The first Latin American Catheter Ablation Registry
Open accessAbstract
AIMS: To assess the results of transcatheter ablation of cardiac arrhythmias in Latin America and establish the first Latin American transcatheter ablation registry. METHODS AND RESULTS: All ablation procedures performed between 1 January and 31 December 2012 were analysed retrospectively. Data were obtained on the characteristics and resources of participating centres (public or private institution, number of beds, cardiac surgery availability, type of room for the procedures, days per week assigned to electrophysiology procedures, type of fluoroscopy equipment, availability and type of electroanatomical mapping system, intracardiac echo, cryoablation, and number of electrophysiologists) and the results of 17 different ablation substrates: atrio-ventricular node reentrant tachycardia, typical atrial flutter, atypical atrial flutter, left free wall accessory pathway, right free wall accessory pathway, septal accessory pathway, right-sided focal atrial tachycardia, left-sided focal atrial tachycardia, paroxysmal atrial fibrillation, non-paroxysmal atrial fibrillation, atrio-ventricular node, premature ventricular complex, idiopathic ventricular tachycardia, post-myocardial infarction ventricular tachycardia, ventricular tachycardia in chronic chagasic cardiomyopathy, ventricular tachycardia in congenital heart disease, and ventricular tachycardias in other structural heart diseases. Data of 15 099 procedures were received from 120 centres in 13 participating countries (Argentina, Bolivia, Brazil, Chile, Colombia, Cuba, El Salvador, Guatemala, Mexico, Peru, Dominican Republic, Uruguay, and Venezuela). Accessory pathway was the group of arrhythmias most frequently ablated (31%), followed by atrio-ventricular node reentrant tachycardia (29%), typical atrial flutter (14%), and atrial fibrillation (11%). Overall success was 92% with the rate of global complications at 4% and mortality 0.05%. CONCLUSION: Catheter ablation in Latin America can be considered effective and safe.
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In the first Latin American registry on catheter ablation including 15,099 procedures from 120 centres in 13 countries, AVRT was the most frequently ablated arrhythmia (31%), followed by AVNRT (29%), typical AFL (14%), and AF (11%).
“Recently, in the first Latin American registry on catheter ablation including 15 099 procedures from 120 centres in 13 participating countries, AVRT was the group of arrhythmias most frequently ablated (31%), followed by AVNRT (29%), typical AFL (14%), and AF (11%).10”
From European Heart Rhythm Association (EHRA) consensus document on the management of supraventricular arrhythmias, endorsed by Heart Rhythm Society (HRS), Asia-Pacific Heart Rhythm Society (APHRS), and Sociedad Latinoamericana de Estimulacion Cardiaca y Electrofisiologia (SOLAECE) (2017) · cites this paper as [10]
In the Latin American Catheter Ablation Registry, there was one death (0.08% mortality) following ablation of a right accessory pathway.
“In the recently published Latin American Catheter Ablation Registry there was one death (0.08% mortality) following ablation of a right accessory pathway.10”
From European Heart Rhythm Association (EHRA) consensus document on the management of supraventricular arrhythmias, endorsed by Heart Rhythm Society (HRS), Asia-Pacific Heart Rhythm Society (APHRS), and Sociedad Latinoamericana de Estimulacion Cardiaca y Electrofisiologia (SOLAECE) (2017) · cites this paper as [10]
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Cites
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Catheter Technique for Closed-Chest Ablation of the Atrioventricular Conduction System
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Complications of Catheter Ablation of Atrial Fibrillation
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Research works printed but not linked: 2
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Katritsis, D. G., Boriani, G., Cosio, F. G., Hindricks, G., Jaïs, P., Josephson, M. E., Keegan, R., Kim, Y.-H., Knight, B. P., Kuck, K.-H., et al. (2017) · Europace · doi:10.1093/europace/euw301 · Cited by 188 · see citing works
Self-citation
- Authors
- Keegan, R., Aguinaga, L., Fenelon, G., Uribe, W., Rodriguez Diez, G., Scanavacca, M., Patete, M., Carhuaz, R. Z., Labadet, C., De Zuloaga, C., Pozzer, D., & Scazzuso, F.
- Affiliations
- Universidade Paulista (BR)
- Centro de Educación Médica e Investigaciones Clínicas Norberto Quirno (AR)
- Instituto Cardiovascular de Buenos Aires (AR)
- Corresponding author
- Keegan, Roberto
- Venue
- EP Europace
- Publisher
- Oxford University Press (OUP)
- Published
- 2015-01-23
- Volume
- 17
- Issue
- 5
- Pages
- 794-800
- ISSN
- 1099-5129 (ISSN-L)
- 1532-2092
- OpenAlex
- W2165462311
- Cited by
- 52
- References
- 12
- Citations by year
- 2026: 4 · 2025: 8 · 2024: 5 · 2023: 2 · 2022: 6 · 2021: 8 · 2020: 7 · 2019: 5 · 2018: 3 · 2017: 3 · 2016: 1
- FWCI
- 1.69
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- EP Europace (publishedVersion)
- PubMed (publishedVersion)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (publishedVersion, other-oa)
- UNIFESP Institutional Repository (Universidade Federal de São Paulo) (submittedVersion)
- Funders
- European Society of Cardiology
- St. Jude Medical
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Arrhythmias and Treatments
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Atrial Fibrillation Management and Outcomes
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
- Keywords
- catheter ablation, cardiac arrhythmias, Latin America, procedural success, procedural complications, atrioventricular nodal reentrant tachycardia, atrial flutter, atrial fibrillation, accessory pathway, ventricular tachycardia, procedural safety
- MeSH terms
- Arrhythmias, Cardiac, Health Services Accessibility, Humans, Latin America, Registries, Retrospective Studies, Risk Factors, Time Factors, Treatment Outcome, Catheter Ablation, Risk Assessment, Healthcare Disparities
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