Abstract

2017 HRS/EHRA/ECAS/APHRS/SOLAECE expert consensus statement on catheter and surgical ablation of atrial fibrillation: executive summary

Highlights

  • During the past three decades, catheter and surgical ablation of atrial fibrillation (AF) have evolved from investigational procedures to their current role as effective treatment options for patients with AF

  • In 2007, an initial Consensus Statement on Catheter and Surgical AF Ablation was developed as a joint effort of the Heart Rhythm Society (HRS), the European Heart Rhythm Association (EHRA), and the European Cardiac Arrhythmia Society (ECAS) [1]

  • The HRS initiated an effort to rewrite and update this Consensus Statement. Reflecting both the worldwide importance of AF, as well as the worldwide performance of AF ablation, this document is the result of a joint partnership between the HRS, EHRA, ECAS, the Asia Pacific Heart Rhythm Society (APHRS), and the Latin American Society of Cardiac Stimulation and Electrophysiology (Sociedad Latinoamericana de Estimulación Cardíaca y Electrofisiología [SOLAECE])

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Summary

Introduction

During the past three decades, catheter and surgical ablation of atrial fibrillation (AF) have evolved from investigational procedures to their current role as effective treatment options for patients with AF. Reflecting both the worldwide importance of AF, as well as the worldwide performance of AF ablation, this document is the result of a joint partnership between the HRS, EHRA, ECAS, the Asia Pacific Heart Rhythm Society (APHRS), and the Latin American Society of Cardiac Stimulation and Electrophysiology (Sociedad Latinoamericana de Estimulación Cardíaca y Electrofisiología [SOLAECE]) The purpose of this 2017 Consensus Statement is to provide a state-of-the-art review of the field of catheter and surgical ablation of AF and to report the findings of a writing group, convened by these five international societies. The group would like to refer to the current guidelines on AF management for the purpose of guiding overall AF management strategies [5, 6] This consensus document is focused on catheter and surgical ablation of AF, and summarizes the opinion of the writing group members based on an extensive literature review as well as their own experience. We provide an in-depth review of the mechanisms of AF and rationale for catheter and surgical AF ablation (Table 1, Figs. 1, 2, 3, 4, 5, and 6)

Modifiable risk factors for AF and impact on ablation
Indications
Indications for catheter ablation of atrial fibrillation
Technology and tools
Technical aspects of ablation to maximize safety and anticoagulation
Follow-up considerations
Outcomes and efficacy
10 Complications
13 Clinical trial design
13.1 Unanswered questions in AF ablation
3: Rhythmia Medical
4: Spectrum Dynamics
1: Topera Medical
1: Kardium 1
3: OMEICOS Therapeutics
2: Johnson and Johnson
Findings
1: Cardiome None None
Full Text
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