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

Hugh Calkins(Johns Hopkins University), Gerhard Hindricks(Leipzig Heart Institute), Riccardo Cappato(Humanitas University), Young‐Hoon Kim(Korea University), Eduardo Saad(Hospital Samaritano de São Paulo), Luis Aguinaga(Hospital Privado), Joseph G. Akar(Yale University), Vinay Badhwar(West Virginia University), Josép Brugada(Universitat de Barcelona), A. John Camm(St George's, University of London), Peng‐Sheng Chen(Indiana University School of Medicine), Shih‐Ann Chen(National Yang Ming Chiao Tung University), Mina K. Chung(Cleveland Clinic), Jens Cosedis Nielsen(Aarhus University Hospital), Anne B. Curtis(University at Buffalo, State University of New York), D. Wyn Davies(Imperial College Healthcare NHS Trust), John Day(Intermountain Medical Center), André d’Ávila, Natasja M.S. de Groot(Erasmus MC), Luigi Di Biase(Albert Einstein College of Medicine), Mattias Duytschaever(Ghent University Hospital), James R. Edgerton(Heart Hospital Baylor Plano), Kenneth A. Ellenbogen(Virginia Commonwealth University), Patrick T. Ellinor(Massachusetts General Hospital), Sabine Ernst(Royal Brompton & Harefield NHS Foundation Trust), Guilherme Fenelon(Hospital Israelita Albert Einstein), Edward P. Gerstenfeld(University of California, San Francisco), David E. Haines(Beaumont Health), Michel Haïssaguerre(Hôpital Cardiologique du Haut-Lévêque), Robert Helm(University Medical Center), Elaine M. Hylek(Boston University), Warren M. Jackman(University of Oklahoma Health Sciences Center), José Jalife(Centro de Investigación en Red en Enfermedades Cardiovasculares), Jonathan M. Kalman(The Royal Melbourne Hospital), Josef Kautzner(Institute of Clinical and Experimental Medicine), Hans Kottkamp(Klinik Hirslanden), Karl Heinz Kuck(Asklepios Klinik St. Georg), Koichiro Kumagai, Richard Lee(Saint Louis University), Thorsten Lewalter(München Klinik), Bruce D. Lindsay(Cleveland Clinic), Laurent Macle(Montreal Heart Institute), Moussa Mansour(Massachusetts General Hospital), Francis E. Marchlinski(Hospital of the University of Pennsylvania), Gregory F. Michaud(Brigham and Women's Hospital), Hiroshi Nakagawa(University of Oklahoma Health Sciences Center), Andrea Natale(St David's Medical Center), Stanley Nattel(Montreal Heart Institute), Ken Okumura(Saiseikai Kumamoto Hospital), Douglas L. Packer(Mayo Clinic in Arizona), Evgeny Pokushalov(State Research Center of the Russian Federation), Matthew R. Reynolds(Lahey Medical Center), Prashanthan Sanders(Royal Adelaide Hospital), Maurício Scanavacca(Hospital do Coração), Richard J. Schilling, Claudio Tondo(University of Milan), Hsuan-Ming Tsao(National Yang Ming Chiao Tung University), Atul Verma(University of Toronto), David J. Wilber(Loyola University Chicago), Teiichi Yamane(Jikei University School of Medicine), Document Reviewers:, Carina Blomström‐Lundqvist, Ângelo Amato Vincenzo de Paola, Peter M. Kistler, Gregory Y.H. Lip, Nicholas S. Peters, Cristiano Pisani, Antonio Raviele(Hospital Samaritano de São Paulo), Eduardo Saad(Hospital Samaritano de São Paulo), Kazuhiro Satomi, Martin K. Stiles, Stephan Willems
EP Europace
September 15, 2017
10.1093/europace/eux274
Cited by 1,192Open Access
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Abstract

Catheter ablation of AF is a very commonly performed procedure in hospitals throughout the world. Surgical ablation of AF, although less widely available than catheter-based AF ablation, is also an important therapeutic option for patients with AF at many major medical centers. This document provides an up-to-date review of the indications, techniques, and outcomes of catheter and surgical ablation of AF. Areas for which a consensus can be reached concerning AF ablation are identified, and a series of consensus definitions have been developed for use in future clinical trials of AF ablation. Also included within this document are recommendations concerning indications for AF ablation, technical performance of this procedure, and training. It is our hope to improve patient care by providing a foundation for those involved with care of patients with AF as well as those who perform AF ablation. It is recognized that this field continues to evolve rapidly and that this document will need to be updated. Successful AF ablation programs optimally should consist of a cooperative team of cardiologists, electrophysiologists, and surgeons to ensure appropriate indications, procedure selection, and follow-up.

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