The Japanese Catheter Ablation Registry (J‐AB): A prospective nationwide multicenter registry in Japan. Annual report in 2018

Abstract Background To analyze the type of ablation procedure, acute outcomes, and complications related to catheter ablation in Japan during the year of 2018. Method The Japanese Catheter Ablation (J‐AB) registry is a voluntary, nationwide, multicenter, prospective, observational registry, performe...

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Main Authors: Kengo Kusano, Teiichi Yamane, Koichi Inoue, Misa Takegami, Yoko M. Nakao, Yoshihiro Miyamoto, Morio Shoda, Akihiko Nogami, J‐AB registry investigators
Format: Article
Language:English
Published: Wiley 2020-12-01
Series:Journal of Arrhythmia
Subjects:
Online Access:https://doi.org/10.1002/joa3.12445
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author Kengo Kusano
Teiichi Yamane
Koichi Inoue
Misa Takegami
Yoko M. Nakao
Yoshihiro Miyamoto
Morio Shoda
Akihiko Nogami
J‐AB registry investigators
author_facet Kengo Kusano
Teiichi Yamane
Koichi Inoue
Misa Takegami
Yoko M. Nakao
Yoshihiro Miyamoto
Morio Shoda
Akihiko Nogami
J‐AB registry investigators
author_sort Kengo Kusano
collection DOAJ
description Abstract Background To analyze the type of ablation procedure, acute outcomes, and complications related to catheter ablation in Japan during the year of 2018. Method The Japanese Catheter Ablation (J‐AB) registry is a voluntary, nationwide, multicenter, prospective, observational registry, performed by the Japanese Heart Rhythm Society (JHRS) in collaboration with the National Cerebral and Cardiovascular Center using a Research Electronic Data Capture system. The procedural outcome and complications during hospitalizations were collected. Result A total of 55 525 procedures (mean age of 64.5 years and 66.5% male) from 369 hospitals were collected. The total number of target arrhythmias was 61 610 including atrial fibrillation (AF, 65.6%), atrial flutter (AFL) or atrial tachycardia (16.7%), atrioventricular nodal reentrant tachycardia (7.4%), atrioventricular reentrant tachycardia (3.5%), premature ventricular contractions (4.1%), and ventricular tachycardia (VT, 2.0%). Over a 90% acute success rate was observed among all arrhythmias except for VT due to structural heart disease, and notably, an over 99% success rate was achieved for pulmonary vein isolation of AF and inferior vena cava‐tricuspid valve isthmus block for isthmus‐dependent AFL. Acute complications during hospitalization were observed in 1558 patients (2.8%), including major bleeding (Bleeding Academic Research Consortium: BARC criteria ≥2) in 1.1%, cerebral or systemic embolisms in 0.2%, and death in 0.1%. Acute complications were more often observed with AF ablation (P < .001), especially the first AF ablation session and with structural heart disease (P < .001). Conclusion The J‐AB registry provided real‐world data regarding the acute outcomes and complications of ablation for the various types of arrhythmias in Japan.
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spelling doaj.art-df2143bdf2e1407b94c4b84217124e0a2022-12-21T22:46:58ZengWileyJournal of Arrhythmia1880-42761883-21482020-12-0136695396110.1002/joa3.12445The Japanese Catheter Ablation Registry (J‐AB): A prospective nationwide multicenter registry in Japan. Annual report in 2018Kengo Kusano0Teiichi Yamane1Koichi Inoue2Misa Takegami3Yoko M. Nakao4Yoshihiro Miyamoto5Morio Shoda6Akihiko Nogami7J‐AB registry investigatorsDepartment of Cardiovascular Medicine National Cerebral and Cardiovascular Center Osaka JapanDivision of Cardiology Department of Internal Medicine The Jikei University School of Medicine Tokyo JapanCardiovascular Center Sakurabashi Watanabe Hospital Osaka JapanDepartment of Preventive Medicine and Epidemiologic Informatics National Cerebral and Cardiovascular Center Suita JapanCenter for Cerebral and Cardiovascular Disease Information Open Innovation Center National Cerebral and Cardiovascular Center Suita JapanCenter for Cerebral and Cardiovascular Disease Information Open Innovation Center National Cerebral and Cardiovascular Center Suita JapanClinical Research Division of Heart Rhythm Management Department of Cardiology Tokyo Women's Medical University Tokyo JapanDepartment of Cardiology Faculty of Medicine University of Tsukuba Tsukuba JapanAbstract Background To analyze the type of ablation procedure, acute outcomes, and complications related to catheter ablation in Japan during the year of 2018. Method The Japanese Catheter Ablation (J‐AB) registry is a voluntary, nationwide, multicenter, prospective, observational registry, performed by the Japanese Heart Rhythm Society (JHRS) in collaboration with the National Cerebral and Cardiovascular Center using a Research Electronic Data Capture system. The procedural outcome and complications during hospitalizations were collected. Result A total of 55 525 procedures (mean age of 64.5 years and 66.5% male) from 369 hospitals were collected. The total number of target arrhythmias was 61 610 including atrial fibrillation (AF, 65.6%), atrial flutter (AFL) or atrial tachycardia (16.7%), atrioventricular nodal reentrant tachycardia (7.4%), atrioventricular reentrant tachycardia (3.5%), premature ventricular contractions (4.1%), and ventricular tachycardia (VT, 2.0%). Over a 90% acute success rate was observed among all arrhythmias except for VT due to structural heart disease, and notably, an over 99% success rate was achieved for pulmonary vein isolation of AF and inferior vena cava‐tricuspid valve isthmus block for isthmus‐dependent AFL. Acute complications during hospitalization were observed in 1558 patients (2.8%), including major bleeding (Bleeding Academic Research Consortium: BARC criteria ≥2) in 1.1%, cerebral or systemic embolisms in 0.2%, and death in 0.1%. Acute complications were more often observed with AF ablation (P < .001), especially the first AF ablation session and with structural heart disease (P < .001). Conclusion The J‐AB registry provided real‐world data regarding the acute outcomes and complications of ablation for the various types of arrhythmias in Japan.https://doi.org/10.1002/joa3.12445catheter ablationcomplicationJ‐ABREDCapregistry
spellingShingle Kengo Kusano
Teiichi Yamane
Koichi Inoue
Misa Takegami
Yoko M. Nakao
Yoshihiro Miyamoto
Morio Shoda
Akihiko Nogami
J‐AB registry investigators
The Japanese Catheter Ablation Registry (J‐AB): A prospective nationwide multicenter registry in Japan. Annual report in 2018
Journal of Arrhythmia
catheter ablation
complication
J‐AB
REDCap
registry
title The Japanese Catheter Ablation Registry (J‐AB): A prospective nationwide multicenter registry in Japan. Annual report in 2018
title_full The Japanese Catheter Ablation Registry (J‐AB): A prospective nationwide multicenter registry in Japan. Annual report in 2018
title_fullStr The Japanese Catheter Ablation Registry (J‐AB): A prospective nationwide multicenter registry in Japan. Annual report in 2018
title_full_unstemmed The Japanese Catheter Ablation Registry (J‐AB): A prospective nationwide multicenter registry in Japan. Annual report in 2018
title_short The Japanese Catheter Ablation Registry (J‐AB): A prospective nationwide multicenter registry in Japan. Annual report in 2018
title_sort japanese catheter ablation registry j ab a prospective nationwide multicenter registry in japan annual report in 2018
topic catheter ablation
complication
J‐AB
REDCap
registry
url https://doi.org/10.1002/joa3.12445
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