On this year’s 25th anniversary of the landmark report
1
on ablation of pulmonary vein ectopy initiating atrial fibrillation (AF), which preceded
by 1 year ablation of AF using nonfluoroscopic 3-dimensional mapping,
2
we are reminded how both approaches would forever transform cardiac electrophysiology
as a predominant diagnostic discipline, also performing device implantation and ablation
of supraventricular tachycardia to become a therapeutic catheter ablation interventional
specialty. Clinical cardiac electrophysiologists were somewhat unprepared or caught
off guard a few years later when atrioesophageal fistulas, associated with significant
morbidity and mortality, were first reported as a complication of ablation of AF.
3
During an era of debates on ventricular rate control or maintenance of sinus rhythm
strategies to treat patients with AF, complications of ablation of AF significantly
influenced the development of mapping and energy delivery technologies.
4
,5
- Calkins H.
- Brugada J.
- Packer D.L.
- et al.
European Heart Rhythm Association (EHRA); European Cardiac Arrhythmia Society (ECAS);
American College of Cardiology (ACC); American Heart Association (AHA); Society of
Thoracic Surgeons (STS)
HRS/EHRA/ECAS Expert Consensus statement on catheter and surgical ablation of atrial fibrillation: recommendations for personnel, policy, procedures and follow-up. A report of the Heart Rhythm Society (HRS) Task Force on catheter and surgical ablation of atrial fibrillation.
HRS/EHRA/ECAS Expert Consensus statement on catheter and surgical ablation of atrial fibrillation: recommendations for personnel, policy, procedures and follow-up. A report of the Heart Rhythm Society (HRS) Task Force on catheter and surgical ablation of atrial fibrillation.
Heart Rhythm. 2007; 4: 816-861
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References
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- Catheter ablation of paroxysmal atrial fibrillation using a 3D mapping system.Circulation. 1999; 100: 1203-1208
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- A worldwide survey on the methods, efficacy, and safety of catheter ablation for human atrial fibrillation.Circulation. 2005; 111: 1100-1105
- HRS/EHRA/ECAS Expert Consensus statement on catheter and surgical ablation of atrial fibrillation: recommendations for personnel, policy, procedures and follow-up. A report of the Heart Rhythm Society (HRS) Task Force on catheter and surgical ablation of atrial fibrillation.Heart Rhythm. 2007; 4: 816-861
- Early mortality after inpatient versus outpatient catheter ablation in patients with atrial fibrillation.Heart Rhythm. 2023;
- A tailored approach to catheter ablation of paroxysmal atrial fibrillation.Circulation. 2006; 113: 1824-1831
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- In-hospital complications associated with catheter ablation of atrial fibrillation in the United States between 2000 and 2010: analysis of 93,801 procedures.Circulation. 2013; 128: 2104-2112
- Risk of mortality following catheter ablation of atrial fibrillation.J Am Coll Cardiol. 2019; 74: 2254-2264
- Ten-year trends in mortality and complications following catheter ablation of atrial fibrillation.Eur Heart J Qual Care Clin Outcomes. 2022; 8: 398-408
- Life-threatening complications of atrial fibrillation ablation: 16-year experience in a large prospective tertiary care cohort.JACC Clin Electrophysiol. 2019; 5: 284-291
- Outcomes of Medicare beneficiaries undergoing catheter ablation for atrial fibrillation.Circulation. 2012; 126: 2200-2207
- Dead is dead—artificial definitions are no substitute.Lancet. 1997; 349: 662-663
Article info
Publication history
Published online: March 01, 2023
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Funding Sources: The author has no funding sources to disclose.
Disclosures: The author has no conflict of interests to disclose.
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