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May 1, 1994Pacing and Clinical Electrophysiology

Total number of procedures plateaued from 1991 to 1992; procedure-related deaths were 0.2% and significant complications 2.1% for accessory pathway ablations, with higher complication rates in centers performing <20 procedures a year.

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Population

Patients undergoing catheter ablation procedures across 164 centers in the United States

Design

Cross-sectional

Authors

MSMelvin M. Scheinman

Discussion

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Overview

Higher complication rates in low-volume centers warrant caution; supports volume-outcome link yet leaves thresholds undetermined.

Structured PICO

P
Population
Patients undergoing catheter ablation procedures across 164 centers in the United States
I
Intervention
Catheter ablation
O
Outcome
Patterns of catheter ablation practice, procedure volumes, and complication rates

The 1992 NASPE survey highlights a shift in ablation indications and emphasizes that low-volume centers (<20 procedures/year) have higher complication rates.

Limitations

  • voluntary retrospective survey

Cite This Study

Melvin M. Scheinman (1994) studied this question.

synapsesocial.com/papers/6a71bd82e5469ee92be21dd3https://doi.org/10.1111/j.1540-8159.1994.tb01427.x
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Catheter ablation of arrhythmias: 15 years of development: data from the Swedish Catheter Ablation Registry2025
  2. 2Catheter Ablation of Accessory Pathways: Technique and Results in 248 Patients1990 · 88 citations
  3. 3The 1998 NASPE Prospective Catheter Ablation Registry2000 · 373 citations
  4. 4Contemporary outcomes of catheter ablation of accessory pathways: complications and learning curve2017 · 7 citations
  5. 5Five Years of Catheter Ablation Procedures in South‐Western Europe: Meta‐Analysis of National Registries2009 · 15 citations