Temporal trends and in‐hospital complications of catheter ablation for atrial fibrillation among patients with moderate and advanced chronic kidney diseases: 2005‐2018

2022 ◽  
Author(s):  
Narut Prasitlumkum ◽  
Ronpichai Chokesuwattanaskul ◽  
Wisit Kaewput ◽  
Charat Thongprayoon ◽  
Nithi Tokavanich ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Catheter Ablation ◽  
Kidney Diseases ◽  
Temporal Trends ◽  
Chronic Kidney Diseases

Abstract 17132: Atrial Fibrillation Ablation in Heart Failure: Temporal Trends and Outcomes in Hospitalized Patients

Circulation ◽  
2018 ◽  
Vol 138 (Suppl_1) ◽  
Author(s):  
Manyoo Agarwal ◽  
Brijesh Patel ◽  
Lohit Garg ◽  
Mahek Shah ◽  
Rami Khouzam ◽  
...  
Keyword(s):  
Heart Failure ◽  
Atrial Fibrillation ◽  
Catheter Ablation ◽  
Mortality Rate ◽  
Hospital Mortality ◽  
Temporal Trends ◽  
Complication Rates ◽  
Af Ablation ◽  
Southern Us ◽  
Comorbidity Burden

Introduction: Recent studies have shown catheter ablation for atrial fibrillation (AF) in patients with heart failure (HF) to have better outcomes over medical therapy. While AF ablation is predominantly an outpatient procedure, some patients may require longer hospitalization. Limited literature exists describing the trends of hospitalizations for HF patients undergoing AF ablation. Methods: Using ICD-9 (diagnosis and procedure codes) in nationwide inpatient sample database 2003 to 2014, we identified all HF adults who were admitted with a principal diagnosis code of AF (427.31) (n= 4,670,400) (AF-HF). Among these, we identified those with a principal procedure code of catheter ablation (37.34) and studied the temporal trends of clinical characteristics and outcomes (in-hospital mortality and complications) for this cohort (Table). Results: The overall number of AF-HF patients undergoing AF ablation was 62,653; with an increase from 1,928 in 2003 to 6,860 in 2014 (p trend<0.001). As shown in Table, over this 12-year period; mean age and proportion of females decreased, while there was an increase in blacks, clinical comorbidity burden, admissions to teaching hospitals and southern US region (all p trend<0.001). The overall procedure related complications (vascular, cardiac, respiratory, neurologic) increased, the in-hospital mortality rate decreased from 1.7% to 0.5% (all p trend<0.001). Conclusions: During 2003-2014, the annual incidence of AF ablation related hospitalizations in HF patients increased significantly. Despite increase in clinical comorbidities burden and procedural complication rates, the mortality rate declined.

Temporal trends in safety and complication rates of catheter ablation for atrial fibrillation

2018 ◽  
Vol 29 (6) ◽  
pp. 854-860 ◽  
Author(s):  
Rahul G. Muthalaly ◽  
Roy M. John ◽  
Benjamin Schaeffer ◽  
Shinichi Tanigawa ◽  
Tomofumi Nakamura ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Catheter Ablation ◽  
Temporal Trends ◽  
Complication Rates

scholarly journals Utilisation and safety of catheter ablation of atrial fibrillation in public and private sector hospitals

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Linh Ngo ◽  
Anna Ali ◽  
Anand Ganesan ◽  
Richard J Woodman ◽  
Robert Adams ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Catheter Ablation ◽  
Private Sector ◽  
Kidney Diseases ◽  
Kidney Injury ◽  
Public Hospitals ◽  
Post Discharge ◽  
Private Hospitals ◽  
Public And Private ◽  
Public And Private Sector

Abstract Background Little is known about the utilisation and safety of catheter ablation of atrial fibrillation (AF) among public and private sector hospitals. Aims To examine the uptake of AF ablations and compare procedural safety between the sectors. Method: Hospitalisation data from all public and private hospitals in four large Australian states (NSW, QLD, VIC and WA) were used to identify patients undergoing AF ablation from 2012 to 17. The primary endpoint was any procedure-related complications up to 30-days post-discharge. Logistic regression was used to evaluate the association between treatment at a public hospital and risk of complications adjusting for covariates. Results Private hospitals performed most of the 21,654 AF ablations identified (n = 16,992, 78.5 %), on patients who were older (63.5 vs. 59.9y) but had lower rates of heart failure (7.9 % vs. 10.4 %), diabetes (10.2 % vs. 14.1 %), and chronic kidney diseases (2.4 % vs. 5.2 %) (all p < 0.001) than those treated in public hospitals. When compared with private hospitals, public hospitals had a higher crude rate of complications (7.25 % vs. 4.70 %, p < 0.001). This difference remained significant after adjustment (OR 1.74 [95 % CI 1.54–2.04]) and it occurred with both in-hospital (OR 1.83 [1.57–2.14]) and post-discharge (OR 1.39 [1.06–1.83]) complications, with certain complications including acute kidney injury (OR 5.31 [3.02–9.36]), cardiac surgery (OR 5.18 [2.19–12.27]), and pericardial effusion (OR 2.18 [1.50–3.16]). Conclusions Private hospitals performed most of AF ablations in Australia with a lower rate of complications when compared with public hospitals. Further investigations are needed to identify the precise mechanisms of this observed difference.

scholarly journals Effect of Chronic Kidney Diseases on Mortality among Digoxin Users Treated for Non-Valvular Atrial Fibrillation: A Nationwide Register-Based Retrospective Cohort Study

PLoS ONE ◽  
2016 ◽  
Vol 11 (7) ◽  
pp. e0160337 ◽  
Author(s):  
Maurizio Sessa ◽  
Annamaria Mascolo ◽  
Mikkel Porsborg Andersen ◽  
Giuseppe Rosano ◽  
Francesco Rossi ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Cohort Study ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Kidney Diseases ◽  
Chronic Kidney Diseases

Complications arising from catheter ablation of atrial fibrillation: Temporal trends and predictors

Heart Rhythm ◽  
2011 ◽  
Vol 8 (12) ◽  
pp. 1869-1874 ◽  
Author(s):  
Hana Hoyt ◽  
Aditya Bhonsale ◽  
Karuna Chilukuri ◽  
Fawaz Alhumaid ◽  
Matthew Needleman ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Catheter Ablation ◽  
Temporal Trends

Temporal trends of catheter ablation for patients with atrial fibrillation: A Korean nationwide population‐based study

2020 ◽  
Vol 31 (10) ◽  
pp. 2616-2625
Author(s):  
Euijae Lee ◽  
So‐Ryoung Lee ◽  
Eue‐Keun Choi ◽  
Kyung‐Do Han ◽  
Myung‐Jin Cha ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Catheter Ablation ◽  
Temporal Trends ◽  
Population Based ◽  
Population Based Study

scholarly journals Temporal trends in availability and efficacy of catheter ablation for atrial fibrillation and atrial flutter in a highly populated urban area

2020 ◽  
Author(s):  
Maciej Faryan ◽  
Piotr Buchta ◽  
Oskar Kowalski ◽  
Maciej T. Wybraniec ◽  
Daniel Cieśla ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Catheter Ablation ◽  
Atrial Flutter ◽  
Urban Area ◽  
Temporal Trends
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