10-year follow-up of interventional electrophysiology: updated German survey during the COVID-19 pandemic

Eckardt, Lars ORCID: 0000-0002-3735-8503, Doldi, Florian, Busch, Sonia, Duncker, David, Estner, H., Kuniss, M., Metzner, A., Meyer, C., Neuberger, H-R, Tilz, R., Voss, F., Steven, D. and Sommer, P. . 10-year follow-up of interventional electrophysiology: updated German survey during the COVID-19 pandemic. Clin. Res. Cardiol.. HEIDELBERG: SPRINGER HEIDELBERG. ISSN 1861-0692

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DOI:10.1007/s00392-022-02090-3

Abstract

Introduction This study provides an update of survey-based data providing an overview of interventional electrophysiology over the last decade. Overall infrastructure, procedures, and training opportunities in Germany were assessed. Methods By analyzing mandatory quality reports, German cardiology centres performing electrophysiological studies were identified to repeat a questionnaire from 2010 and 2015. Results A complete questionnaire was returned by 192 centers performing about 75% of all ablations in Germany in 2020. In the presence of the COVID-19 pandemic, a total of 76.304 procedures including 68.407 ablations were reported representing a 38% increase compared to 2015. The median number of ablations increased from 180 in 2010 to 377 in 2020. AF was the most common arrhythmia ablated (51 vs. 35% in 2010). PVI with radiofrequency point-by-point ablation (64%) and cryo-balloon ablation (34%) were the preferred strategies. Less than 50 (75) PVI were performed by 31% (36%) of all centres. Only 25 and 24% of participating centres fulfilled EHRA and national requirements for training centre accreditation, respectively. There was a high number of EP centres with no fellows (38%). The proportion of female fellows in EP increased from 26% in 2010 to 33% in 2020. Conclusion Comparing 2020, 2010 and 2015, an increasing number of EP centres and procedures were registered. In 2020, more than every second ablation was for therapy of AF. In the presence of an increasing number of procedures, training opportunities were still limited, and most centres did not fulfill recommended EHRA or national requirements for accreditation.

Item Type:

Journal Article

Creators:

Creators	Email	ORCID	ORCID Put Code
Eckardt, Lars	UNSPECIFIED	orcid.org/0000-0002-3735-8503	UNSPECIFIED
Doldi, Florian	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Busch, Sonia	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Duncker, David	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Estner, H.	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Kuniss, M.	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Metzner, A.	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Meyer, C.	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Neuberger, H-R	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Tilz, R.	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Voss, F.	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Steven, D.	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Sommer, P.	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED