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July 19, 2016Journal of Cardiovascular Electrophysiology

Vascular Complications During Catheter Ablation of Cardiac Arrhythmias: A Comparison Between Vascular Ultrasound Guided Access and Conventional Vascular Access

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Why the study?

Does ultrasound-guided vascular access reduce vascular complications in patients undergoing catheter ablation for cardiac arrhythmias compared to conventional access?

Population

689 consecutive patients undergoing 720 catheter-based electrophysiologic procedures at VCU medical center.

Comparison

Ultrasound (US) guided vascular access vs Conventional vascular access

Design

Cohort

Follow-up

30-day

Authors

PSParikshit S. SharmaSPSantosh K. PadalaSGSampath Gunda

Discussion

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Overview

US-guided access may lower vascular complications in EP ablation; leaves open need for randomized confirmation before practice change.

Structured PICO

Does ultrasound-guided vascular access reduce vascular complications in patients undergoing catheter ablation for cardiac arrhythmias compared to conventional access?

P
Population
689 consecutive patients undergoing 720 catheter-based electrophysiologic (EP) procedures (ablations for VT/PVCs 12%, AF 46%, other 42%) at VCU medical center.
I
Intervention
Ultrasound (US) guided vascular access
C
Comparator
Conventional vascular access (modified Seldinger technique without US guidance)
O
Outcome
Vascular complications within a 30-day period after the proceduresafety

Ultrasound-guided vascular access significantly reduces the 30-day risk of vascular complications during catheter-based electrophysiologic procedures compared to conventional access.

Cite This Study

Sharma et al. (2016) studied this question.

synapsesocial.com/papers/6a77dbc50c6965f1a01ef986https://doi.org/10.1111/jce.13042
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