...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>PACE: Pacing and clinical electrophysiology >The ongoing influence of staff training on the performance of radiofrequency catheter ablation.
【24h】

The ongoing influence of staff training on the performance of radiofrequency catheter ablation.

机译：员工培训对射频导管消融性能的持续影响。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

The aim of this study was to assess whether the performance of RF catheter ablations continues to improve by further staff training once an initial success rate of > 90% has been achieved. Two hundred and ninety-five procedures of SVT catheter ablation using RF energy were studied. Atrial tachycardia and atrial flutter substrate ablations were not included. The procedures were performed during a 4-year period by the same physician and nurse, who had previous training in these procedures. The 4-year period was subdivided into four consecutive 1-year periods in which 69, 72, 68, and 86 procedures were performed. The outcome, recurrence rate, and duration of the curative procedure were compared among the four periods. There was no significant difference in the initial success rate among the four periods. The recurrence rate decreased from 21.74% to 13.95% (P < 0.05). The duration of the curative procedure decreased from 93.7 +/- 78.4 minutes to 39.1 +/- 32.2 minutes (P < 0.001), and the fluoroscopic time decreased from 25.5 +/- 22.3 minutes to 11.3 +/- 8.2 minutes (P < 0.001). These results were similar when accessory pathway and selective AV nodal pathways ablations were separately evaluated. Following the initial staff training, during which the expected 80%-90% success rate is achieved, additional training will reduce the recurrence rate and the duration of the procedures at a similar level of success.
机译：这项研究的目的是评估一旦达到90％以上的初始成功率，通过进一步的人员培训，RF导管消融的性能是否会继续提高。研究了使用射频能量进行SVT导管消融的295例程序。不包括房性心动过速和房扑底物消融。该程序由同一位医生和护士在为期4年的时间里进行，他们都曾接受过这些程序的培训。 4年期被细分为四个连续的1年期，其中执行了69、72、68和86程序。比较四个阶段的结果，复发率和治愈过程的持续时间。在四个阶段中，初始成功率没有显着差异。复发率从21.74％降至13.95％（P <0.05）。治愈程序的持续时间从93.7 +/- 78.4分钟减少到39.1 +/- 32.2分钟（P <0.001），透视时间从25.5 +/- 22.3分钟减少到11.3 +/- 8.2分钟（P <0.001） ）。当分别评估辅助途径和选择性AV结节途径消融时，这些结果相似。在最初的员工培训之后，在此期间可以达到预期的80％-90％的成功率，额外的培训将以相同的成功水平降低复发率和手术时间。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号