Electrophysiology lab efficiency using cryoballoon for pulmonary vein isolation in Latin America: A sub-analysis of the Cryo Global Registry Study.

IF 1.2 Q2 MEDICINE, GENERAL & INTERNAL
Armando Pérez-Silva, Rodrigo Isa-Param, Juan F Agudelo-Uribe, Alex Pacheco-Bouthillier, Reece Holbrook, Daniela Paredes-Fernández, Kayla Jones, Juan Tellez, Thomas R Holmes, Alicia Sale, Nicolás Martinenghi
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引用次数: 0

Abstract

Objective: Cryoballoon ablation for pulmonary vein isolation is a time-efficient procedure that can alleviate stress on electrophysiology lab resources. This analysis modeled the impact of cryoballoon ablation on electrophysiology lab operation using data from Latin America.

Methods: Data from centers in Argentina, Mexico, Colombia, and Chile of the were used as inputs for an electrophysiology lab efficiency simulation model. The model used the assumption that either two (today's electrophysiology lab operations) or three (including electrophysiology lab operational changes) cryoballoon ablation procedures could be performed per day. The endpoints were the percentage of days that resulted in 1) overtime and 2) time left for an extra non-ablation electrophysiology procedure.

Results: Data from a total of 232 procedures from six Latin American centers were included in the analysis. The average electrophysiology lab occupancy time for all procedures in Latin America was 132 ± 62 minutes. In the Current Scenario (two procedures per day), 7.4% of simulated days resulted in overtime, and 81.4% had enough time for an extra electrophysiology procedure. In the Enhanced Productivity Scenario (three procedures per day), 16.4% of days used overtime, while 67.4% allowed time for an extra non-ablation electrophysiology procedure.

Conclusions: Using real-world, Latin American-specific data, we found that with operational changes, three ablation procedures could feasibly be performed daily, leaving time for an extra electrophysiology procedure on more than half of days. Thus, use of cryoballoon ablation is an effective tool to enhance electrophysiology lab efficiency in resource-constrained regions such as Latin America.

拉丁美洲使用冷冻球囊进行肺静脉隔离的电生理学实验室效率:冷冻全球注册研究子分析。
目的:用于肺静脉隔离的低温球囊消融术是一种省时的手术,可减轻电生理学实验室资源的压力。本分析利用拉丁美洲的数据模型分析了低温球囊消融术对电生理学实验室运行的影响:方法:阿根廷、墨西哥、哥伦比亚和智利的中心数据被用作电生理实验室效率模拟模型的输入。该模型假定每天可进行两次(目前电生理实验室的运行情况)或三次(包括电生理实验室的运行变化)冷冻球囊消融手术。终点是导致 1) 超时工作和 2) 为额外的非消融电生理学程序留出时间的天数百分比:结果:来自拉丁美洲六个中心共 232 个手术的数据被纳入分析。拉丁美洲所有手术的平均电生理学实验室占用时间为 132 ± 62 分钟。在当前情景下(每天两个手术),7.4% 的模拟日导致加班,81.4% 的模拟日有足够的时间进行额外的电生理学手术。在 "提高生产率方案"(每天三个手术)中,16.4%的模拟日需要加班,67.4%的模拟日有足够的时间进行额外的非消融电生理学手术:我们利用拉丁美洲的真实数据发现,如果改变操作方式,每天进行三次消融手术是可行的,这样就有一半以上的时间可以进行额外的电生理学手术。因此,在拉丁美洲等资源有限的地区,使用冷冻气球消融术是提高电生理学实验室效率的有效工具。
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来源期刊
Medwave
Medwave MEDICINE, GENERAL & INTERNAL-
CiteScore
2.60
自引率
8.30%
发文量
50
审稿时长
12 weeks
期刊介绍: Medwave is a peer-reviewed, biomedical and public health journal. Since its foundation in 2001 (Volume 1) it has always been an online only, open access publication that does not charge subscription or reader fees. Since January 2011 (Volume 11, Number 1), all articles are peer-reviewed. Without losing sight of the importance of evidence-based approach and methodological soundness, the journal accepts for publication articles that focus on providing updates for clinical practice, review and analysis articles on topics such as ethics, public health and health policy; clinical, social and economic health determinants; clinical and health research findings from all of the major disciplines of medicine, medical science and public health. The journal does not publish basic science manuscripts or experiments conducted on animals. Until March 2013, Medwave was publishing 11-12 numbers a year. Each issue would be posted on the homepage on day 1 of each month, except for Chile’s summer holiday when the issue would cover two months. Starting from April 2013, Medwave adopted the continuous mode of publication, which means that the copyedited accepted articles are posted on the journal’s homepage as they are ready. They are then collated in the respective issue and included in the Past Issues section.
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