MARC details
000 -LEADER |
fixed length control field |
03510nam a22004457a 4500 |
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
fixed length control field |
240807s20242024 xxu||||| |||| 00| 0 eng d |
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
International Standard Serial Number |
1547-5271 |
024 ## - OTHER STANDARD IDENTIFIER |
Standard number or code |
S1547-5271(24)00355-2 [pii] |
040 ## - CATALOGING SOURCE |
Original cataloging agency |
Ovid MEDLINE(R) |
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) |
PMID |
38752906 |
245 ## - TITLE STATEMENT |
Title |
Trends in safety of catheter-based electrophysiology procedures in the last 2 decades: A meta-analysis. |
251 ## - Source |
Source |
Heart Rhythm. 2024 Apr 16 |
252 ## - Abbreviated Source |
Abbreviated source |
Heart Rhythm. 2024 Apr 16 |
253 ## - Journal Name |
Journal name |
Heart rhythm |
260 ## - PUBLICATION, DISTRIBUTION, ETC. |
Year |
2024 |
260 ## - PUBLICATION, DISTRIBUTION, ETC. |
Manufacturer |
FY2024 |
260 ## - PUBLICATION, DISTRIBUTION, ETC. |
Publication date |
2024 Apr 16 |
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] |
Publication status |
aheadofprint |
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] |
Medline status |
Publisher |
266 ## - Date added to catalog |
Date added to catalog |
2024-08-07 |
266 ## - Date added to catalog |
Date Medline record created |
2024/05/16 10:33 |
501 ## - WITH NOTE |
Local holdings |
Available online through MWHC library: 2004 - present |
520 ## - SUMMARY, ETC. |
Abstract |
BACKGROUND: Rapid technologic development and expansion of procedural expertise have led to widespread proliferation of catheter-based electrophysiology procedures. It is unclear whether these advances come at cost to patient safety. |
520 ## - SUMMARY, ETC. |
Abstract |
CONCLUSION: Despite an increase in cardiac electrophysiology procedures, procedural safety has improved over time. Copyright © 2024 Heart Rhythm Society. Published by Elsevier Inc. All rights reserved. |
520 ## - SUMMARY, ETC. |
Abstract |
METHODS: A comprehensive search was performed to identify relevant data published before May 30, 2023. Studies were included if they met the following inclusion criteria: prospective trials or registries, including comprehensive complications data; and patients undergoing atrial fibrillation ablation, ventricular tachyarrhythmia ablation, leadless cardiac pacemaker implantation, and percutaneous left atrial appendage occlusion. Pooled incidences of procedure-related complications were individually assessed by random effects models to account for heterogeneity. Temporal trends in complications were investigated by clustering trials by publication year (2000-2018 vs 2019-2023). |
520 ## - SUMMARY, ETC. |
Abstract |
OBJECTIVE: This meta-analysis aimed to assess complication rates after modern electrophysiology procedures during the lifetime of the procedures. |
520 ## - SUMMARY, ETC. |
Abstract |
RESULTS: A total of 174 studies (43,914 patients) met criteria for analysis: 126 studies of atrial fibrillation ablation (n = 24,057), 25 studies of ventricular tachyarrhythmia ablation (n = 1781), 21 studies of leadless cardiac pacemaker (n = 8896), and 18 studies of left atrial appendage occlusion (n = 9180). The pooled incidences of serious procedure-related complications (3.49% [2000-2018] vs 3.05% [2019-2023]; P < .001), procedure-related stroke (0.46% vs 0.28%; P = .002), pericardial effusion requiring intervention (1.02% vs 0.83%; P = .037), and procedure-related death (0.15% vs 0.06%; P = .003) significantly decreased over time. However, there was no significant difference in the incidence of vascular complications over time (1.86% vs 1.88%; P = .888). |
546 ## - LANGUAGE NOTE |
Language note |
English |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
IN PROCESS -- NOT YET INDEXED |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Indexing |
Automated |
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
Institution |
MedStar Washington Hospital Center |
656 ## - INDEX TERM--OCCUPATION |
Department |
Cardiovascular Disease Fellowship |
656 ## - INDEX TERM--OCCUPATION |
Department |
Clinical Cardiac Electrophysiology Fellowship |
657 ## - INDEX TERM--FUNCTION |
Medline publication type |
Journal Article |
700 ## - ADDED ENTRY--PERSONAL NAME |
Local Authors |
Basyal, Binaya |
Institution Code |
MWHC |
Program |
Clinical Cardiac Electrophysiology Fellowship |
Degree |
MBBS |
700 ## - ADDED ENTRY--PERSONAL NAME |
Local Authors |
Oates, Connor |
Institution Code |
MWHC |
Program |
Cardiovascular Disease Fellowship |
Degree |
MD |
790 ## - Authors |
All authors |
Oates CP, Basyal B, Whang W, Reddy VY, Koruth JS |
856 ## - ELECTRONIC LOCATION AND ACCESS |
DOI |
<a href="https://dx.doi.org/10.1016/j.hrthm.2024.03.043">https://dx.doi.org/10.1016/j.hrthm.2024.03.043</a> |
Public note |
https://dx.doi.org/10.1016/j.hrthm.2024.03.043 |
942 ## - ADDED ENTRY ELEMENTS (KOHA) |
Koha item type |
Journal Article |
Item type description |
Article |