2024 European Heart Rhythm Association/Heart Rhythm Society/Asia Pacific Heart Rhythm Society/Latin American Heart Rhythm Society expert consensus statement on catheter and surgical ablation of atrial fibrillation

Stylianos Tzeis¹, Edward P Gerstenfeld², Jonathan Kalman³, Eduardo B Saad⁴, Alireza Sepehri Shamloo⁵, Jason G Andrade⁶, Chirag R Barbhaiya⁷, Tina Baykaner⁸, Serge Boveda⁹, Hugh Calkins¹⁰, Ngai-Yin Chan¹¹, Minglong Chen¹², Shih-Ann Chen¹³, Nikolaos Dagres¹⁴, Ralph J Damiano¹⁵, Tom De Potter¹⁶, Isabel Deisenhofer¹⁷, Nicolas Derval¹⁸, Luigi Di Biase¹⁹, Mattias Duytschaever²⁰, Katia Dyrda²¹, Gerhard Hindricks¹⁴, Meleze Hocini¹⁸, Young-Hoon Kim²², Mark la Meir²³, Jose Luis Merino²⁴, Gregory F Michaud²⁵, Andrea Natale²⁶, Isabelle Nault²⁷, Santiago Nava²⁸, Takashi Nitta²⁹, Mark O'Neill³⁰, Hui-Nam Pak³¹, Jonathan P Piccini³², Helmut Pürerfellner³³, Tobias Reichlin³⁴, Luis Carlos Saenz³⁵, Prashanthan Sanders³⁶, Richard Schilling³⁷, Boris Schmidt³⁸, Gregory E Supple³⁹, Kevin L Thomas³², Claudio Tondo⁴⁰, Atul Verma⁴¹, Elaine Y Wan⁴²

Affiliations

¹ Department of Cardiology, Mitera Hospital, 6, Erythrou Stavrou Str., Marousi, Athens, PC 151 23, Greece. Electronic address: stzeis@otenet.gr.
² Section of Cardiac Electrophysiology, University of California, San Francisco, CA, USA.
³ Department of Cardiology, Royal Melbourne Hospital, Melbourne, Australia; Department of Medicine, University of Melbourne and Baker Research Institute, Melbourne, Australia.
⁴ Electrophysiology and Pacing, Hospital Samaritano Botafogo, Rio de Janeiro, Brazil; Cardiac Arrhythmia Service, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
⁵ Department of Electrophysiology, Heart Center at University of Leipzig, Leipzig, Germany.
⁶ Department of Medicine, Vancouver General Hospital, Vancouver, British Columbia, Canada.
⁷ NYU Grossman School of Medicine, New York, NY, USA.
⁸ Division of Cardiology and Cardiovascular Institute, Stanford University, Stanford, CA, USA.
⁹ Heart Rhythm Management Department, Clinique Pasteur, Toulouse, France; Universiteit Brussel (VUB), Brussels, Belgium.
¹⁰ Division of Cardiology, Department of Medicine, Johns Hopkins University, Baltimore, MD, USA.
¹¹ Department of Medicine and Geriatrics, Princess Margaret Hospital, Hong Kong Special Administrative Region, China.
¹² The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
¹³ Heart Rhythm Center, Taipei Veterans General Hospital, Taipei, and Cardiovascular Center, Taichung Veterans General Hospital, Taichung, Taiwan.
¹⁴ Deutsches Herzzentrum der Charité, Berlin, Germany.
¹⁵ Division of Cardiothoracic Surgery, Department of Surgery, Washington University School of Medicine, Barnes-Jewish Hospital, St. Louis, MO, USA.
¹⁶ Cardiovascular Center, OLV Hospital Aalst, Belgium.
¹⁷ Department of Electrophysiology, German Heart Center Munich, Technical University of Munich (TUM) School of Medicine and Health, Munich, Germany.
¹⁸ IHU LIRYC, Electrophysiology and Heart Modeling Institute, Cardiac Electrophysiology and Stimulation Department, Fondation Bordeaux Université and Bordeaux University Hospital (CHU), Pessac-Bordeaux, France.
¹⁹ Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA.
²⁰ Department of Cardiology, AZ Sint-Jan Hospital, Bruges, Belgium.
²¹ Department of Medicine, Montreal Heart Institute, Université de Montréal, Montreal, Canada.
²² Division of Cardiology, Korea University College of Medicine and Korea University Medical Center, Seoul, Republic of Korea.
²³ Cardiac Surgery Department, Vrije Universiteit Brussel, Universitair Ziekenhuis Brussel, Brussels, Belgium.
²⁴ La Paz University Hospital, Idipaz, Universidad Autonoma, Madrid, Spain; Hospital Viamed Santa Elena, Madrid, Spain.
²⁵ Massachusetts General Hospital and Harvard Medical School, MA, USA.
²⁶ Texas Cardiac Arrhythmia Institute, St. David's Medical Center, Austin, TX, USA; Case Western Reserve University, Cleveland, OH, USA; Interventional Electrophysiology, Scripps Clinic, San Diego, CA, USA; Department of Biomedicine and Prevention, Division of Cardiology, University of Tor Vergata, Rome, Italy.
²⁷ Institut Universitaire de Cardiologie et de Pneumologie de Quebec (IUCPQ), Quebec, Canada.
²⁸ Departamento de Electrocardiología, Instituto Nacional de Cardiología 'Ignacio Chávez', Ciudad de México, México.
²⁹ Department of Cardiovascular Surgery, Nippon Medical School, Tokyo, Japan.
³⁰ Cardiovascular Directorate, St. Thomas' Hospital and King's College, London, UK.
³¹ Division of Cardiology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea.
³² Duke University Medical Center, Durham, NC, USA.
³³ Ordensklinikum Linz Elisabethinen, Linz, Austria.
³⁴ Department of Cardiology, Inselspital Bern, Bern University Hospital, University of Bern, Bern, Switzerland.
³⁵ International Arrhythmia Center, Cardioinfantil Foundation, Bogota, Colombia.
³⁶ Centre for Heart Rhythm Disorders, University of Adelaide and Royal Adelaide Hospital, Adelaide, Australia.
³⁷ Barts Heart Centre and Welbeck Heart Health, London, UK.
³⁸ Cardioangiologisches Centrum Bethanien, Medizinische Klinik III, Agaplesion Markuskrankenhaus, Frankfurt, Germany.
³⁹ Cardiac Electrophysiology Section, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
⁴⁰ Department of Clinical Electrophysiology and Cardiac Pacing, Centro Cardiologico Monzino, IRCCS, Milan, Italy; Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Italy.
⁴¹ McGill University Health Centre, McGill University, Montreal, Canada.
⁴² Department of Medicine, Division of Cardiology, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, USA.

PMID: 38597857
DOI: 10.1016/j.hrthm.2024.03.017

Free article

Review

2024 European Heart Rhythm Association/Heart Rhythm Society/Asia Pacific Heart Rhythm Society/Latin American Heart Rhythm Society expert consensus statement on catheter and surgical ablation of atrial fibrillation

Stylianos Tzeis et al. Heart Rhythm. 2024 Sep.

Free article

. 2024 Sep;21(9):e31-e149.

doi: 10.1016/j.hrthm.2024.03.017. Epub 2024 Apr 8.

Authors

Affiliations

¹ Department of Cardiology, Mitera Hospital, 6, Erythrou Stavrou Str., Marousi, Athens, PC 151 23, Greece. Electronic address: stzeis@otenet.gr.
² Section of Cardiac Electrophysiology, University of California, San Francisco, CA, USA.
³ Department of Cardiology, Royal Melbourne Hospital, Melbourne, Australia; Department of Medicine, University of Melbourne and Baker Research Institute, Melbourne, Australia.
⁴ Electrophysiology and Pacing, Hospital Samaritano Botafogo, Rio de Janeiro, Brazil; Cardiac Arrhythmia Service, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
⁵ Department of Electrophysiology, Heart Center at University of Leipzig, Leipzig, Germany.
⁶ Department of Medicine, Vancouver General Hospital, Vancouver, British Columbia, Canada.
⁷ NYU Grossman School of Medicine, New York, NY, USA.
⁸ Division of Cardiology and Cardiovascular Institute, Stanford University, Stanford, CA, USA.
⁹ Heart Rhythm Management Department, Clinique Pasteur, Toulouse, France; Universiteit Brussel (VUB), Brussels, Belgium.
¹⁰ Division of Cardiology, Department of Medicine, Johns Hopkins University, Baltimore, MD, USA.
¹¹ Department of Medicine and Geriatrics, Princess Margaret Hospital, Hong Kong Special Administrative Region, China.
¹² The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
¹³ Heart Rhythm Center, Taipei Veterans General Hospital, Taipei, and Cardiovascular Center, Taichung Veterans General Hospital, Taichung, Taiwan.
¹⁴ Deutsches Herzzentrum der Charité, Berlin, Germany.
¹⁵ Division of Cardiothoracic Surgery, Department of Surgery, Washington University School of Medicine, Barnes-Jewish Hospital, St. Louis, MO, USA.
¹⁶ Cardiovascular Center, OLV Hospital Aalst, Belgium.
¹⁷ Department of Electrophysiology, German Heart Center Munich, Technical University of Munich (TUM) School of Medicine and Health, Munich, Germany.
¹⁸ IHU LIRYC, Electrophysiology and Heart Modeling Institute, Cardiac Electrophysiology and Stimulation Department, Fondation Bordeaux Université and Bordeaux University Hospital (CHU), Pessac-Bordeaux, France.
¹⁹ Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA.
²⁰ Department of Cardiology, AZ Sint-Jan Hospital, Bruges, Belgium.
²¹ Department of Medicine, Montreal Heart Institute, Université de Montréal, Montreal, Canada.
²² Division of Cardiology, Korea University College of Medicine and Korea University Medical Center, Seoul, Republic of Korea.
²³ Cardiac Surgery Department, Vrije Universiteit Brussel, Universitair Ziekenhuis Brussel, Brussels, Belgium.
²⁴ La Paz University Hospital, Idipaz, Universidad Autonoma, Madrid, Spain; Hospital Viamed Santa Elena, Madrid, Spain.
²⁵ Massachusetts General Hospital and Harvard Medical School, MA, USA.
²⁶ Texas Cardiac Arrhythmia Institute, St. David's Medical Center, Austin, TX, USA; Case Western Reserve University, Cleveland, OH, USA; Interventional Electrophysiology, Scripps Clinic, San Diego, CA, USA; Department of Biomedicine and Prevention, Division of Cardiology, University of Tor Vergata, Rome, Italy.
²⁷ Institut Universitaire de Cardiologie et de Pneumologie de Quebec (IUCPQ), Quebec, Canada.
²⁸ Departamento de Electrocardiología, Instituto Nacional de Cardiología 'Ignacio Chávez', Ciudad de México, México.
²⁹ Department of Cardiovascular Surgery, Nippon Medical School, Tokyo, Japan.
³⁰ Cardiovascular Directorate, St. Thomas' Hospital and King's College, London, UK.
³¹ Division of Cardiology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea.
³² Duke University Medical Center, Durham, NC, USA.
³³ Ordensklinikum Linz Elisabethinen, Linz, Austria.
³⁴ Department of Cardiology, Inselspital Bern, Bern University Hospital, University of Bern, Bern, Switzerland.
³⁵ International Arrhythmia Center, Cardioinfantil Foundation, Bogota, Colombia.
³⁶ Centre for Heart Rhythm Disorders, University of Adelaide and Royal Adelaide Hospital, Adelaide, Australia.
³⁷ Barts Heart Centre and Welbeck Heart Health, London, UK.
³⁸ Cardioangiologisches Centrum Bethanien, Medizinische Klinik III, Agaplesion Markuskrankenhaus, Frankfurt, Germany.
³⁹ Cardiac Electrophysiology Section, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
⁴⁰ Department of Clinical Electrophysiology and Cardiac Pacing, Centro Cardiologico Monzino, IRCCS, Milan, Italy; Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Italy.
⁴¹ McGill University Health Centre, McGill University, Montreal, Canada.
⁴² Department of Medicine, Division of Cardiology, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, USA.

PMID: 38597857
DOI: 10.1016/j.hrthm.2024.03.017

Abstract

In the last three decades, ablation of atrial fibrillation (AF) has become an evidence-based safe and efficacious treatment for managing the most common cardiac arrhythmia. In 2007, the first joint expert consensus document was issued, guiding healthcare professionals involved in catheter or surgical AF ablation. Mounting research evidence and technological advances have resulted in a rapidly changing landscape in the field of catheter and surgical AF ablation, thus stressing the need for regularly updated versions of this partnership which were issued in 2012 and 2017. Seven years after the last consensus, an updated document was considered necessary to define a contemporary framework for selection and management of patients considered for or undergoing catheter or surgical AF ablation. This consensus is a joint effort from collaborating cardiac electrophysiology societies, namely the European Heart Rhythm Association, the Heart Rhythm Society, the Asia Pacific Heart Rhythm Society, and the Latin American Heart Rhythm Society.

Keywords: Atrial fibrillation; Catheter ablation; Surgical ablation.

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Conflict of interest statement

Data availability No new data were generated or analyzed in support of this research.

Corrected and republished from

2024 European Heart Rhythm Association/Heart Rhythm Society/Asia Pacific Heart Rhythm Society/Latin American Heart Rhythm Society expert consensus statement on catheter and surgical ablation of atrial fibrillation.
Tzeis S, Gerstenfeld EP, Kalman J, Saad EB, Sepehri Shamloo A, Andrade JG, Barbhaiya CR, Baykaner T, Boveda S, Calkins H, Chan NY, Chen M, Chen SA, Dagres N, Damiano RJ, De Potter T, Deisenhofer I, Derval N, Di Biase L, Duytschaever M, Dyrda K, Hindricks G, Hocini M, Kim YH, la Meir M, Merino JL, Michaud GF, Natale A, Nault I, Nava S, Nitta T, O'Neill M, Pak HN, Piccini JP, Pürerfellner H, Reichlin T, Saenz LC, Sanders P, Schilling R, Schmidt B, Supple GE, Thomas KL, Tondo C, Verma A, Wan EY, Steven D, Agbayani MJ, Jared Bunch T, Chugh A, Díaz JC, Freeman JV, Hardy CA, Heidbuchel H, Johar S, Linz D, Maesen B, Noseworthy PA, Oh S, Porta-Sanchez A, Potpara T, Rodriguez-Diez G, Sacher F, Suwalski P, Trines SA. Tzeis S, et al. Europace. 2024 Mar 30;26(4):euae043. doi: 10.1093/europace/euae043. Europace. 2024. Corrected and republished in: Heart Rhythm. 2024 Sep;21(9):e31-e149. doi: 10.1016/j.hrthm.2024.03.017. PMID: 38587017 Free PMC article. Corrected and republished.
2024 European Heart Rhythm Association/Heart Rhythm Society/Asia Pacific Heart Rhythm Society/Latin American Heart Rhythm Society expert consensus statement on catheter and surgical ablation of atrial fibrillation.
Tzeis S, Gerstenfeld EP, Kalman J, Saad E, Shamloo AS, Andrade JG, Barbhaiya CR, Baykaner T, Boveda S, Calkins H, Chan NY, Chen M, Chen SA, Dagres N, Damiano RJ, De Potter T, Deisenhofer I, Derval N, Di Biase L, Duytschaever M, Dyrda K, Hindricks G, Hocini M, Kim YH, la Meir M, Merino JL, Michaud GF, Natale A, Nault I, Nava S, Nitta T, O'Neill M, Pak HN, Piccini JP, Pürerfellner H, Reichlin T, Saenz LC, Sanders P, Schilling R, Schmidt B, Supple GE, Thomas KL, Tondo C, Verma A, Wan EY. Tzeis S, et al. J Interv Card Electrophysiol. 2024 Aug;67(5):921-1072. doi: 10.1007/s10840-024-01771-5. J Interv Card Electrophysiol. 2024. Corrected and republished in: Heart Rhythm. 2024 Sep;21(9):e31-e149. doi: 10.1016/j.hrthm.2024.03.017. PMID: 38609733 Corrected and republished.

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2024 European Heart Rhythm Association/Heart Rhythm Society/Asia Pacific Heart Rhythm Society/Latin American Heart Rhythm Society expert consensus statement on catheter and surgical ablation of atrial fibrillation

Affiliations

2024 European Heart Rhythm Association/Heart Rhythm Society/Asia Pacific Heart Rhythm Society/Latin American Heart Rhythm Society expert consensus statement on catheter and surgical ablation of atrial fibrillation

Authors

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Abstract

Conflict of interest statement

Corrected and republished from

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