2019 HRS/EHRA/APHRS/LAHRS expert consensus statement on catheter ablation of ventricular arrhythmias

Edmond M. Cronin, Frank M. Bogun, Philippe Maury, Petr Peichl, Minglong Chen, Narayanan Namboodiri, Luis Aguinaga, Luiz Roberto Leite, Sana M. Al-Khatib, Elad Anter, Antonio Berruezo, David J. Callans, Mina K. Chung, Phillip Cuculich, Andre d'Avila, Barbara J. Deal, Paolo Della Bella, Thomas Deneke, Timm Michael Dickfeld, Claudio HadidHaris M. Haqqani, G. Neal Kay, Rakesh Latchamsetty, Francis Marchlinski, John Miller, Akihiko Nogami, Akash R. Patel, Rajeev Kumar Pathak, Luis C. Saenz Morales, Pasquale Santangeli, John L. Sapp, Andrea Sarkozy, Kyoko Soejima, William G. Stevenson, Usha B. Tedrow, Wendy S. Tzou, Niraj Varma, Katja Zeppenfeld

Research output: Contribution to journalReview article

3 Citations (Scopus)

Abstract

Ventricular arrhythmias are an important cause of morbidity and mortality and come in a variety of forms, from single premature ventricular complexes to sustained ventricular tachycardia and fibrillation. Rapid developments have taken place over the past decade in our understanding of these arrhythmias and in our ability to diagnose and treat them. The field of catheter ablation has progressed with the development of new methods and tools, and with the publication of large clinical trials. Therefore, global cardiac electrophysiology professional societies undertook to outline recommendations and best practices for these procedures in a document that will update and replace the 2009 EHRA/HRS Expert Consensus on Catheter Ablation of Ventricular Arrhythmias. An expert writing group, after reviewing and discussing the literature, including a systematic review and meta-analysis published in conjunction with this document, and drawing on their own experience, drafted and voted on recommendations and summarized current knowledge and practice in the field. Each recommendation is presented in knowledge byte format and is accompanied by supportive text and references. Further sections provide a practical synopsis of the various techniques and of the specific ventricular arrhythmia sites and substrates encountered in the electrophysiology lab. The purpose of this document is to help electrophysiologists around the world to appropriately select patients for catheter ablation, to perform procedures in a safe and efficacious manner, and to provide follow-up and adjunctive care in order to obtain the best possible outcomes for patients with ventricular arrhythmias.

Original languageEnglish (US)
JournalJournal of Arrhythmia
DOIs
StatePublished - Jan 1 2019

Fingerprint

Catheter Ablation
Cardiac Arrhythmias
Cardiac Electrophysiology
Aftercare
Ventricular Premature Complexes
Electrophysiology
Ventricular Fibrillation
Ventricular Tachycardia
Practice Guidelines
Publications
Meta-Analysis
Clinical Trials
Morbidity
Mortality

Keywords

  • catheter ablation
  • clinical document
  • electrical storm
  • electroanatomical mapping
  • electrocardiogram
  • expert consensus statement
  • imaging
  • premature ventricular complex
  • radiofrequency ablation
  • ventricular arrhythmia
  • ventricular tachycardia

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Cronin, E. M., Bogun, F. M., Maury, P., Peichl, P., Chen, M., Namboodiri, N., ... Zeppenfeld, K. (2019). 2019 HRS/EHRA/APHRS/LAHRS expert consensus statement on catheter ablation of ventricular arrhythmias. Journal of Arrhythmia. https://doi.org/10.1002/joa3.12185

2019 HRS/EHRA/APHRS/LAHRS expert consensus statement on catheter ablation of ventricular arrhythmias. / Cronin, Edmond M.; Bogun, Frank M.; Maury, Philippe; Peichl, Petr; Chen, Minglong; Namboodiri, Narayanan; Aguinaga, Luis; Leite, Luiz Roberto; Al-Khatib, Sana M.; Anter, Elad; Berruezo, Antonio; Callans, David J.; Chung, Mina K.; Cuculich, Phillip; d'Avila, Andre; Deal, Barbara J.; Della Bella, Paolo; Deneke, Thomas; Dickfeld, Timm Michael; Hadid, Claudio; Haqqani, Haris M.; Neal Kay, G.; Latchamsetty, Rakesh; Marchlinski, Francis; Miller, John; Nogami, Akihiko; Patel, Akash R.; Pathak, Rajeev Kumar; Saenz Morales, Luis C.; Santangeli, Pasquale; Sapp, John L.; Sarkozy, Andrea; Soejima, Kyoko; Stevenson, William G.; Tedrow, Usha B.; Tzou, Wendy S.; Varma, Niraj; Zeppenfeld, Katja.

In: Journal of Arrhythmia, 01.01.2019.

Research output: Contribution to journalReview article

Cronin, EM, Bogun, FM, Maury, P, Peichl, P, Chen, M, Namboodiri, N, Aguinaga, L, Leite, LR, Al-Khatib, SM, Anter, E, Berruezo, A, Callans, DJ, Chung, MK, Cuculich, P, d'Avila, A, Deal, BJ, Della Bella, P, Deneke, T, Dickfeld, TM, Hadid, C, Haqqani, HM, Neal Kay, G, Latchamsetty, R, Marchlinski, F, Miller, J, Nogami, A, Patel, AR, Pathak, RK, Saenz Morales, LC, Santangeli, P, Sapp, JL, Sarkozy, A, Soejima, K, Stevenson, WG, Tedrow, UB, Tzou, WS, Varma, N & Zeppenfeld, K 2019, '2019 HRS/EHRA/APHRS/LAHRS expert consensus statement on catheter ablation of ventricular arrhythmias', Journal of Arrhythmia. https://doi.org/10.1002/joa3.12185
Cronin, Edmond M. ; Bogun, Frank M. ; Maury, Philippe ; Peichl, Petr ; Chen, Minglong ; Namboodiri, Narayanan ; Aguinaga, Luis ; Leite, Luiz Roberto ; Al-Khatib, Sana M. ; Anter, Elad ; Berruezo, Antonio ; Callans, David J. ; Chung, Mina K. ; Cuculich, Phillip ; d'Avila, Andre ; Deal, Barbara J. ; Della Bella, Paolo ; Deneke, Thomas ; Dickfeld, Timm Michael ; Hadid, Claudio ; Haqqani, Haris M. ; Neal Kay, G. ; Latchamsetty, Rakesh ; Marchlinski, Francis ; Miller, John ; Nogami, Akihiko ; Patel, Akash R. ; Pathak, Rajeev Kumar ; Saenz Morales, Luis C. ; Santangeli, Pasquale ; Sapp, John L. ; Sarkozy, Andrea ; Soejima, Kyoko ; Stevenson, William G. ; Tedrow, Usha B. ; Tzou, Wendy S. ; Varma, Niraj ; Zeppenfeld, Katja. / 2019 HRS/EHRA/APHRS/LAHRS expert consensus statement on catheter ablation of ventricular arrhythmias. In: Journal of Arrhythmia. 2019.
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AU - Namboodiri, Narayanan

AU - Aguinaga, Luis

AU - Leite, Luiz Roberto

AU - Al-Khatib, Sana M.

AU - Anter, Elad

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AU - Callans, David J.

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AU - d'Avila, Andre

AU - Deal, Barbara J.

AU - Della Bella, Paolo

AU - Deneke, Thomas

AU - Dickfeld, Timm Michael

AU - Hadid, Claudio

AU - Haqqani, Haris M.

AU - Neal Kay, G.

AU - Latchamsetty, Rakesh

AU - Marchlinski, Francis

AU - Miller, John

AU - Nogami, Akihiko

AU - Patel, Akash R.

AU - Pathak, Rajeev Kumar

AU - Saenz Morales, Luis C.

AU - Santangeli, Pasquale

AU - Sapp, John L.

AU - Sarkozy, Andrea

AU - Soejima, Kyoko

AU - Stevenson, William G.

AU - Tedrow, Usha B.

AU - Tzou, Wendy S.

AU - Varma, Niraj

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N2 - Ventricular arrhythmias are an important cause of morbidity and mortality and come in a variety of forms, from single premature ventricular complexes to sustained ventricular tachycardia and fibrillation. Rapid developments have taken place over the past decade in our understanding of these arrhythmias and in our ability to diagnose and treat them. The field of catheter ablation has progressed with the development of new methods and tools, and with the publication of large clinical trials. Therefore, global cardiac electrophysiology professional societies undertook to outline recommendations and best practices for these procedures in a document that will update and replace the 2009 EHRA/HRS Expert Consensus on Catheter Ablation of Ventricular Arrhythmias. An expert writing group, after reviewing and discussing the literature, including a systematic review and meta-analysis published in conjunction with this document, and drawing on their own experience, drafted and voted on recommendations and summarized current knowledge and practice in the field. Each recommendation is presented in knowledge byte format and is accompanied by supportive text and references. Further sections provide a practical synopsis of the various techniques and of the specific ventricular arrhythmia sites and substrates encountered in the electrophysiology lab. The purpose of this document is to help electrophysiologists around the world to appropriately select patients for catheter ablation, to perform procedures in a safe and efficacious manner, and to provide follow-up and adjunctive care in order to obtain the best possible outcomes for patients with ventricular arrhythmias.

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