Complications arising from catheter ablation of atrial fibrillation: Temporal trends and predictors

Hana Hoyt, Aditya Bhonsale, Karuna Chilukuri, Fawaz Alhumaid, Matthew Needleman, David Edwards, Ashul Govil, Saman Nazarian, Alan Cheng, Charles A. Henrikson, Sunil Sinha, Joseph Marine, Ronald D Berger, Hugh Calkins, David D Spragg

Research output: Contribution to journalArticle

Abstract

Background: The reported complication rate of catheter ablation of atrial fibrillation (AF) varies. Objective: Our goal was to assess temporal trends and the effect of both institutional and individual operators' experience on the incidence of complications. Methods: All patients undergoing AF ablation at Johns Hopkins Hospital between February 2001 and December 2010 were prospectively enrolled in a database. Major complications were defined as those that were life-threatening, resulted in permanent harm, required intervention, or significantly prolonged hospitalization. Results: Fifty-six major complications occurred in 1190 procedures (4.7%). The majority of complications were vascular (18; 1.5%), followed by pericardial tamponade (13; 1.1%) and cerebrovascular accident (12; 1.1%). No cases of death or atrioesophageal fistula occurred. The overall complication rate decreased from 11.1% in 2002 to 1.6% in 2010 (P 2 score of 2 score of 2 score of

Original languageEnglish (US)
Pages (from-to)1869-1874
Number of pages6
JournalHeart Rhythm
Volume8
Issue number12
DOIs
StatePublished - Dec 2011

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Keywords

  • Atrial fibrillation
  • Catheter ablation
  • Complication

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)

Cite this

Hoyt, H., Bhonsale, A., Chilukuri, K., Alhumaid, F., Needleman, M., Edwards, D., Govil, A., Nazarian, S., Cheng, A., Henrikson, C. A., Sinha, S., Marine, J., Berger, R. D., Calkins, H., & Spragg, D. D. (2011). Complications arising from catheter ablation of atrial fibrillation: Temporal trends and predictors. Heart Rhythm, 8(12), 1869-1874. https://doi.org/10.1016/j.hrthm.2011.07.025