Electrophysiology Lab
Journal Articles: In this study the authors hypothesized that “Lean management” within a dedicated ablation protocol could standardize the pulmonary vein isolation (PVI) procedure and improve quality.
Read MoreWorkflows: Improving the user experience of a cardiovascular information system via optimizing the data entry workflow and generating procedure notes with artificial intelligence.
Read MoreJournal 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 MoreImproving Electrophysiology Lab Efficiency: Collaboration With Anesthesiology is Well Worth the Time
Journal Articles: Many of the efforts to improve laboratory efficiency require close collaboration with our colleagues in anesthesia. Osorio et al1 outlined a standardized anesthetic protocol that was designed with the intention of improving effectiveness of lesion formation during AF ablation while also improving efficiency and ensuring patient safety.
Read MoreEducation – Clinical: Workflow for deep analgesic sedation in the EPU laboratory. Includes medications, monitoring, and ACT control.
Read MoreCare Pathways/CDS: Care pathway for management of confirmed AFib in patients. Includes information about underlying causes, treatment options, reducing stroke risk, and more.
Read MorePresentations and Graphics: Comprehensive presentation slides designed to facilitate the onboarding of EP lab staff, elucidating the mechanical and electrical dynamics of the cardiac cycle. The content encompasses definitions, diagrams, and examples/interpretations of ECGs.
Read MoreJournal 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 MoreJournal 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 MoreBest Practices: Best practices for developing an efficient and quality-focused AF ablation program as part of a larger AF center of excellence, highlighting the experience of a single center and demonstrating how the same principles were adopted to implement a similar program at another institution.
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