewer periprocedural complications, [3][4][5][6][7][8][9][10][11][12][13][14] but little more is known about the factors that predispose patients to complications. Although a recent observational study assessed the incidence of complications in patients with postinfarct VT ablation, 1 the vast majority of literature addressing complications of VT ablation come from randomized trials or high-volume single-center retrospective studies. [3][4][5][6][7][8][9][10][11][12][13][14][15][16] With their small sample sizes and relatively low absolute numbers of adverse events (AEs), these publications preclude conclusions about clinical and institutional characteristics associated with periprocedural AEs or changes in event rates over time.…”

mentioning

confidence: 99%

“…22 We included all hospital encountering with an endovascular cardiac ablation (International Classification of Diseases-9 [ICD-9] Clinical Modification [CM] code: 37.34) and a primary discharge diagnosis of VT (ICD-9 CM code: 427.1). 1,23 All other hospital records were excluded. All ICD-9 CM codes used in this analysis are found in the table in the Data Supplement.…”

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confidence: 99%

See 4 more Smart Citations

Safety of Ventricular Tachycardia Ablation in Clinical Practice

Katz

Turakhia

Sauer

et al. 2015

Circ: Arrhythmia and Electrophysiology

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Section: Discussionmentioning

confidence: 85%

Section: What the Study Addsmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

Safety of Ventricular Tachycardia Ablation in Clinical Practice

Katz

Turakhia

Sauer

et al. 2015

Circ: Arrhythmia and Electrophysiology

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show abstract

How to Avoid Complications of Mapping and Ablation

Haines

2019

Cardiac Mapping

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Patient characteristics, procedure details including catheter devices, and complications of catheter ablation for ventricular tachycardia: a nationwide observational study

Kitamura

Nakajima

Kawamura

et al. 2020

Journal of Arrhythmia

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Background: Nationwide data are insufficient with respect to the characteristics of patients undergoing ventricular tachycardia (VT) ablation, complications of VT ablation, and procedure details including catheter devices used during VT ablation. The present study was performed to describe the patient characteristics, procedure details including catheter devices, and in-hospital complications of catheter ablation for VT using a national inpatient database. Methods:We used the Diagnosis Procedure Combination database, a national Japanese inpatient database, to identify patients who underwent VT ablation from July 2010 to March 2017. We examined patients' age, gender, baseline diseases, comorbid conditions, admission status, catheter devices and drugs used, and in-hospital complications of VT ablation. Results:We identified 10 641 patients (median age, 61 years) who underwent VT ablation. The most frequently observed background heart disease among patients with structural heart disease was ischemic cardiomyopathy. An irrigated ablation catheter was used in 73% of patients, a force-sensing ablation catheter was used in 22%, and intracardiac echocardiography was used in 25%. The frequency of using these procedures continuously increased over time. Overall, the prevalence of in-hospital complications was 3.5% (cardiac tamponade, 0.8%; stroke, 0.6%; critical bleeding, 1.9%; mechanical circulatory support, 0.9%; and in-hospital death, 0.8%). Conclusions: The results of this study show the clinical features of VT ablation in a real-world clinical setting. The use of irrigated catheters, force-sensing catheters, and intracardiac echocardiography increased over time. The prevalence of in-hospital complications was 3.5%. K E Y W O R D S catheter ablation, Diagnosis Procedure Combination database, nationwide observational study, ventricular tachycardia | 465 KITAMURA eT Al.

show abstract

Catheter ablation of postinfarction ventricular tachycardia: Ten-year trends in utilization, in-hospital complications, and in-hospital mortality in the United States

Cited by 128 publications

References 15 publications

Safety of Ventricular Tachycardia Ablation in Clinical Practice

Safety of Ventricular Tachycardia Ablation in Clinical Practice

How to Avoid Complications of Mapping and Ablation

Patient characteristics, procedure details including catheter devices, and complications of catheter ablation for ventricular tachycardia: a nationwide observational study

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