Trends in safety of catheter-based electrophysiology procedures in the last 2 decades: A meta-analysis. (Record no. 14431)

MARC details
000 -LEADER
fixed length control field 03510nam a22004457a 4500
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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
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Manufacturer FY2024
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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
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Date added to catalog 2024-08-07
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Date Medline record created 2024/05/16 10:33
501 ## - WITH NOTE
Local holdings Available online through MWHC library: 2004 - present
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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.
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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.
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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).
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Abstract OBJECTIVE: This meta-analysis aimed to assess complication rates after modern electrophysiology procedures during the lifetime of the procedures.
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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
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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
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Department Cardiovascular Disease Fellowship
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Department Clinical Cardiac Electrophysiology Fellowship
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Medline publication type Journal Article
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Local Authors Basyal, Binaya
Institution Code MWHC
Program Clinical Cardiac Electrophysiology Fellowship
Degree MBBS
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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
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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
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Barcode Date last seen Price effective from Koha item type
              08/07/2024   38752906 08/07/2024 08/07/2024 Journal Article

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