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The infrastructure of electrophysiology centers impacts the management of cardiac tamponade-Results from a national survey

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The infrastructure of electrophysiology centers impacts the management of cardiac tamponade-Results from a national survey. / Rottner, Laura; Reubold, Stefan; Schönhofer, Sophie; Reißmann, Bruno; Ouyang, Feifan; Obergassel, Julius; My, Ilaria; Moser, Fabian; Wenzel, Jan-Per; Lemoine, Marc; Steven, Daniel; Sommer, Philipp; Kirchhof, Paulus; Rillig, Andreas; Metzner, Andreas.

in: CLIN CARDIOL, Jahrgang 46, Nr. 10, 10.2023, S. 1210-1219.

Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung

Harvard

Rottner, L, Reubold, S, Schönhofer, S, Reißmann, B, Ouyang, F, Obergassel, J, My, I, Moser, F, Wenzel, J-P, Lemoine, M, Steven, D, Sommer, P, Kirchhof, P, Rillig, A & Metzner, A 2023, 'The infrastructure of electrophysiology centers impacts the management of cardiac tamponade-Results from a national survey', CLIN CARDIOL, Jg. 46, Nr. 10, S. 1210-1219. https://doi.org/10.1002/clc.24096

APA

Rottner, L., Reubold, S., Schönhofer, S., Reißmann, B., Ouyang, F., Obergassel, J., My, I., Moser, F., Wenzel, J-P., Lemoine, M., Steven, D., Sommer, P., Kirchhof, P., Rillig, A., & Metzner, A. (2023). The infrastructure of electrophysiology centers impacts the management of cardiac tamponade-Results from a national survey. CLIN CARDIOL, 46(10), 1210-1219. https://doi.org/10.1002/clc.24096

Vancouver

Rottner L, Reubold S, Schönhofer S, Reißmann B, Ouyang F, Obergassel J et al. The infrastructure of electrophysiology centers impacts the management of cardiac tamponade-Results from a national survey. CLIN CARDIOL. 2023 Okt;46(10):1210-1219. https://doi.org/10.1002/clc.24096

Bibtex

@article{f7b6ac41923144f98f9d89dfb1932d51,
title = "The infrastructure of electrophysiology centers impacts the management of cardiac tamponade-Results from a national survey",
abstract = "BACKGROUND: Although electrophysiological (EP) centers have institutional standards, evidence on management of cardiac tamponade is lacking.AIM AND METHODS: A physician-based survey was conducted by sending out questionnaires to all hospitals in Germany performing EP procedures. To evaluate the infrastructure of EP centers and the impact of center volume and onsite cardiac surgery on the management of cardiac tamponade, the results of the survey were analyzed for low-volume (0-250 procedures per year), mid-volume (250-500 procedures), and high-volume (>500 procedures) centers, as well as for centers with and without onsite cardiac surgery.RESULTS: A total of 341 centers were identified and 189/341 (55%) returned data sets were analyzed. Most types of EP procedures are performed across all kinds of centers. Ablation of ventricular tachycardia (VT) is concentrated in higher volume centers and in centers with onsite cardiac surgery. None of the participating low-volume centers and only 13% of centers without onsite cardiac surgery responded to performing epicardial VT ablation. Irrespective of center volume and onsite cardiac surgery, neither body mass index nor age was reported to be an exclusion criterion for ablation procedures. Higher volume centers and centers with onsite cardiac surgery more often have dedicated EP laboratories and EP-nursing teams. Also, differences regarding periprocedural safety precautions and management of cardiac tamponade were found for low-, mid-, and high-volume centers, as well as for centers with and without onsite cardiac surgery.CONCLUSION: While center volume and onsite cardiac surgery do not impact patient selection, there are differences in ablation spectrum, infrastructure, periprocedural safety precautions, and treatment of tamponade.",
keywords = "Humans, Cardiac Tamponade/etiology, Arrhythmias, Cardiac/diagnosis, Tachycardia, Ventricular/surgery, Germany/epidemiology, Catheter Ablation/methods, Electrophysiology, Treatment Outcome",
author = "Laura Rottner and Stefan Reubold and Sophie Sch{\"o}nhofer and Bruno Rei{\ss}mann and Feifan Ouyang and Julius Obergassel and Ilaria My and Fabian Moser and Jan-Per Wenzel and Marc Lemoine and Daniel Steven and Philipp Sommer and Paulus Kirchhof and Andreas Rillig and Andreas Metzner",
note = "{\textcopyright} 2023 The Authors. Clinical Cardiology published by Wiley Periodicals LLC.",
year = "2023",
month = oct,
doi = "10.1002/clc.24096",
language = "English",
volume = "46",
pages = "1210--1219",
journal = "CLIN CARDIOL",
issn = "0160-9289",
publisher = "John Wiley and Sons Inc.",
number = "10",

}

RIS

TY - JOUR

T1 - The infrastructure of electrophysiology centers impacts the management of cardiac tamponade-Results from a national survey

AU - Rottner, Laura

AU - Reubold, Stefan

AU - Schönhofer, Sophie

AU - Reißmann, Bruno

AU - Ouyang, Feifan

AU - Obergassel, Julius

AU - My, Ilaria

AU - Moser, Fabian

AU - Wenzel, Jan-Per

AU - Lemoine, Marc

AU - Steven, Daniel

AU - Sommer, Philipp

AU - Kirchhof, Paulus

AU - Rillig, Andreas

AU - Metzner, Andreas

N1 - © 2023 The Authors. Clinical Cardiology published by Wiley Periodicals LLC.

PY - 2023/10

Y1 - 2023/10

N2 - BACKGROUND: Although electrophysiological (EP) centers have institutional standards, evidence on management of cardiac tamponade is lacking.AIM AND METHODS: A physician-based survey was conducted by sending out questionnaires to all hospitals in Germany performing EP procedures. To evaluate the infrastructure of EP centers and the impact of center volume and onsite cardiac surgery on the management of cardiac tamponade, the results of the survey were analyzed for low-volume (0-250 procedures per year), mid-volume (250-500 procedures), and high-volume (>500 procedures) centers, as well as for centers with and without onsite cardiac surgery.RESULTS: A total of 341 centers were identified and 189/341 (55%) returned data sets were analyzed. Most types of EP procedures are performed across all kinds of centers. Ablation of ventricular tachycardia (VT) is concentrated in higher volume centers and in centers with onsite cardiac surgery. None of the participating low-volume centers and only 13% of centers without onsite cardiac surgery responded to performing epicardial VT ablation. Irrespective of center volume and onsite cardiac surgery, neither body mass index nor age was reported to be an exclusion criterion for ablation procedures. Higher volume centers and centers with onsite cardiac surgery more often have dedicated EP laboratories and EP-nursing teams. Also, differences regarding periprocedural safety precautions and management of cardiac tamponade were found for low-, mid-, and high-volume centers, as well as for centers with and without onsite cardiac surgery.CONCLUSION: While center volume and onsite cardiac surgery do not impact patient selection, there are differences in ablation spectrum, infrastructure, periprocedural safety precautions, and treatment of tamponade.

AB - BACKGROUND: Although electrophysiological (EP) centers have institutional standards, evidence on management of cardiac tamponade is lacking.AIM AND METHODS: A physician-based survey was conducted by sending out questionnaires to all hospitals in Germany performing EP procedures. To evaluate the infrastructure of EP centers and the impact of center volume and onsite cardiac surgery on the management of cardiac tamponade, the results of the survey were analyzed for low-volume (0-250 procedures per year), mid-volume (250-500 procedures), and high-volume (>500 procedures) centers, as well as for centers with and without onsite cardiac surgery.RESULTS: A total of 341 centers were identified and 189/341 (55%) returned data sets were analyzed. Most types of EP procedures are performed across all kinds of centers. Ablation of ventricular tachycardia (VT) is concentrated in higher volume centers and in centers with onsite cardiac surgery. None of the participating low-volume centers and only 13% of centers without onsite cardiac surgery responded to performing epicardial VT ablation. Irrespective of center volume and onsite cardiac surgery, neither body mass index nor age was reported to be an exclusion criterion for ablation procedures. Higher volume centers and centers with onsite cardiac surgery more often have dedicated EP laboratories and EP-nursing teams. Also, differences regarding periprocedural safety precautions and management of cardiac tamponade were found for low-, mid-, and high-volume centers, as well as for centers with and without onsite cardiac surgery.CONCLUSION: While center volume and onsite cardiac surgery do not impact patient selection, there are differences in ablation spectrum, infrastructure, periprocedural safety precautions, and treatment of tamponade.

KW - Humans

KW - Cardiac Tamponade/etiology

KW - Arrhythmias, Cardiac/diagnosis

KW - Tachycardia, Ventricular/surgery

KW - Germany/epidemiology

KW - Catheter Ablation/methods

KW - Electrophysiology

KW - Treatment Outcome

U2 - 10.1002/clc.24096

DO - 10.1002/clc.24096

M3 - SCORING: Journal article

C2 - 37526378

VL - 46

SP - 1210

EP - 1219

JO - CLIN CARDIOL

JF - CLIN CARDIOL

SN - 0160-9289

IS - 10

ER -