Cardiac tamponade in catheter ablation of atrial fibrillation: German-wide analysis of 21 141 procedures in the Helios atrial fibrillation ablation registry (SAFER). Issue 12 (3rd July 2018)

• Record Type: Journal Article
• Authors: Bollmann, Andreas; Ueberham, Laura; Schuler, Ekkehard; Wiedemann, Michael; Reithmann, Christopher; Sause, Armin; Tebbenjohanns, Jürgen; Schade, Anja; Shin, Dong-In; Staudt, Alexander; Zacharzowsky, Udo; Ulbrich, Michael; Wetzel, Ulrike; Neuser, Hans; Bode, Kerstin; Kuhlen, Ralf; Hindricks, Gerhard
• Is Part Of: Europace. Volume 20:Issue 12(2018)
• Page Start: 1944
• Page End: 1951
• Publication Date: 2018-07-03
• Subjects: Atrial fibrillation -- Catheter ablation -- Pericardial effusion -- Cardiac tamponade -- Safety outcomes -- Administrative data; Arrhythmia -- Treatment -- Periodicals; Cardiac pacing -- Periodicals; Catheter ablation -- Periodicals; Heart -- Physiology -- Periodicals; Electrophysiology -- Periodicals; 617.4120645
• DOI: 10.1093/europace/euy131
• Languages: English
• ISSNs: 1099-5129

Abstract

Abstract: Aims: Catheter ablation is an established therapy in patients with symptomatic atrial fibrillation (AF) with increasing popularity. Pericardial effusion requiring intervention (PE) is one of the most threatening adverse outcomes. The aim of this study was to examine rates of PE after catheter ablation in a large 'real-world' data set in a German-wide hospital network. Methods and results: Using ICD and OPS codes, administrative data of 85 Helios hospitals from 2010 to 2017 was used to identify AF catheter ablation cases [Helio s a trial f ibrillation ablation r e gist r y (SAFER)]. PE occurred in 0.9% of 21 141 catheter ablation procedures. Patients with PE were significantly older, to a higher percentage female, had more frequently hypertension, mild liver disease, diabetes with chronic complications, and renal disease. Low hospital volume (<50 procedures per year) and radiofrequency ablation (vs. cryoablation) were significantly associated with PE. Using two logistic regression models, age, female gender, hypertension, mild liver disease, diabetes with chronic complications, renal disease, low hospital volume, and radiofrequency ablation remained independent predictors for PE. Conclusion: Overall PE rate was 0.9%. Predictors for PE occurrence involved factors ascribed to the patient (age, gender, comorbidities), the type of catheter ablation (radiofrequency), and the institution (low-volume centres).