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Published in: BMC Health Services Research 1/2021

Open Access 01-12-2021 | Atrial Fibrillation | Research article

Canadian national electrophysiology ablation registry report 2011–2016

Authors: Anna Kaoutskaia, Mohammed Shurrab, Guy Amit, Ratika Parkash, Derek Exner, Satish Toal, Laurence Sterns, Jean-Francois Sarrazin, Vijay Chauhan, Omar Sultan, Girish Nair, Marc Deyell, Laurent Macle, Steve Klassen, Benedict Glover, Eugene Crystal

Published in: BMC Health Services Research | Issue 1/2021

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Abstract

Background/purpose

: Interventional cardiac electrophysiology (EP) is a rapidly evolving field in Canada; a nationwide registry was established in 2011 to conduct a periodic review of resource allocation.

Methods

The registry collects annual data on EP lab infrastructure, imaging, tools, human resources, procedural volumes, success rates, and wait times. Leading physicians from each EP lab were contacted electronically; participation was voluntary.

Results

All Canadian EP centres were identified (n = 30); 50 and 45 % of active centres participated in the last 2 instalments of the registry. A mean of 508 ± 270 standard and complex catheter ablation procedures were reported annually for 2015–2016 by all responding centres. The most frequently performed ablation targets atrial fibrillation (PVI) arrhythmia accounting for 36 % of all procedures (mean = 164 ± 85). The number of full time physicians ranges between 1 and 7 per centre, (mean = 4). The mean wait time to see an electrophysiologist for an initial non-urgent consult is 23 weeks. The wait time between an EP consult and ablation date is 17.8 weeks for simple ablation, and 30.1 weeks for AF ablation. On average centres have 2 (range: 1–4) rooms equipped for ablations; each centre uses the EP lab an average of 7 shifts per week. While diagnostic studies and radiofrequency ablations are performed in all centres, point-by-point cryoablation is available in 85 % centres; 38 % of the respondents use circular ablation techniques.

Conclusions

This initiative provides contemporary data on invasive electrophysiology lab practices. The EP registry provides activity benchmarks on national trends and practices.
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Metadata
Title
Canadian national electrophysiology ablation registry report 2011–2016
Authors
Anna Kaoutskaia
Mohammed Shurrab
Guy Amit
Ratika Parkash
Derek Exner
Satish Toal
Laurence Sterns
Jean-Francois Sarrazin
Vijay Chauhan
Omar Sultan
Girish Nair
Marc Deyell
Laurent Macle
Steve Klassen
Benedict Glover
Eugene Crystal
Publication date
01-12-2021
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2021
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/s12913-021-06441-0

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