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MeSH: Surgery, Computer-Assisted-statistics & numerical data

11 hits in Medvik Filters

Online article

Complications of catheter ablation for atrial fibrillation in a high-volume centre with the use of intracardiac echocardiography

Europace. 2013 ; 15 (1) : 24-32.

ISSN 1532-2092
Medvik
Source

AIMS: Catheter ablation (CA) for atrial fibrillation (AF) is a complex procedure that is associated with higher risk of complications. This study aimed at exploring the complication rate and corresponding risk factors in a high-volume centre with routine use of intracardiac echocardiography (ICE). METHODS AND RESULTS: In total 1192 consecutive AF ablation procedures (100% ICE-guided; 96.4% 3D-navigated; point-by-point radiofrequency ablation with open-irrigated tip catheter; 22.4% robotic navigation; 25.4% repeated ablation) were performed in 959 patients (aged 58 ± 9 years; 70.8% males; 35.9% persistent AF) between March 2006 and December 2010. Ablation endpoint in paroxysmal AF was complete electrical pulmonary vein isolation (PVI). Complex ablation was defined as PVI plus stepwise strategy for left atrial substrate ablation (43.5%) in persistent AF. Forty major complications (3.3%) during the procedure or within the 3 month follow-up were observed. No death or atrioesophageal fistula occurred. Three patients (0.25%) had cardiac tamponade/hemopericardium and five patients (0.42%) had cerebrovascular embolic event. Vascular injury was the most frequent (2.3%) complication. Low body weight was the only significant risk factor with 0.8% increase of complication rate per 10 kg of body weight decrease (P = 0.013). A trend for increase in complication rate was also observed for advanced age, female gender, and complex procedure. CONCLUSION: Atrial fibrillation ablation procedures guided by ICE in a high-volume centre are associated with low rate of serious complications. The composite risk score consisting of body weight, age, gender, and complexity of procedure predicted complications.

MeSH
Surgery, Computer-Assisted statistics & numerical data MeSH
Echocardiography statistics & numerical data MeSH
Atrial Fibrillation epidemiology surgery MeSH
Risk Assessment MeSH
Catheter Ablation statistics & numerical data MeSH
Comorbidity MeSH
Middle Aged MeSH
Humans MeSH
Postoperative Complications epidemiology MeSH
Prevalence MeSH
Retrospective Studies MeSH
Check Tag
Middle Aged MeSH
Humans MeSH
Male MeSH
Female MeSH
Publication type
Journal Article MeSH
Research Support, Non-U.S. Gov't MeSH
Geographicals
Czech Republic MeSH

Online article

Roboticky asistovaná chirurgie v gynekologii – tříleté zkušenosti Gynekologicko-porodnického oddělení Masarykovy nemocnice v Ústí nad Labem
[Robotic assisted surgery in gynaecology - a 3 year experience of the department of gynaecology - obstetrics at Masaryk Hospital in Ústí nad Labem]

Aktuální gynekologie a porodnictví. 2012 ; 4 () : 39-42.

Aktual. gynekol. porod.
ISSN 1803-9588
Medvik
Source

Přehled současného využití robotického systému ve světě. Tříleté zkušenosti s 42 robotickými operacemi provedenými od roku 2008 do roku 2011 na gynekologickém oddělení v Ústí nad Labem. Operace provedené převážně pro karcinomy cervixu a endometria; 29 operací s lymfadenektomií.

The article gives a survey of the utilisation of robotic surgery in the world. It presents three years of experience from 42 robotic operations performed from 2008 until 2011 in the Department of Gynaecology-Obstetrics at Masaryk Hospital in Usti nad Labem. The procedures were performed mostly following a diagnosis of endometrial and cervical cancer; 29 of the 42 operations were instances of lymfadenectomy.