{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T00:53:49Z","timestamp":1774400029282,"version":"3.50.1"},"reference-count":16,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2023,8,1]],"date-time":"2023-08-01T00:00:00Z","timestamp":1690848000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Cardiology"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Although electrophysiological (EP) centers have institutional standards, evidence on management of cardiac tamponade is lacking.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim and Methods<\/jats:title><jats:p>A physician\u2010based survey was conducted by sending out questionnaires to all hospitals in Germany performing EP procedures. To evaluate the infrastructure of EP centers and the impact of center volume and onsite cardiac surgery on the management of cardiac tamponade, the results of the survey were analyzed for low\u2010volume (0\u2013250 procedures per year), mid\u2010volume (250\u2013500 procedures), and high\u2010volume (&gt;500 procedures) centers, as well as for centers with and without onsite cardiac surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 341 centers were identified and 189\/341 (55%) returned data sets were analyzed. Most types of EP procedures are performed across all kinds of centers. Ablation of ventricular tachycardia (VT) is concentrated in higher volume centers and in centers with onsite cardiac surgery. None of the participating low\u2010volume centers and only 13% of centers without onsite cardiac surgery responded to performing epicardial VT ablation. Irrespective of center volume and onsite cardiac surgery, neither body mass index nor age was reported to be an exclusion criterion for ablation procedures. Higher volume centers and centers with onsite cardiac surgery more often have dedicated EP laboratories and EP\u2010nursing teams. Also, differences regarding periprocedural safety precautions and management of cardiac tamponade were found for low\u2010, mid\u2010, and high\u2010volume centers, as well as for centers with and without onsite cardiac surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>While center volume and onsite cardiac surgery do not impact patient selection, there are differences in ablation spectrum, infrastructure, periprocedural safety precautions, and treatment of tamponade.<\/jats:p><\/jats:sec>","DOI":"10.1002\/clc.24096","type":"journal-article","created":{"date-parts":[[2023,8,1]],"date-time":"2023-08-01T12:42:06Z","timestamp":1690893726000},"page":"1210-1219","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["The infrastructure of electrophysiology centers impacts the management of cardiac tamponade\u2014Results from a national survey"],"prefix":"10.1002","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1389-8564","authenticated-orcid":false,"given":"Laura","family":"Rottner","sequence":"first","affiliation":[{"name":"Department of Cardiology University Heart and Vascular Center Hamburg Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefan","family":"Reubold","sequence":"additional","affiliation":[{"name":"Department of Cardiology University Heart and Vascular Center Hamburg Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sophie","family":"Sch\u00f6nhofer","sequence":"additional","affiliation":[{"name":"Asklepios Klinik Harburg Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bruno","family":"Rei\u00dfmann","sequence":"additional","affiliation":[{"name":"Department of Cardiology University Heart and Vascular Center Hamburg Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Feifan","family":"Ouyang","sequence":"additional","affiliation":[{"name":"Department of Cardiology University Heart and Vascular Center Hamburg Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3905-0203","authenticated-orcid":false,"given":"Julius","family":"Obergassel","sequence":"additional","affiliation":[{"name":"Department of Cardiology University Heart and Vascular Center Hamburg Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ilaria","family":"My","sequence":"additional","affiliation":[{"name":"Department of Cardiology University Heart and Vascular Center Hamburg Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabian","family":"Moser","sequence":"additional","affiliation":[{"name":"Department of Cardiology University Heart and Vascular Center Hamburg Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jan\u2010Per","family":"Wenzel","sequence":"additional","affiliation":[{"name":"Department of Cardiology University Heart and Vascular Center Hamburg Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc","family":"Lemoine","sequence":"additional","affiliation":[{"name":"Department of Cardiology University Heart and Vascular Center Hamburg Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Steven","sequence":"additional","affiliation":[{"name":"University Heart Center, University of Cologne Cologne Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philipp","family":"Sommer","sequence":"additional","affiliation":[{"name":"Herz\u2010 und Diabeteszentrum NRW, Bad Oeynhausen, Ruhr\u2010University of Bochum Bad Oeynhausen 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in the management of cardiac tamponade occurring during catheter ablation of atrial fibrillation","volume":"123","author":"Gao LY","year":"2010","journal-title":"Chin Med J"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.27784"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00399-020-00698-4"}],"container-title":["Clinical 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