Journal article
Survey of physician experience, trends and outcomes with atrial fibrillation ablation
Journal of interventional cardiac electrophysiology, Vol.12(3), pp.213-220
04/2005
DOI: 10.1007/s10840-005-0621-6
PMID: 15875112
Abstract
We evaluated the prevalence, trends, outcomes and the general experience of physicians performing atrial fibrillation ablation (AF-ABL) in the United States (US).
AF-ABL is a non-pharmacological and potentially curative therapy for AF. Success rates for AF-ABL have been reported to be between 80 and 90%. Although there are numerous clinical trial addressing this therapy little is known about the general status of AF-ABL in clinical practice.
We administered a mailed survey to the physician members of a professional arrhythmia society (Heart Rhythm Society, formerly known as the North American Society of Pacing and Electrophysiology) who practiced in the US (n = 1843).
There were 304 responses, 66% (n = 204) performed ABL and 30% (n = 92) performed AF-ABL. The study group performed a total of 5,592 AF-ABL from 2000 to 2003, out of 72,575 total ABL procedures during the same time period. There was a four-fold increase in the number of AF-ABL between 2000 and 2003 (2000: 628 vs. 2003: 2,575). In the same period, the self-reported short and long-term success rates of AF-ABL improved an average of 18 +/- 4% (p < or = 0.001). In 2003 the average self-reported one-month, one-year, and two-year success rates were: 71 +/- 4%, 66 +/- 5%, 63 +/- 6% respectively. The predicted five-year success was 60 +/- 4%. The average procedure took 4.5 +/- 0.4 hours. Physicians reported that approximately 29 +/- 4% of their patents were potential candidates for AF-ABL.
AF-ABL is becoming a much more common procedure in the US. Over the last four years the perceived short and long term success rates of AF-ABL have improved. Success rates in this survey are 10 to 20% lower than those reported in the recent clinical trials.
Details
- Title: Subtitle
- Survey of physician experience, trends and outcomes with atrial fibrillation ablation
- Creators
- Steven Mickelsen - University of New MexicoBen Dudley - University of New MexicoEric Treat - University of New MexicoJohn Barela - University of New MexicoJohn Omdahl - University of New MexicoFred Kusumoto - University of New Mexico
- Resource Type
- Journal article
- Publication Details
- Journal of interventional cardiac electrophysiology, Vol.12(3), pp.213-220
- DOI
- 10.1007/s10840-005-0621-6
- PMID
- 15875112
- ISSN
- 1383-875X
- eISSN
- 1572-8595
- Language
- English
- Date published
- 04/2005
- Academic Unit
- Cardiovascular Medicine; Internal Medicine
- Record Identifier
- 9984360043402771
Metrics
12 Record Views