Statement on Atrial Fibrillation

Expert Consensus Statement on Catheter and Surgical Ablation of Atrial Fibrillation

Guidelines for Reporting Data and Outcomes for the Surgical Treatment of Atrial Fibrillation

The Expert Consensus Statement on Catheter and Surgical Ablation of Atrial Fibrillation was jointly published by HRS/STS/ACC/EHRA/ECAS. This document includes specific recommendations for performing atrial fibrillation ablation at the time of other cardiac operations, and for performing stand alone atrial fibrillation ablation by both electrophysiologists and surgeons.

In brief, atrial fibrillation ablation is recommended in "1) Symptomatic AF patients undergoing other cardiac surgical procedures and 2) Selected asymptomatic AF patients undergoing cardiac surgery in whom the ablation can be performed with minimal risk." Stand-alone atrial fibrillation surgery should be considered for symptomatic AF patients who prefer a surgical approach, have failed one or more attempts at catheter ablation, or are not candidates for catheter ablation.

Both this document, and the Society's Guidelines for Reporting Data and Outcomes for the Surgical Treatment of Atrial Fibrillation, report specific guidelines for reporting data and outcomes. The consensus statement with our electrophysiology colleagues from Heart Rhythm Society also creates a similar set of reporting guidelines that both the electrophysiologists and surgeons will use to report their outcomes in the future. We recommend careful attention to these documents.
 
  • Patrick M. McCarthy, MD, Section Chair, Surgical Ablation of Atrial Fibrillation; STS Representative, Feinberg School of Medicine, Illinois
  • Richard J. Shemin, MD, Chair, STS Workforce on Adult Cardiac Surgery; Washington University School of Medicine, Missouri

Co-Authors

  • Ralph Damiano, Jr., MD, Washington University School of Medicine, Missouri
  • Richard J. Shemin, MD, David Geffen School of Medicine at UCLA, California
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