Author + information
- Received October 3, 2017
- Revision received January 5, 2018
- Accepted January 5, 2018
- Published online June 18, 2018.
- Lars Eckardt, MDa,∗ (, )
- Gerrit Frommeyer, MDa,
- Philipp Sommer, MDb,
- Daniel Steven, MDc,
- Thomas Deneke, MDd,
- Heidi L. Estner, MDe,
- Charalampos Kriatselis, MDf,
- Malte Kuniss, MDg,
- Sonia Busch, MDh,
- Roland R. Tilz, MDi,
- Hendrik Bonnemeier, MDj,
- Christian von Bary, MDk,
- Frederik Voss, MDl,
- Christian Meyer, MDm,
- Dierk Thomas, MDn,o and
- Hans-Ruprecht Neuberger, MDp
- aKlinik für Kardiologie II - Rhythmologie, Department für Kardiologie und Angiologie, Universitätsklinikum Münster, Münster, Germany
- bAbteilung für Rhythmologie, Herzzentrum der Universität Leipzig, Leipzig, Germany
- cAbteilung für Elektrophysiologie, Herzzentrum der Uniklinik Köln, Köln, Germany
- dKlinik für Kardiologie, Herz- und Gefäß-Klinik GmbH, Bad Neustadt an der Saale, Germany
- eMedizinische Klinik und Poliklinik, Interventionelle Elektrophysiologie, Klinikum der Universität München, Campus Großhadern, München, Germany
- fKlinik für Innere Medizin – Kardiologie, Deutsches Herzzentrum Berlin, Berlin, Germany
- gAbteilung Kardiologie, Kerckhoff Klinik GmbH, Bad Nauheim, Germany
- hII Medizinische Klinik für Kardiologie, Pneumologie und Angiologie, Krankenhaus Coburg, Coburg, Germany
- iMedizinische Klinik II (Kardiologie, Angiologie, Intensivmedizin), Universitäres Herzzentrum Lübeck, Lübeck, Germany
- jKlinik für Innere Medizin III, Schwerpunkt Kardiologie und Angiologie, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Kiel, Germany
- kMedizinische Klinik I, Rotkreuzklinikum München, LKH der TU München, München, Germany
- lInnere Medizin III, Krankenhaus der Barmherzigen Brüder Trier, Trier, Germany
- mKlinik für Kardiologie mit Schwerpunkt Elektrophysiologie, Universitäres Herzzentrum, Universitätsklinikum Hamburg-Eppendorf, DZHK Standort Hamburg/Lübeck/Kiel, Kiel, Germany
- nKlinik für Kardiologie, Universitätsklinik Heidelberg, Heidelberg, Germany
- oHCR (Heidelberg Center for Heart Rhythm Disorders), University Hospital Heidelberg, Heidelberg, Germany
- pInnere Medizin, Kardiologie/Rhythmologie, Klinikum Traunstein, Traunstein, Germany
- ↵∗Address for correspondence:
Dr. Lars Eckardt, Klinik für Kardiologie II - Rhythmologie, Universitätsklinikum Münster, Albert-Schweitzer Campus 1, 48149 Münster, Germany.
Objectives This study provides an update and comparison to a 2010 nationwide survey on cardiac electrophysiology (EP), types and numbers of interventional electrophysiological procedures, and training opportunities in 2015.
Background In 2010, German cardiology centers performing interventional EP were identified and contacted to provide a survey on cardiac EP.
Methods German cardiology centers performing interventional EP in 2015 were identified from quality reports and contacted to repeat the 2010 questionnaire.
Results A majority of 131 centers (57%) responded. EP (ablation procedures and device therapy) was mainly part of a cardiology department (89%) and only independent (with its own budget) in 11%. The proportion of female physicians in EP training increased from 26% in 2010 to 38% in 2015. In total, 49,356 catheter ablations (i.e., 81% of reported ablations in 2015) were performed by the responding centers, resulting in a 44% increase compared with 2010 (the median number increased from 180 to 297 per center). Atrial fibrillation (AF) was the most common arrhythmia interventionally treated (47%). At 66% of the centers, (at least) 2 physicians were present during most catheter ablations. A minimum of 50 (75) AF ablations were performed at 80% (70%) of the centers. Pulmonary vein isolation with radiofrequency point-by-point ablation (62%) and cryoablation (33%) were the preferred ablation strategies. About one-third of centers reported surgical AF ablations, with 11 centers (8%) performing stand-alone surgical AF ablations. Only one-third of the responding 131 centers fulfilled all requirements for training center accreditation.
Conclusions Comparing 2010 with 2015, an increasing number of EP centers and procedures in Germany are registered. In 2015, almost every second ablation was for therapy for AF. Thus, an increasing demand for catheter ablation is likely, but training opportunities are still limited, and most centers do not fulfil recommended requirements for ablation centers.
The authors received an unrestricted travel grant from Johnson & Johnson Medical.
All authors attest they are in compliance with human studies committees and animal welfare regulations of the authors’ institutions and Food and Drug Administration guidelines, including patient consent where appropriate. For more information, visit the JACC: Clinical Electrophysiology author instructions page.
- Received October 3, 2017.
- Revision received January 5, 2018.
- Accepted January 5, 2018.
- 2018 American College of Cardiology Foundation
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