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

Executive summary

Calkins, Hugh MD; (Chair)
Hindricks, Gerhard MD; (Vice-Chair)
Cappato, Riccardo MD; (Vice-Chair)
Kim, Young-Hoon MD, PhD; (Vice-Chair)
Saad, Eduardo B MD, PhD; (Vice-Chair)
Aguinaga, Luis MD, PhD
Akar, Joseph G MD, PhD
Badhwar, Vinay MD
Brugada, Josep MD, PhD
Camm, John MD
Chen, Peng-Sheng MD
Chen, Shih-Ann MD
Chung, Mina K MD
Nielsen, Jens Cosedis DMSc, PhD
Curtis, Anne B MD
Davies, D Wyn MD
Day, John D MD
d’Avila, André MD, PhD
de Groot, N M S (Natasja) MD, PhD
Di Biase, Luigi MD, PhD
Duytschaever, Mattias MD, PhD
Edgerton, James R MD
Ellenbogen, Kenneth A MD
Ellinor, Patrick T MD, PhD
Ernst, Sabine MD, PhD
Fenelon, Guilherme MD, PhD
Gerstenfeld, Edward P MS, MD
Haines, David E MD
Haissaguerre, Michel MD
Helm, Robert H MD
Hylek, Elaine MD, MPH
Jackman, Warren M MD
Jalife, Jose MD
Kalman, Jonathan M MBBS, PhD
Kautzner, Josef MD, PhD
Kottkamp, Hans MD
Kuck, Karl Heinz MD, PhD
Kumagai, Koichiro MD, PhD
Lee, Richard MD, MBA
Lewalter, Thorsten MD, PhD
Lindsay, Bruce D MD
Macle, Laurent MD
Mansour, Moussa MD
Marchlinski, Francis E MD
Michaud, Gregory F MD
Nakagawa, Hiroshi MD, PhD
Natale, Andrea MD
Nattel, Stanley MD
Okumura, Ken MD, PhD
Packer, Douglas MD
Pokushalov, Evgeny MD, PhD
Reynolds, Matthew R MD, MSc
Sanders, Prashanthan MBBS, PhD
Scanavacca, Mauricio MD, PhD
Schilling, Richard MD
Tondo, Claudio MD, PhD
Tsao, Hsuan-Ming MD
Verma, Atul MD
Wilber, David J MD
Yamane, Teiichi MD, PhD

From the Johns Hopkins Medical Institutions, Baltimore, MD
Heart Center Leipzig, Leipzig, Germany
Humanitas Research Hospital, Arrhythmias and Electrophysiology Research Center, Milan, Italy (Dr. Cappato is now with the Department of Biomedical Sciences, Humanitas University, Milan, Italy, and IRCCS, Humanitas Clinical and Research Center, Milan, Italy)
Korea University, Seoul, South Korea
Hospital Pro-Cardiaco and Hospital Samaritano, Botafogo, Rio de Janeiro, Brazil
Centro Privado de Cardiología, Tucuman, Argentina
Yale University School of Medicine, New Haven, CT
West Virginia University School of Medicine, Morgantown, WV
Cardiovascular Institute, Hospital Clínic, University of Barcelona, Catalonia, Spain
St. George’s University of London, London, United Kingdom
Indiana University School of Medicine, Indianapolis, IN
National Yang-Ming University, Taipei, Taiwan
Cleveland Clinic, Cleveland, OH
Aarhus University Hospital, Skejby, Denmark
University at Buffalo, Buffalo, NY
Imperial College Healthcare NHS Trust, London, United Kingdom
Intermountain Medical Center Heart Institute, Salt Lake City, UT
Hospital SOS Cardio, Florianopolis, SC, Brazil
Erasmus Medical Center, Rotterdam, the Netherlands
Albert Einstein College of Medicine, Montefiore-Einstein Center for Heart & Vascular Care, Bronx, NY
Universitair Ziekenhuis Gent (Ghent University Hospital), Ghent, Belgium
The Heart Hospital, Baylor Plano, Plano, TX
Virginia Commonwealth University School of Medicine, Richmond, VA
Massachusetts General Hospital, Boston, MA
Royal Brompton and Harefield NHS Foundation Trust, National Heart and Lung Institute, Imperial College London, London, United Kingdom
Albert Einstein Jewish Hospital, Federal University of São Paulo, São Paulo, Brazil
University of California, San Francisco, San Francisco, CA
Beaumont Health System, Royal Oak, MI
Hôpital Cardiologique du Haut-Lévêque, Pessac, France
Boston University Medical Center, Boston, MA
Boston University School of Medicine, Boston, MA
Heart Rhythm Institute, University of Oklahoma Health Sciences Center, Oklahoma City, OK
University of Michigan, Ann Arbor, MI, the National Center for Cardiovascular Research Carlos III (CNIC) and CIBERCV, Madrid, Spain
Royal Melbourne Hospital and University of Melbourne, Melbourne, Australia
Institute for Clinical and Experimental Medicine, Prague, Czech Republic
Hirslanden Hospital, Department of Electrophysiology, Zurich, Switzerland
Asklepios Klinik St. Georg, Hamburg, Germany
Heart RhythmCenter, Fukuoka Sanno Hospital, Fukuoka, Japan
Saint Louis University Medical School, St. Louis, MO
Department of Cardiology and Intensive Care, Hospital Munich-Thalkirchen, Munich, Germany
Cleveland Clinic, Cleveland, OH
Montreal Heart Institute, Department of Medicine, Université de Montréal, Montréal, Canada
Massachusetts General Hospital, Boston, MA
Hospital of the University of Pennsylvania, University of Pennsylvania School of Medicine, Philadelphia, PA
Brigham and Women’s Hospital, Boston, MA
Heart Rhythm Institute, University of Oklahoma Health Sciences Center, Oklahoma City, OK
Texas Cardiac Arrhythmia Institute, St. David’s Medical Center, Austin, TX
Montreal Heart Institute and Université de Montréal, Montreal, Canada, McGill University, Montreal, Canada, and University Duisburg-Essen, Essen, Germany
Division of Cardiology, Saiseikai Kumamoto Hospital, Kumamoto, Japan
Mayo Clinic, Rochester, MN
State Research Institute of Circulation Pathology, Novosibirsk, Russia
Lahey Hospital and Medical Center, Burlington, MA
Centre for Heart Rhythm Disorders, South Australian Health and Medical Research Institute, University of Adelaide and Royal Adelaide Hospital, Adelaide, Australia
Instituto do Coração (InCor), São Paulo, Brazil
Barts Heart Centre, London, United Kingdom
Cardiac Arrhythmia Research Center, Centro Cardiologico Monzino, IRCCS, Department of Cardiovascular Sciences, University of Milan, Milan, Italy
National Yang-Ming University Hospital, Yilan City, Taiwan
Southlake Regional Health Centre, University of Toronto, Toronto, Canada
Loyola University of Chicago, Chicago, IL
Jikei University School of Medicine, Tokyo, Japan

Correspondence: Heart Rhythm Society, 1325 G Street NW, Suite 400, Washington, DC 20005. E-mail address: [email protected].

Representative of the European Heart Rhythm Association (EHRA)

Representative of the American Heart Association (AHA)

Representative of the Sociedad Latinoamericana de Estimulación Cardíaca y Electrofisiología (SOLAECE)

Representative of the Asia Pacific Heart Rhythm Society (APHRS)

Representative of the American College of Cardiology (ACC)

Representative of the European Cardiac Arrhythmia Society (ECAS)

Representative of the Society of Thoracic Surgeons (STS)

Representative of the Canadian Heart Rhythm Society (CHRS)

Representative of the Japanese Heart Rhythm Society (JHRS)

Representative of the Sociedade Brasileira de Arritmias Cardíacas (SOBRAC)

Developed in partnership with and endorsed by the European Heart Rhythm Association (EHRA), the European Cardiac Arrhythmia Society (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]). Developed in collaboration with and endorsed by the Society of Thoracic Surgeons (STS), the American College of Cardiology (ACC), the American Heart Association (AHA), the Canadian Heart Rhythm Society (CHRS), the Japanese Heart Rhythm Society (JHRS), and the Brazilian Society of Cardiac Arrhythmias (Sociedade Brasileira de Arritmias Cardíacas [SOBRAC]). Chair: Hugh Calkins, MD, Johns Hopkins Medical Institutions, Baltimore, MD, USA. Section Chairs: Definitions, Mechanisms, and Rationale for AF Ablation: Shih-Ann Chen, MD, National Yang-Ming University, Taipei, Taiwan. Modifiable Risk Factors for AF and Impact on Ablation: Jonathan M. Kalman, MBBS, PhD, Royal Melbourne Hospital and University of Melbourne, Melbourne, Australia. Indications: Claudio Tondo, MD, PhD, Cardiac Arrhythmia Research Center, Centro Cardiologico Monzino, IRCCS, Department of Cardiovascular Sciences, University of Milan, Milan, Italy. Strategies, Techniques, and Endpoints: Karl Heinz Kuck, MD, PhD, Asklepios Klinik St. Georg, Hamburg, Germany. Technology and Tools: Andrea Natale, MD, Texas Cardiac Arrhythmia Institute, St. David’s Medical Center, Austin, TX, USA. Technical Aspects of Ablation to Maximize Safety and Anticoagulation: David E. Haines, MD, Beaumont Health System, Royal Oak, MI, USA. Follow-up Considerations: Francis E. Marchlinski, MD, Hospital of the University of Pennsylvania, University of Pennsylvania School of Medicine, Philadelphia, PA, USA. Outcomes and Efficacy: Matthew R. Reynolds, MD, MSc, Lahey Hospital and Medical Center, Burlington, MA, USA. Complications: D. Wyn Davies, MD, Imperial College Healthcare NHS Trust, London, United Kingdom. Training Requirements: Bruce D. Lindsay, MD, Cleveland Clinic, Cleveland, OH, USA. Surgical and Hybrid AF Ablation: James R. Edgerton, MD, The Heart Hospital, Baylor Plano, Plano, TX, USA. Clinical Trial Design: Atul Verma, MD, Southlake Regional Health Centre, University of Toronto, Toronto, Canada.

This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). For commercial re-use, please contact [email protected]

Europace 20(1):p 157-208, January 01, 2018. | DOI: 10.1093/europace/eux275