Severe Periprocedural Complications After Ablation for Atrial Fibrillation

• DOI: 10.1016/j.jacep.2024.03.024
• Publication Date: 2024-05-29T18:04:16Z
• Authors: Jeanne du Fay de ...; Patrick Badertscher; Michael Ghannam; Hakan Oral; Krit Jongnarangsin; Serge Boveda; Marta Madeira; Dhiraj Gupta; Wern Yew Ding; Rui Providencia; Edward MacLean; Michifumi Tokuda; Kenichi Tokutake; Tobias Reichlin; Fengxiang Zhang; Daniel Scherr; Miruna A. Popa; Henry Huang; Nikola Pavlović; Graham Peigh; Xiaorong Li; Karapet Davtyan; Ioanna Kosmidou; Matteo Anselmino; Sandeep Jain; Fabien Squara; Eyal Nof; Mario Matta; Pipin Kojodjojo; Ziad Khoueiry; Sven Knecht; Philipp Krisai; Christian Sticher...; Michael Kühne

Catheter ablation for atrial fibrillation (AF) including pulmonary vein isolation and possibly further substrate is the most common electrophysiological procedure. Severe complications are uncommon, but their detailed assessment in a large worldwide cohort lacking. The aim of this study was to determine incidence periprocedural severe provide characterization diagnostic evaluation management these patients undergoing AF ablation. Individual patient data were collected from 23 centers worldwide. Limited all who underwent catheter ablation, an expanded series points experienced during follow-up. Incidence, predictors, characteristics, details, overall outcomes ablation-related investigated. Data participating at which 33,879 procedures performed (median age 63 years, 30% women, 71% radiofrequency ablations). (n = 271) low (tamponade 6.8‰, stroke 0.97‰, cardiac arrest 0.41‰, esophageal fistula 0.21‰, death 0.21‰). Age, female sex, dilated left atrium, procedure duration, use energy independently associated with composite endpoint complications. Among experiencing tamponade, 13% required surgery. Ninety-three percent discharged directly home after median length stay 5 days (Q1-Q3: 3-7 days). This collaborative highlighted that stroke, arrest, fistula, rare Older age, multinational cohort. One 8 tamponade