The learning curve for radiofrequency ablation of tachyarrhythmias in pediatric patients

David Alan Danford, John Dale Kugler, Barbara Deal, Christopher Case, Richard A. Friedman, J. Philip Saul, Michael J. Silka, George F. Van Hare, members of the Pediatric Electrophysiology Society Participating members of the Pediatric Electrophysiology Society

Research output: Contribution to journalArticle

75 Citations (Scopus)

Abstract

The results of radiofrequency ablation for treatment of supraventricular tachyarrhythmias have been reported to improve with increasing experience; however, the precise nature of the learning curve in children is unknown. From November 1990 to October 1993, 1,546 consecutive procedures from the Pediatric Radiofrequency Ablation Registry were categorized into deciles based on number of prior pediatric procedures at the submitting institution. Negative exponential models were tested for strength of relation between volume of prior experience and 4 measures of outcome: success rate, complication rate, fluoroscopy time, and procedure time. Negative exponential curves described the experience-outcome relations well (r = 0.81 to 0.97). Learning rates were most rapid for successful ablation of left free wall accessory pathways, and slowest for right free wall pathway ablation. These models suggest that, given enough experience, procedural success rates >90% (regardless of pathway location) and fluoroscopy and procedure times averaging <40 minutes and 250 minutes, respectively, can be achieved in pediatric patients.

Original languageEnglish (US)
Pages (from-to)587-590
Number of pages4
JournalThe American Journal of Cardiology
Volume75
Issue number8
DOIs
StatePublished - Mar 15 1995

Fingerprint

Learning Curve
Tachycardia
Pediatrics
Fluoroscopy
Registries
Outcome Assessment (Health Care)
Learning
Therapeutics

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Danford, D. A., Kugler, J. D., Deal, B., Case, C., Friedman, R. A., Saul, J. P., ... Participating members of the Pediatric Electrophysiology Society, M. O. T. P. E. S. (1995). The learning curve for radiofrequency ablation of tachyarrhythmias in pediatric patients. The American Journal of Cardiology, 75(8), 587-590. https://doi.org/10.1016/S0002-9149(99)80622-5

The learning curve for radiofrequency ablation of tachyarrhythmias in pediatric patients. / Danford, David Alan; Kugler, John Dale; Deal, Barbara; Case, Christopher; Friedman, Richard A.; Saul, J. Philip; Silka, Michael J.; Van Hare, George F.; Participating members of the Pediatric Electrophysiology Society, members of the Pediatric Electrophysiology Society.

In: The American Journal of Cardiology, Vol. 75, No. 8, 15.03.1995, p. 587-590.

Research output: Contribution to journalArticle

Danford, DA, Kugler, JD, Deal, B, Case, C, Friedman, RA, Saul, JP, Silka, MJ, Van Hare, GF & Participating members of the Pediatric Electrophysiology Society, MOTPES 1995, 'The learning curve for radiofrequency ablation of tachyarrhythmias in pediatric patients', The American Journal of Cardiology, vol. 75, no. 8, pp. 587-590. https://doi.org/10.1016/S0002-9149(99)80622-5
Danford, David Alan ; Kugler, John Dale ; Deal, Barbara ; Case, Christopher ; Friedman, Richard A. ; Saul, J. Philip ; Silka, Michael J. ; Van Hare, George F. ; Participating members of the Pediatric Electrophysiology Society, members of the Pediatric Electrophysiology Society. / The learning curve for radiofrequency ablation of tachyarrhythmias in pediatric patients. In: The American Journal of Cardiology. 1995 ; Vol. 75, No. 8. pp. 587-590.
@article{3645218652c94ead9673f279c7471fec,
title = "The learning curve for radiofrequency ablation of tachyarrhythmias in pediatric patients",
abstract = "The results of radiofrequency ablation for treatment of supraventricular tachyarrhythmias have been reported to improve with increasing experience; however, the precise nature of the learning curve in children is unknown. From November 1990 to October 1993, 1,546 consecutive procedures from the Pediatric Radiofrequency Ablation Registry were categorized into deciles based on number of prior pediatric procedures at the submitting institution. Negative exponential models were tested for strength of relation between volume of prior experience and 4 measures of outcome: success rate, complication rate, fluoroscopy time, and procedure time. Negative exponential curves described the experience-outcome relations well (r = 0.81 to 0.97). Learning rates were most rapid for successful ablation of left free wall accessory pathways, and slowest for right free wall pathway ablation. These models suggest that, given enough experience, procedural success rates >90{\%} (regardless of pathway location) and fluoroscopy and procedure times averaging <40 minutes and 250 minutes, respectively, can be achieved in pediatric patients.",
author = "Danford, {David Alan} and Kugler, {John Dale} and Barbara Deal and Christopher Case and Friedman, {Richard A.} and Saul, {J. Philip} and Silka, {Michael J.} and {Van Hare}, {George F.} and {Participating members of the Pediatric Electrophysiology Society}, {members of the Pediatric Electrophysiology Society}",
year = "1995",
month = "3",
day = "15",
doi = "10.1016/S0002-9149(99)80622-5",
language = "English (US)",
volume = "75",
pages = "587--590",
journal = "American Journal of Cardiology",
issn = "0002-9149",
publisher = "Elsevier Inc.",
number = "8",

}

TY - JOUR

T1 - The learning curve for radiofrequency ablation of tachyarrhythmias in pediatric patients

AU - Danford, David Alan

AU - Kugler, John Dale

AU - Deal, Barbara

AU - Case, Christopher

AU - Friedman, Richard A.

AU - Saul, J. Philip

AU - Silka, Michael J.

AU - Van Hare, George F.

AU - Participating members of the Pediatric Electrophysiology Society, members of the Pediatric Electrophysiology Society

PY - 1995/3/15

Y1 - 1995/3/15

N2 - The results of radiofrequency ablation for treatment of supraventricular tachyarrhythmias have been reported to improve with increasing experience; however, the precise nature of the learning curve in children is unknown. From November 1990 to October 1993, 1,546 consecutive procedures from the Pediatric Radiofrequency Ablation Registry were categorized into deciles based on number of prior pediatric procedures at the submitting institution. Negative exponential models were tested for strength of relation between volume of prior experience and 4 measures of outcome: success rate, complication rate, fluoroscopy time, and procedure time. Negative exponential curves described the experience-outcome relations well (r = 0.81 to 0.97). Learning rates were most rapid for successful ablation of left free wall accessory pathways, and slowest for right free wall pathway ablation. These models suggest that, given enough experience, procedural success rates >90% (regardless of pathway location) and fluoroscopy and procedure times averaging <40 minutes and 250 minutes, respectively, can be achieved in pediatric patients.

AB - The results of radiofrequency ablation for treatment of supraventricular tachyarrhythmias have been reported to improve with increasing experience; however, the precise nature of the learning curve in children is unknown. From November 1990 to October 1993, 1,546 consecutive procedures from the Pediatric Radiofrequency Ablation Registry were categorized into deciles based on number of prior pediatric procedures at the submitting institution. Negative exponential models were tested for strength of relation between volume of prior experience and 4 measures of outcome: success rate, complication rate, fluoroscopy time, and procedure time. Negative exponential curves described the experience-outcome relations well (r = 0.81 to 0.97). Learning rates were most rapid for successful ablation of left free wall accessory pathways, and slowest for right free wall pathway ablation. These models suggest that, given enough experience, procedural success rates >90% (regardless of pathway location) and fluoroscopy and procedure times averaging <40 minutes and 250 minutes, respectively, can be achieved in pediatric patients.

UR - http://www.scopus.com/inward/record.url?scp=0028910893&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0028910893&partnerID=8YFLogxK

U2 - 10.1016/S0002-9149(99)80622-5

DO - 10.1016/S0002-9149(99)80622-5

M3 - Article

VL - 75

SP - 587

EP - 590

JO - American Journal of Cardiology

JF - American Journal of Cardiology

SN - 0002-9149

IS - 8

ER -