Improved hospital discharge and cost savings with esophageal cooling during left atrial ablation

References

• Antman EM, Leopold JA, Sauer WH, et al. Atrial fibrillation and catheter ablation. N Engl J Med. 2022;387(14):e31.
   PubMedGoogle Scholar
• Mujović N, Marinković M, Lenarczyk R, et al. Catheter ablation of atrial fibrillation: an overview for clinicians. Adv Ther. 2017;34(8):1897–1917.
   PubMed Web of Science ®Google Scholar
• January CT, Wann LS, Alpert JS, et al. 2014 AHA/ACC/HRS guideline for the management of patients with atrial fibrillation: executive summary: a report of the American college of cardiology/American heart association task force on practice guidelines and the heart rhythm society. Circulation. 2014;130(23):2071–2104.
   PubMed Web of Science ®Google Scholar
• Colilla S, Crow A, Petkun W, et al. Estimates of current and future incidence and prevalence of atrial fibrillation in the U.S. adult population. Am J Cardiol. 2013;112(8):1142–1147.
   PubMed Web of Science ®Google Scholar
• Hosseini SM, Rozen G, Saleh A, et al. Catheter ablation for cardiac arrhythmias: utilization and in-Hospital complications, 2000 to 2013. JACC Clin Electrophysiol. 2017;3(11):1240–1248.
   PubMedGoogle Scholar
• Hunter TD, Palli SR, Rizzo JA. Cost comparison of radiofrequency catheter ablation versus cryoablation for atrial fibrillation in hospitals using both technologies. J Med Econ. 2016;19(10):959–964.
   PubMed Web of Science ®Google Scholar
• Barnow A, Goldstein L, Kalsekar I, et al. Use of the THERMOCOOL SMARTTOUCH catheter for ablation of atrial fibrillation: the relationship between hospital procedure volume, re-admissions, and economic outcomes. J Med Econ. 2018;21(5):481–487.
   PubMed Web of Science ®Google Scholar
• Lau D, Sandhu RK, Andrade JG, et al. Cost-Utility of catheter ablation for atrial fibrillation in patients with heart failure: an economic evaluation. J Am Heart Assoc. 2021;10(14):e019599.
   PubMed Web of Science ®Google Scholar
• Leung LWM, Akhtar Z, Sheppard MN, et al. Preventing esophageal complications from atrial fibrillation ablation: a review. Heart Rhythm O2. 2021;2(6Part A):651–664.
   PubMedGoogle Scholar
• Grosse Meininghaus D, Blembel K, Waniek C, et al. Temperature monitoring and temperature-driven irrigated radiofrequency energy titration do not prevent thermally induced esophageal lesions in pulmonary vein isolation: a randomized study controlled by esophagoscopy before and after catheter ablation. Heart Rhythm. 2021;18(6):926–934.
   PubMed Web of Science ®Google Scholar
• Schoene K, Arya A, Grashoff F, et al. Oesophageal probe evaluation in radiofrequency ablation of atrial fibrillation (OPERA): results from a prospective randomized trial. Europace. 2020;22(10):1487–1494.
   PubMed Web of Science ®Google Scholar
• Kautzner J, Neuzil P, Lambert H, et al. EFFICAS II: optimization of catheter contact force improves outcome of pulmonary vein isolation for paroxysmal atrial fibrillation. Europace. 2015;17(8):1229–1235.
   PubMed Web of Science ®Google Scholar
• Jankelson L, Dai M, Bernstein S, et al. Quantitative analysis of ablation technique predicts arrhythmia recurrence following atrial fibrillation ablation. Am Heart J. 2020;220:176–183.
   PubMed Web of Science ®Google Scholar
• Leung LWM, Bajpai A, Zuberi Z, et al. Randomized comparison of oesophageal protection with a temperature control device: results of the IMPACT study. Europace. 2021;23(2):205–215.
   PubMed Web of Science ®Google Scholar
• Joseph C, Sherman J, Ro A, et al. Procedural time reduction associated with active esophageal cooling during pulmonary vein isolation. J Interv Card Electrophysiol. 2022;65(3):617–623.
   PubMed Web of Science ®Google Scholar
• Joseph C, Daniels J, Kawasaki R, et al. The effect of active esophageal cooling during left atrial ablation on postoperative chest pain – an updated survey of operators. AF Symp. 2022;33(4).
   Google Scholar
• Zagrodzky J, Bailey S, Shah S, et al. Impact of active esophageal cooling on fluoroscopy usage during left atrial ablation. J Innov Card Rhythm Manag. 2021;12(11):4749–4755.
   PubMedGoogle Scholar
• Mercado Montoya M, Gomez Bustamante T, Berjano E, et al. Proactive esophageal cooling protects against thermal insults during high-power short-duration radiofrequency cardiac ablation. Int J Hyperthermia. 2022;39(1):1202–1212.
   PubMed Web of Science ®Google Scholar
• Cooper J, Joseph C, Zagrodzky J, et al. Active esophageal cooling during radiofrequency ablation of the left atrium: data review and update. Expert Rev Med Devices. 2022:1–9. DOI:10.1080/17434440.2022.2150930
   PubMed Web of Science ®Google Scholar
• Joseph C, Zagrodzky W, Sherman J, et al. One-year outcomes after active cooling during left atrial radiofrequency ablation. J Am Coll Cardiol. 2022;79(9):114.
   Web of Science ®Google Scholar
• Rehman H, Ali F, Mangi MA. Choosing wisely campaign - innovations in cardiovascular science and the United States healthcare system. Cureus. 2018;10(7):e2931.
   PubMed Web of Science ®Google Scholar
• Husereau D, Drummond M, Augustovski F, et al. Consolidated health economic evaluation reporting standards (CHEERS) 2022 explanation and elaboration: a report of the ISPOR CHEERS II good practices task force. Value Health. 2022;25(1):10–31.
   PubMed Web of Science ®Google Scholar
• Drummond M. Methods for the economic evaluation of health care programmes. 4th ed. Oxford (United Kingdom): Oxford University Press; 2015.
   Google Scholar
• Di Biase L, Monir G, Melby D, et al. Composite index tagging for PVI in paroxysmal AF: a prospective, multicenter postapproval study. JACC Clin Electrophysiol. 2022;8(9):1077–1089.
   PubMedGoogle Scholar
• Ayoub T, El Hajjar AH, Singh Sidhu GD, et al. Esophageal temperature during atrial fibrillation ablation poorly predicts esophageal injury: an observational study. Heart Rhythm O2. 2021;2(6):570–577. 11.002
   PubMedGoogle Scholar
• Joseph C, Nazari J, Zagrodzky J, et al. Esophageal cooling during ablation of persistent atrial fibrillation is associated with improved freedom from arrhythmia at one-year follow up. Eur Heart J. 2022;43(Supplement_2):ehac544.461.
   Google Scholar
• Joseph C, Francisco G, Ruppert A, et al. Reduced arrhythmia recurrence at one-year when using active esophageal cooling. AHA scientific sessions, Chicago, IL; 2022.
   Google Scholar
• Joseph C, Francisco G, Ruppert A, et al. Arrhythmia recurrence reduction with an active esophageal cooling device during radiofrequency ablation. EP Europace. 2022;24(Supplement_1):euac053.096.
   Google Scholar
• Leung LWM, Akhtar Z, Elbatran AI, et al. Effect of esophageal cooling on ablation lesion formation in the left atrium: insights from ablation index data in the IMPACT trial and clinical outcomes. Cardiovasc Electrophysiol. 2022;33(12):2546–2557.
   PubMed Web of Science ®Google Scholar
• Cooper J, Joseph C, Turer R, et al. Procedural impacts of active esophageal cooling during radiofrequency ablation in an academic medical center. AHA scientific sessions, Chicago, IL; 2022.
   Google Scholar
• Joseph C, Zagrodzky JD, Zagrodzky W, et al. Reduced procedural duration with proactive esophageal cooling during left atrial ablation: a multicenter Analysis – PO-681-08. Heart Rhythm. 2022;19(5):S364.
   Google Scholar
• Chu E, Zhang C, Musikantow DR, et al. Barriers and financial impact of same-day discharge after atrial fibrillation ablation. Pacing Clin Electrophysiol. 2021;44(4):711–719.
   PubMed Web of Science ®Google Scholar
• Winkle RA, Mead RH, Engel G, et al. Physician-controlled costs: the choice of equipment used for atrial fibrillation ablation. J Interv Card Electrophysiol. 2013;36(2):157–165.
   PubMed Web of Science ®Google Scholar
• Yokokawa M, Chugh A, Latchamsetty R, et al. Ablation of paroxysmal atrial fibrillation using a second-generation cryoballoon catheter or contact-force sensing radiofrequency ablation catheter: a comparison of costs and long-term clinical outcomes. J Cardiovasc Electrophysiol. 2018;29(2):284–290.
   PubMed Web of Science ®Google Scholar
• Elrod J. Building a state-of-the-Art EP lab: considerations and technology: interview with Sean Tierney, MD. EP Lab Digest. 2022;6(12).
   Google Scholar
• CRHF reimbursement – coding reference guides. https://www.medtronic.com/us-en/healthcare-professionals/reimbursement/cardiac-rhythm-heart-failure/coding-reference-guides.html.
   Google Scholar
• Lafontant MP, Smith VE, Sadule Rios N, et al. Implanting loop recorders in a hospital unit versus the electrophysiology laboratory: a retrospective chart review. Nursing & Health Sciences Research Journal. 2019;2(1):30–35.
   Google Scholar
• Physician Employment Benefits See Some Shifts. https://resources.nejmcareercenter.org/article/physician-employment-benefits-see-some-shifts/.
   Google Scholar
• Kawasaki MK, Cleary DJ, Sa D, et al. Understanding the costs associated with cardiac ablations. Circulation. 2019;140(Suppl_1)A9552.
   Google Scholar
• Thording L. Why hospital leaders should look to cardiology for sustained future reprocessing savings. Providence (RI): Innovative Health; 2018.
   Google Scholar
• Electrophysiology market size by product. Selbyville (DE): Global Market Insights; 2021.
   Google Scholar
• Slachta A. Cardiologist salaries trending up for the 5th year in a row. Providence (RI): Cardiovascular Business. Innovate Healthcare; 2019.
   Google Scholar
• Kaplan RS, Anderson SR. Time-driven activity-based costing. Harv Bus Rev. 2004;82(11):131–138, 150.
   PubMed Web of Science ®Google Scholar
• Repurposing TDABC: case examples from a New York Hospital. https://www.hfma.org/topics/hfm/2018/september/61817.html.
   Google Scholar
• Shankar PR, Hayatghaibi SE, Anzai Y. Time-driven activity-based costing in radiology: an overview. J Am Coll Radiol. 2020;17(1 Pt B):125–130.
   PubMed Web of Science ®Google Scholar
• BLS Data Viewer. https://beta.bls.gov/dataViewer/view/timeseries/CUUR0000SAM.
   Google Scholar
• Tschabrunn CM, Attalla S, Salas J, et al. Active esophageal cooling for the prevention of thermal injury during atrial fibrillation ablation: a randomized controlled pilot study. J Interv Card Electrophysiol. 2022;63(1):197–205.
   PubMed Web of Science ®Google Scholar
• McWilliams MEC, Michael J. The case for ACOs: why payment reform remains necessary. Health Affairs. 2022.
   Google Scholar
• Kowalski M, Shah R, Akhrass P, et al. Economics and laboratory efficiency of atrial fibrillation ablation. Curr Opin Cardiol. 2022;37(1):22–29.
   PubMed Web of Science ®Google Scholar
• Mansour M, Reddy VY, Karst E, et al. Economic impact of contact force sensing in catheter ablation for atrial fibrillation. J Cardiovasc Electrophysiol. 2019;30(11):2302–2309.
   PubMed Web of Science ®Google Scholar
• Fang CJ, Mazzocco JC, Sun DC, et al. Total knee arthroplasty hospital costs by time-driven activity-based costing: robotic vs conventional. Arthroplast Today. 2022;13:43–47.
   PubMedGoogle Scholar
• Swagel P. Policy approaches to reduce what commercial insurers pay for hospitals’ and physicians’ services. Washington (DC): Congressional Budget Office; 2022.
   Google Scholar
• Medicare cuts could devastate the field of electrophysiology. https://cardiovascularbusiness.com/node/224666.
   Google Scholar
• Proposed. 2023. Medicare cuts target ablation services; ACC prepares responses - american college of cardiology. http://www.acc.org/latest-in-cardiology/articles/2022/07/14/14/49/proposed-2023-medicare-cuts-target-ablation-services.
   Google Scholar
• McLaughlin N, Burke MA, Setlur NP, et al. Time-driven activity-based costing: a driver for provider engagement in costing activities and redesign initiatives. Neurosurg Focus. 2014;37(5):E3.
   PubMed Web of Science ®Google Scholar
• Joseph C, Athill C, Ruppert A, et al. Reduced arrhythmia recurrence at one-year when using active esophageal cooling. Circulation. 2022;146(Suppl_1):A14986.
   Google Scholar