AVNRT: 5% AP: 8% AVJ: 2% Predictors of success: -AVNRT OR: 3.94 (95% CI: 1.93-8.04; p=0.0002) -Left free wall AP OR: 3.09 (95% CI: 1.46-6.53; p=0.0003) -Experience of ablation center (>39 pts) OR: 2.39 (95% CI: 1.21-4.71; p=0.012) Joint predictors of mortality: -EF (p=0.003) -SHD (p=0.016) -AVJ ablation (p=0.048) Scheinman Prospective cohort 3,357 Ablation of AVNRT, AP, AVJ, atrial flutter, Efficacy and safety of RFA w/ AVNRT Large series reporting success of MM study AT, IST, VT, idiopathic VT long-term f/u. Success: 96.1% RFA, and stratification by age group 2000 (NASPE registry) Complications: 2% confirms safety and efficacy in (61) AVNRT (n=1,197 [35.6%) elderly pts, as well as by type of AVJ (n=646) AVJ: facility (teaching vs. community). AP (n=654) Success: 96% AT (n=216) Complications: 25 pts Atrial flutter (n=447) Recurrence: 3.5% IST (n=40) AP: Success: 94-96% Complications: 31 pts total Recurrence: 4.6% AT: Success: 51-79% Complications: 5 total Recurrence: 15.2% Atrial flutter: Success: 86% Complications: 12 pts Recurrence: 14.7% IST: Success: 71% Complications: 2 pts Recurrence: 10%
AVNRT: 5% AP: 8% AVJ: 2% Predictors of success: -AVNRT OR: 3.94 (95% CI: 1.93-8.04; p=0.0002) -Left free wall AP OR: 3.09 (95% CI: 1.46-6.53; p=0.0003) -Experience of ablation center (>39 pts) OR: 2.39 (95% CI: 1.21-4.71; p=0.012) Joint predictors of mortality: -EF (p=0.003) -SHD (p=0.016) -AVJ ablation (p=0.048) Scheinman MM 2000 (61) Prospective cohort study (NASPE registry) 3,357 Ablation of AVNRT, AP, AVJ, atrial flutter, AT, IST, VT, idiopathic VT AVNRT (n=1,197 [35.6%) AVJ (n=646) AP (n=654) AT (n=216) Atrial flutter (n=447) IST (n=40) Efficacy and safety of RFA w/ long-term f/u. AVNRT Success: 96.1% Complications: 2% AVJ: Success: 96% Complications: 25 pts Recurrence: 3.5% AP: Success: 94-96% Complications: 31 pts total Recurrence: 4.6% AT: Success: 51-79% Complications: 5 total Recurrence: 15.2% Atrial flutter: Success: 86% Complications: 12 pts Recurrence: 14.7% IST: Success: 71% Complications: 2 pts Recurrence: 10% Large series reporting success of RFA, and stratification by age group confirms safety and efficacy in elderly pts, as well as by type of facility (teaching vs. community).