EP Lab Digest - March 2008 - (Page 44)

44 SPOTLIGHT ROUNDUP MARCH 2008 Spotlight Interview Update: What Have We Learned? Compiled by Jodie Elrod Approximately how many cases are performed each week? Procedures per week: 0-9: 4% 10-29: 50% 30-49: 31% 50-100: 15% How many ablations? 0-5: 6-11: More than 12: 50% 37.5% 12.5% e’ve published our monthly Spotlight Interview feature since our inaugural issue in September 2001. In total, we’ve featured 65 labs so far! However, during this time we’ve not yet taken a step back and looked at the data collected over the years. Therefore, we pooled some of the most frequently answered questions and put the data in charts and percentages. We hope you enjoy this overview! When was the EP lab started at your institution? Before 1974: 5% 1975-1979: 3% 1980-1984: 13% 1985-1989: 27% 1990-1994: 27% 1995-1999: 16% 2000-2004: 6% 2005-present: 1% (Data N/A: 2%) W How many device implants? 0-5: 15% 6-13: 54% 14-19: 23% More than 20: 8% Lancaster General Hospital - November 2004: “We perform approximately 70 procedures per week, or just over 3,600 annually. About 60% of this volume comes from device implants, and the other 40% from EP studies and ablations.” Is the EP lab separate from the cath lab? Yes: 88% No / Combined: 12% St. Mary’s Hospital Medical Center - April 2005: “From 1987 to 2003, the EP lab was integrated in the cath lab.Theoretically, all cath lab staff were cross-oriented to EP; in reality, a small group did most of the EP work. In 2003, our dedicated EP lab opened. Cath and EP lab staff are no longer cross-trained for the most part. Cath lab staff is still responsible for device implants when needed. EP lab staff no longer takes cath lab call.” Massachusetts General Hospital - October 2004: “Dr. Jeremy Ruskin is the founder and director of the MGH Cardiac Arrhythmia Service and Clinical Electrophysiology Laboratory. Since its inception in 1978, this service has been dedicated to excellence in clinical care, the training of fellows in clinical cardiac electrophysiology, and research on the mechanisms of and innovative therapies for the treatment of cardiac arrhythmias.” Have you developed a referral base? Yes: 99% No/data not available: 1% The University of Utah, Cardiac Electrophysiology Division - August 2007: “Our referral basis extends to different states in the region, including Idaho, Nevada,Wyoming, Colorado, and northern and southern Utah.The atrial fibrillation program has greatly expanded our referral base by attracting patients from California as well as other states in the northwest, along with international referrals from countries as far as eastern Europe and the Middle East.” Examples of procedures performed at your facility (besides EPS, ablations, and device implants): Tilt table testing: 54% Cardioversions: 38% Lead extractions: 35% 3D mapping: 34% Cryoablation: 20% NIPS: 17% Loop recorder implants: 17% Pediatric cases: 12% TEE: 6% SAECG: 5% Coliseum Medical Center - June 2007: “Since we are a new EP lab, our electrophysiologists are starting with simpler procedures.To date, the majority of our cases have been AICDs, BiV ICDs, dual-chamber pacemakers, EP studies, atrial flutter and supraventricular ablations, and tilt table studies.” Outpatient procedures performed: EP studies: Device generator changeouts: Ablations: TTT: Event monitors/Loop recorders: Cardioversions: NIPS: Device implants: Rural outreach clinics: 31% 31% 28% 23% 14% 14% 8% 5% 3% See SPOTLIGHT ROUNDUP page 46

Table of Contents Feed for the Digital Edition of EP Lab Digest - March 2008

EP Lab Digest - March 2008 ECG 101: The Case of a Dizzy Patient with a Left Bundle Branch Block Delayed Defibrillation: Research and Results Interview with Paul S. Chan, MD Contents Letter from the Editor Spotlight Interview: St. Joseph’s Hospital Health Center Parent Heart Watch from 36,000 Feet… Perspectives from the Annual Leadership Conference Clinical Trial Overview: 2008 Are MRI-Safe Pacemakers and Leads on the Horizon? Q & A with J. Rod Gimbel, MD Navigating Tortuous Coronary Sinus Anatomy Using a Bipolar Lead Email Discussion Group: March 2008 Guidelines on ECG Interpretation Spotlight Interview Update: What Have We Learned? The Value of Educating Staff Events Calendar Industry News and Products Classifieds Advertisers Index In Memoriam

EP Lab Digest - March 2008

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