Procedure / Surgery

Major drivers of healthcare system costs and cost variability for routine atrial fibrillation ablation

Journal Articles: Original research article published in Heart Rhythm 02, outlining a study from the University of Utah that measured the components of direct and indirect costs for routine AF ablation procedures, the variability of those costs, and the main factors driving ablation cost variability.

Read More

SOP Deep Analgesic Sedation in the EPU Laboratory

Education – Clinical: Workflow for deep analgesic sedation in the EPU laboratory. Includes medications, monitoring, and ACT control.

Read More

SOP Atrial Fibrillation Therapy

Care Pathways/CDS: SOP for therapy options when treating AFib. Includes flow chart, decision trees, chart for AAD dosage, and risk factors/comorbidities.

Read More

SOP Atrio-esophageal Fistula

Care Pathways/CDS: Care pathway for clinicians to use when suspecting atrio-esophageal fistula in patients.

Read More

How and When to Ablate the Ligament of Marshall

Journal Articles: Article from Heart Rhythm that explains the process and methods for mapping and ablating the ligament of Marshall. Includes graphics, implications, and when to ablate.

Read More

Guidelines for the Management of Atrial Fibrillation: The Task Force for the Management of Atrial Fibrillation of the European Society of Cardiology (ESC)

Guidelines/Clinical Documents: Guidelines document outlining best practices for the management of AFib.

Read More

Ablation of atrial fibrillation in an ambulatory outpatient setting

Journal Articles: Aim of study is to report the feasibility and safety of AF ablation in an ambulatory setting (Alaska Heart and Vascular Institute). Metrics include procedural complications, postoperative utilization of hospital services, and emergency room utilization.

Read More

3D Mapping for PVI – Geometry, Image Integration and Incorporation of Contact Force Into Work Flow

Journal Articles: Catheter ablation of atrial fibrillation has evolved enormously thanks to rapid improvement of modern mapping technologies, progress in catheter development and current possibilities for reduction of radiation exposure. Pulmonary vein isolation is thereby the cornerstone in this interventional treatment. Increased precision of catheter localization by modern three-dimensional mapping systems, faster and better processing of local electrograms and their immediate color-based visualization make it possible to treat even challenging arrhythmias very effectively. The commonly used three-dimensional mapping systems CARTO 3 (Biosense Webster, Irvine, Ca.) and Ensite Precision (St. Jude Medical, St. Paul, Min) differ in construction and principles of the underlying mapping technology. In this review article, we aim to emphasize the most important aspects of possibilities that make both systems so valuable for interventional treatment of atrial fibrillation. We present a modern workflow, that unites three-dimensional LA mapping with collecting relevant local information, image integration for refining the map and beneficial use of contact force based ablation approach.

Read More

Patient in Room to Physician in Room

Data/Registries: This sample report shows performance over time of patient in room compared to physician in room and  patient in room access compared to when the patient arrives in the lab.

Read More

Tamponade Checklist

Checklists: Helpful checklist for the care team when treating a patient with cardiac tamponade.

Read More