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Cited by 581

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In-Hospital Complications Associated With Catheter Ablation of Atrial Fibrillation in the United States Between 2000 and 2010: Analysis of 93 801 Procedures

Open access
Deshmukh, Abhishek, Patel, Nileshkumar J., Pant, Sadip, Shah, Neeraj, Chothani, Ankit, Mehta, Kathan, Grover, Peeyush, Singh, Vikas, Vallurupalli, Srikanth, Savani, Ghanshyambhai T., Badheka, Apurva, Tuliani, Tushar, Dabhadkar, Kaustubh, Dibu, George, Reddy, Y. Madhu, Sewani, Asif, Kowalski, Marcin, Mitrani, Raul, Paydak, Hakan, Viles-Gonzalez, Juan F.·2013·Circulation

Abstract

Background—: Atrial fibrillation ablation has made tremendous progress with respect to innovation, efficacy, and safety. However, limited data exist regarding the burden and trends in adverse outcomes arising from this procedure. The aim of our study was to examine the frequency of adverse events attributable to atrial fibrillation (AF) ablation and the influence of operator and hospital volume on outcomes. Methods and Results—: With the use of the Nationwide Inpatient Sample, we identified AF patients treated with catheter ablation. We investigated common complications including cardiac perforation and tamponade, pneumothorax, stroke, transient ischemic attack, vascular access complications (hemorrhage/hematoma, vascular complications requiring surgical repair, and accidental arterial puncture), and in-hospital death described with AF ablation, and we defined these complications by using validated International Classification of Diseases, Ninth Revision, Clinical Modification diagnosis codes. An estimated 93 801 AF ablations were performed from 2000 to 2010. The overall frequency of complications was 6.29% with combined cardiac complications (2.54%) being the most frequent. Cardiac complications were followed by vascular complications (1.53%), respiratory complications (1.3%), and neurological complications (1.02%). The in-hospital mortality was 0.46%. Annual operator (<25 procedures) and hospital volume (<50 procedures) were significantly associated with adverse outcomes. There was a small (nonsignificant) rise in overall complication rates. Conclusions—: The overall complication rate was 6.29% in patients undergoing AF ablation. There was a significant association between operator and hospital volume and adverse outcomes. This suggests a need for future research into identifying the safety measures in AF ablations and instituting appropriate interventions to improve overall AF ablation outcomes.

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Cites

  • Updated worldwide survey on the methods, efficacy, and safety of catheter ablation for human atrial fibrillation

    Cappato, R., Calkins, H., Chen, S.-A., Davies, W., Iesaka, Y., Kalman, J., Kim, Y.-H., Klein, G., Natale, A., Packer, D., et al. (2010) · Circulation Arrhythmia and Electrophysiology · doi:10.1161/circep.109.859116 · Cited by 2,852 · cited 4×

    “2104 The past decade has seen catheter ablation of atrial fibril-lation (AF) transition from a new unproven procedure to a commonly performed procedure in most major medical centers throughout the world.1 Catheter ablation of AF has also evolved into a mainstay of therapy for patients with drugrefractory symptomatic A…”
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Metadata

Authors
Deshmukh, A., Patel, N. J., Pant, S., Shah, N., Chothani, A., Mehta, K., Grover, P., Singh, V., Vallurupalli, S., Savani, G. T., Badheka, A., Tuliani, T., Dabhadkar, K., Dibu, G., Reddy, Y. M., Sewani, A., Kowalski, M., Mitrani, R., Paydak, H., & Viles-Gonzalez, J. F.
Venue
Circulation
Published
2013-11-05
Volume
128
Issue
19
Pages
2104-2112
ISSN
  • 0009-7322 (ISSN-L)
  • 1524-4539
OpenAlex
W1987903002
Cited by
581
References
1
FWCI
36.23
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: In-Hospital Complications Associated With Catheter Ablation of Atrial Fibrillation in the United States Between 2000 and 2010: Analysis of 93 801 Procedures. https://app.cochat.ai/papers/10.1161/circulationaha.113.003862
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Deshmukh, A., Patel, N. J., Pant, S., Shah, N., Chothani, A., Mehta, K., Grover, P., Singh, V., Vallurupalli, S., Savani, G. T., Badheka, A., Tuliani, T., Dabhadkar, K., Dibu, G., Reddy, Y. M., Sewani, A., Kowalski, M., Mitrani, R., Paydak, H., & Viles-Gonzalez, J. F. (2013). In-Hospital Complications Associated With Catheter Ablation of Atrial Fibrillation in the United States Between 2000 and 2010: Analysis of 93 801 Procedures. Circulation. https://doi.org/10.1161/circulationaha.113.003862

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.