Aa
Aa
A
A
A
Close
12492606 tn?1459874033

Ablation specialist - How picky should you be?

That is a rhetorical question.  Below is a tabulation of complication rates between 4 different classifications AF ablation centers.   Tertiary referral worldwide centers, a large survey of private and medicare centers, bottom 50% medicare centers and overall medicare centers.  Data is from Cappato el al worldwide survey, Desmukh el al US data set and Winkle's analysis of US medicare data.  Only major complications are included.  The more detailed table is at lone Afib forum site.  In percent of patients.  The really shocking statistic from Desmukh's survey was that 81% of the ablation procedures were done at centers that do less than 25 AF ablation per year.  Heart Rhythm society guidelines indicate that minimum competency requires 100 procedures per year.   Be careful out there.

Death                         0.15 0.42 0.65 0.4
Tamponade                  1.31 2.54 3.15 3.1
Pneumothorax                 0.09 0.39 0.55 0.4
Total vascular below         0.54 5.8 5.7 5.7
Valve damage/requiring surgery 0.07 0.28 0.4 0.4
Stroke                                0.23 included below 0.4 0.4
Transient ischemic attack        0.71 1.02                         0.3 0.2
Total major                                 4.54 6.28 9.15 9.1
2 Responses
86819 tn?1378947492
No. People should be careful no question. Very interesting thanks for posting this info.  Just curious,  what does total vascular below refer to?
12492606 tn?1459874033
It should just have been "total vascular" in the message posted here.  In the spreadsheet, researchers used different descriptors for various complications and some numbers had to be added up for comparison purposes.  The cut and paste didn't transfer in this case.  A better formatted version of the table is available at lone afib forum.
Have an Answer?

You are reading content posted in the Heart Rhythm Community

Top Arrhythmias Answerers
1807132 tn?1318743597
Chicago, IL
1423357 tn?1511085442
Central, MA
Learn About Top Answerers
Didn't find the answer you were looking for?
Ask a question
Popular Resources
Are there grounds to recommend coffee consumption? Recent studies perk interest.
Salt in food can hurt your heart.
Get answers to your top questions about this common — but scary — symptom
How to know when chest pain may be a sign of something else
The first signs of HIV may feel like the flu, with aches and a fever.
Frequency of HIV testing depends on your risk.