title: [Learning curve in performing radiofrequency ablation of accessory pathways in patients with Wolf-Parkinson-White syndrome].
abstract: BACKGROUND
  This study examines the effect of operator experience on radiofrequency ablation (RFA) of accessory pathways success rate in patients with Wolff-Parkinson-White (WPW) syndrome.
  
  
  METHODS
  The first 100 consecutive patients with WPW syndrome treated by radiofrequency ablation at our Clinic, were divided into group A (first 50 patients) and group B (the following 50 patients). Various parameters were compared between these 2 groups.
  
  
  RESULTS
  The success rate in group A was 69% and in group B 92%, p < 0.01. There were 6 patients with recurrent WPW syndrome, after 3 months of follow-up, 5 were from group A and 1 from group B, p < 0.05. Significantly more applications of radiofrequency energy were delivered in group A (10.0 +/- 4.8 in group A and 6.2 +/- 3.1 in group B, p < 0.05). Two patients from group A presented with complications: one had intermittent complete AV-block, and the other pericardial effusion.
  
  
  CONCLUSIONS
  This study shows a clear learning curve in performing RFA of accessory pathways in patients with WPW syndrome.
authors.affiliation: Institut za kardiovaskularne bolesti "Dedinje", Beograd.
authors.forename: Dejan
authors.initials: D
authors.lastname: Vukajlović
authors.forename: Aleksandar N
authors.initials: AN
authors.lastname: Nesković
mesh_terms: D000328:Adult; D017115:Catheter Ablation; D002983:Clinical Competence; D005260:Female; D006801:Humans; D008297:Male; D014927:Wolff-Parkinson-White Syndrome / Q000601:surgery*