Abstract 12218: Time Trends, Mortality and Complications Associated With Cardiac Catheter Ablation; A New Jersey Statewide Study From 1998 to 2012
Objectives: To examine the safety and the time trends in the use of catheter ablation between 1998-2012 in the state of New Jersey in comparison with data from the Nationwide Inpatient Sample (NIS).
Methods: Data were obtained from the Myocardial Infarction Data Acquisition System (MIDAS, a longitudinal database of all cardiovascular related admissions to nonfederal hospitals, interventional cardiovascular procedures, deaths and cause of deaths in New Jersey) and from the NIS database that includes records of 20% of all hospital discharges in the United States. Time trends, mortality and complications of catheter ablation procedures were examined from 1998-2012.
Results: The annual incidence of ablations, in New Jersey, has steadily increased from 1998 (9.6 per 100 000 population) to 2009 (24.5 per 100 000 population) but has declined in the years 2010-2012 (to 21.4 per 100 000 population). A similar increase in the number of ablations was noted in the NIS (from approximately 4 thousand/year in 1998 to greater than 15 thousand/year in 2009). Ablation related mortality remained stable over the study period (0.4 % average for MIDAS). Similar data were observed in the NIS (0.6% average). In MIDAS, the complication rate (Pericardiocentesis, Blood Transfusion, Permanent Pacemaker Implantation, Temporary Pacemaker Insertion and Emergent Cardiac Surgery) steadily decreased by 65.3% from 1998 to 2012.
Conclusions: The number of catheter ablation procedures, has been increasing nationwide as well as in New Jersey. While mortality remains stable at a low rate, the rate of complications has decreased markedly.
Author Disclosures: M.A. Charalambous: None. A. David: None. W.J. Kostis: None. A.E. Moreyra: None. N.M. Cosgrove: None. J.B. Kostis: None.
- © 2014 by American Heart Association, Inc.