{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T01:23:26Z","timestamp":1747185806760,"version":"3.40.5"},"reference-count":23,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2021,10,31]],"date-time":"2021-10-31T00:00:00Z","timestamp":1635638400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cardiovasc electrophysiol"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Catheter ablation (CA) for ventricular arrhythmias (VAs) is increasingly utilized in recent years. We aimed to investigate the nationwide trends in utilization and procedural complications of CA for VAs in patients with mechanical valve (MV) prosthesis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We drew data from the US National Inpatient Sample database to identify cases of VA ablations, including premature ventricular contraction and ventricular tachycardia, in patients with MVs, between 2003 and 2015. Sociodemographic and clinical data were collected and the incidence of catheter ablation complications, mortality, and length of stay were analyzed. We compared the outcomes to a propensity\u2010matched cohort of patients without prior valve surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The study population included a weighted total of 647 CA cases in patients with prior MVs. The annual number of ablations almost doubled, from 34 ablations on average during the \u201cearly years\u201d (2003\u20132008) to 64 on average during the \u201clate years\u201d (2009\u20132015) of the study (<jats:italic>p<\/jats:italic>\u2009=\u2009.001). Length of stay at the hospital did not differ significantly between patients with MVs and 649 matched patients without prior MVs (5.4\u2009\u00b1\u20090.4, 4.7\u2009\u00b1\u20090.3 days, respectively, <jats:italic>p<\/jats:italic>\u2009=\u2009.12). The data revealed a trend toward a higher incidence of complications (12.6% vs. 7.5% respectively, <jats:italic>p<\/jats:italic>\u2009=\u2009.14) and mortality (3.7% vs. 0.7%, respectively, <jats:italic>p<\/jats:italic>\u2009=\u2009.087) among patients with MVs compared to the matched control group, not reaching statistical significance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The data show increased utilization of VA ablations in patients with MVs and a trend toward a higher incidence of in\u2010hospital mortality and complications compared to the propensity\u2010matched control group without MVs.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jce.15271","type":"journal-article","created":{"date-parts":[[2021,10,20]],"date-time":"2021-10-20T21:00:58Z","timestamp":1634763658000},"page":"3165-3172","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Ventricular arrhythmia ablation in the presence of mechanical valve utilization and complications of catheter ablation for ventricular arrhythmia in patients with mechanical prosthetic valves"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0335-9225","authenticated-orcid":false,"given":"Guy","family":"Rozen","sequence":"first","affiliation":[{"name":"Cardiology Division Hillel Yaffe Medical Center Hadera Israel"},{"name":"Faculty of Medicine, The Ruth and Bruce Rappaport Faculty of Medicine Technion Haifa Israel"},{"name":"Cardiac Arrhythmia Service Massachusetts General Hospital Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabby","family":"Elbaz\u2010Greener","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Faculty of Medicine, Hadassah Medical Center Hebrew University of Jerusalem Jerusalem Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nizar","family":"Andria","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine Baruch Padeh Medical Center Poriya Israel"},{"name":"Faculty of Medicine, The Azrieli Faculty of Medicine in the Galilee Bar\u2010Ilan University Safed Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E. Kevin","family":"Heist","sequence":"additional","affiliation":[{"name":"Cardiac Arrhythmia Service Massachusetts General Hospital Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeremy N.","family":"Ruskin","sequence":"additional","affiliation":[{"name":"Cardiac Arrhythmia Service Massachusetts General Hospital Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Harindra C.","family":"Wijeysundera","sequence":"additional","affiliation":[{"name":"Schulich Heart Centre, Division of Cardiology, Sunnybrook Health Sciences Centre University of Toronto Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shemy","family":"Carasso","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine Baruch Padeh Medical Center Poriya Israel"},{"name":"Faculty of Medicine, The Azrieli Faculty of Medicine in the Galilee Bar\u2010Ilan University Safed Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edo","family":"Birati","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine Baruch Padeh Medical Center Poriya Israel"},{"name":"Faculty of Medicine, The Azrieli Faculty of Medicine in the Galilee Bar\u2010Ilan University Safed Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Offer","family":"Amir","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Faculty of Medicine, Hadassah Medical Center Hebrew University of Jerusalem Jerusalem Israel"},{"name":"Division of Cardiovascular Medicine Baruch Padeh Medical Center Poriya Israel"},{"name":"Faculty of Medicine, The Azrieli Faculty of Medicine in the Galilee Bar\u2010Ilan University Safed Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ibrahim","family":"Marai","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine Baruch Padeh Medical Center Poriya Israel"},{"name":"Faculty of Medicine, The Azrieli Faculty of Medicine in the Galilee Bar\u2010Ilan University Safed Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,10,31]]},"reference":[{"doi-asserted-by":"publisher","key":"e_1_2_5_2_1","DOI":"10.1016\/j.jacep.2019.09.015"},{"doi-asserted-by":"publisher","key":"e_1_2_5_3_1","DOI":"10.1016\/j.jacc.2017.10.031"},{"doi-asserted-by":"publisher","key":"e_1_2_5_4_1","DOI":"10.1016\/j.jacc.2017.10.030"},{"doi-asserted-by":"publisher","key":"e_1_2_5_5_1","DOI":"10.1016\/j.jacep.2017.05.005"},{"doi-asserted-by":"publisher","key":"e_1_2_5_6_1","DOI":"10.1016\/j.hrthm.2007.02.020"},{"doi-asserted-by":"publisher","key":"e_1_2_5_7_1","DOI":"10.1016\/j.hrcr.2015.11.006"},{"doi-asserted-by":"publisher","key":"e_1_2_5_8_1","DOI":"10.1111\/jce.14836"},{"doi-asserted-by":"publisher","key":"e_1_2_5_9_1","DOI":"10.1016\/j.jacep.2018.08.008"},{"unstructured":"Healthcare Cost and Utilization Project (HCUP) 2000\u20102011. 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