August 20, 2019BioMed Research InternationalOpen Access

An Economic Analysis of the Systematic Use of Mapping Systems during Catheter Ablation Procedures: Single Center Experience

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Why the study?

The cost-effectiveness of adopting 3D nonfluoroscopic mapping systems for catheter ablation of SVT and AF had not been estimated.

Does the use of 3D Nonfluoroscopic Mapping Systems improve cost-effectiveness in patients undergoing catheter ablation for SVT and AF?

Population

Patients undergoing SVT or AF catheter ablation from 2007 to 2016

Comparison

NMS adoption vs fluoroscopy alone (SVT) or updated vs earlier NMS versions (AF)

Design

Single-center cost-effectiveness analysis

Authors

MMMassimiliano MariniElectrophysiology DRDaniele RavanelliOspedale Santa Chiara MMMarta Jiménez MartínHospital Universitario HM Madrid

Discussion

Member takes

Implication

NMS use may be cost-effective for AF but not SVT ablation; leaves open need for prospective trials before routine adoption.

Structured PICO

Does the use of 3D Nonfluoroscopic Mapping Systems improve cost-effectiveness in patients undergoing catheter ablation for SVT and AF?

Population

Patients undergoing catheter ablation for supraventricular tachycardia (SVT) and atrial fibrillation (AF) between 2007 and 2016 at a single center.

Intervention

3D Nonfluoroscopic Mapping Systems (NMSs) during catheter ablation (used in 2011 for SVT and 2012 for AF).

Comparator

Fluoroscopy alone (for SVT in 2007) or older NMS software/hardware versions (for AF in 2007).

Outcome

Cost-effectiveness based on alpha value (AV) and value of a statistical life (VSL) compared to the real additional cost of using an NMS.

The systematic use of 3D nonfluoroscopic mapping systems appears cost-effective for atrial fibrillation ablation due to significant radiation reduction, but not for supraventricular tachycardia ablation.

Cite This Study

Marini et al. (2019) studied this question.

synapsesocial.com/papers/6a716dde22b3175134db619e https://doi.org/10.1155/2019/2427015

Topics

Persistent AF management Atrial fibrillation AF ablation outcomes

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An Economic Analysis of the Systematic Use of Mapping Systems during Catheter Ablation Procedures: Single Center Experience

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Topics

An Economic Analysis of the Systematic Use of Mapping Systems during Catheter Ablation Procedures: Single Center Experience

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Topics

Also Consider