Cited by 2,852Atrial Fibrillation Management and OutcomesCardiac Arrhythmias and TreatmentsCardiac pacing and defibrillation studies

The DOI matches its Crossref record; 33 of the 34 references it cites were found in a registry or an index.

Updated Worldwide Survey on the Methods, Efficacy, and Safety of Catheter Ablation for Human Atrial Fibrillation

Cappato, Riccardo, Calkins, Hugh, Chen, Shih-Ann, Davies, Wyn, Iesaka, Yoshito, Kalman, Jonathan, Kim, You-Ho, Klein, George, Natale, Andrea, Packer, Douglas, Skanes, Allan, Ambrogi, Federico, Biganzoli, Elia·2010·Circulation Arrhythmia and Electrophysiology

DOI 10.1161/circep.109.859116

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Abstract

BACKGROUND: The purpose of this study was to provide an updated worldwide report on the methods, efficacy, and safety of catheter ablation of atrial fibrillation (AF). METHODS AND RESULTS: A questionnaire with 46 questions was sent to 521 centers from 24 countries in 4 continents. Complete interviews were collected from 182 centers, of which 85 reported to have performed 20,825 catheter ablation procedures on 16,309 patients with AF between 2003 and 2006. The median number of procedures per center was 245 (range, 2 to 2715). All centers included paroxysmal AF, 85.9% also included persistent and 47.1% also included long-lasting AF. Carto-guided left atrial circumferential ablation (48.2% of patients) and Lasso-guided ostial electric disconnection (27.4%) were the most commonly used techniques. Efficacy data were analyzed with centers representing the unit of analysis. Of 16,309 patients with full disclosure of outcome data, 10 488 (median, 70.0%; interquartile range, 57.7% to 75.4%) became asymptomatic without antiarrhythmic drugs and another 2047 (10.0%; 0.5% to 17.1%) became asymptomatic in the presence of previously ineffective antiarrhythmic drugs over 18 (range, 3 to 24) months of follow-up. Success rates free of antiarrhythmic drugs and overall success rates were significantly larger in 9590 patients with paroxysmal AF (74.9% and 83.2%) than in 2800 patients with persistent AF (64.8% and 75.0%) and 1108 patients with long-lasting AF (63.1% and 72.3%) (P<0.0001). Major complications were reported in 741 patients (4.5%). CONCLUSIONS: When analyzed in a large number of electrophysiology laboratories worldwide, catheter ablation of AF shows to be effective in approximately 80% of patients after 1.3 procedures per patient, with approximately 70% of them not requiring further antiarrhythmic drugs during intermediate follow-up.

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Center experience does not influence long-term outcome and peri-procedural complications after cryoballoon ablation of paroxysmal atrial fibrillation: Data on 860 patients from the real-world multicenter observational project
Landolina, M., Arena, G., Iacopino, S., Verlato, R., Pieragnoli, P., Curnis, A., Lunati, M., Rauhe, W., Senatore, G., Sciarra, L., et al. (2018) · International Journal of Cardiology · doi:10.1016/j.ijcard.2018.07.051 · Cited by 23
Vein of Marshall ethanol infusion for persistent atrial fibrillation: VENUS and MARS clinical trial design
Valderrábano, M., Peterson, L. E., Bunge, R. R., Prystash, M., Dave, A. S., Nagueh, S. F., & Kleiman, N. S. (2019) · American Heart Journal · doi:10.1016/j.ahj.2019.04.022 · Cited by 23
U-Shaped Relationship Between Left Atrium Size on Echocardiography and 1-Year Recurrence of Atrial Fibrillation After Radiofrequency Catheter Ablation ― Prognostic Value Study ―
Wang, Q., Zhuo, C., Shang, Y., Zhao, J., Chen, N., Lv, N., Huang, Y., Zheng, L., Lai, J., Han, J., et al. (2019) · Circulation Journal · doi:10.1253/circj.cj-19-0167 · Cited by 23
Comparison of standard vs modified “figure‐of‐eight” suture to achieve femoral venous hemostasis after cryoballoon based atrial fibrillation ablation
Yorgun, H., Canpolat, U., Ateş, A. H., Okşul, M., Şener, Y. Z., Akkaya, F., & Aytemir, K. (2019) · Pacing and Clinical Electrophysiology · doi:10.1111/pace.13764 · Cited by 23
Integrated Ultrasound and Photoacoustic-Guided Laser Ablation Theranostic Endoscopic System
Basij, M., John, S., Bustamante, D., Kabbani, L., Maskoun, W., & Mehrmohammadi, M. (2022) · IEEE Transactions on Biomedical Engineering · doi:10.1109/tbme.2022.3184495 · Cited by 23
“cular damage and thromboembolism which occurs due to the charring of the endothelium [5]–[7].”
Background
Mitral Isthmus Ablation with and Without Temporary Spot Occlusion of the Coronary Sinus: A Randomized Clinical Comparison of Acute Outcomes
Hocini, M., Shah, A. J., Nault, I., Rivard, L., Linton, N., Narayan, S. M., Myiazaki, S., Jadidi, A., Knecht, S., SCHERR, D., et al. (2012) · Journal of Cardiovascular Electrophysiology · doi:10.1111/j.1540-8167.2011.02248.x · Cited by 23
Optimal contact forces to minimize cardiac perforations before, during, and/or after radiofrequency or cryothermal ablations
Quallich, S. G., Heel, M. V., & Iaizzo, P. A. (2014) · Heart Rhythm · doi:10.1016/j.hrthm.2014.11.028 · Cited by 23
“This highlights the need for further studies on human tissue from patients with a history of AF.”
BackgroundInfluential
Femoral vein thrombosis after right-sided electrophysiological procedures
Moubarak, G., Bonhomme, S., Vedrenne, G., Bouleti, C., Ollitrault, J., Priollet, P., Cador, R., & Cazeau, S. (2013) · Journal of Interventional Cardiac Electrophysiology · doi:10.1007/s10840-013-9832-4 · Cited by 23
Minimally Invasive Surgical Versus Catheter Ablation for the Long-Lasting Persistent Atrial Fibrillation
Wang, J., Li, Y., Shi, J., Han, J., Xu, C., Ma, C., & Xu, M. (2011) · PLoS ONE · doi:10.1371/journal.pone.0022122 · Cited by 23
Cardiology in contemporary China: An update
Cheng, T. O. (2007) · International Journal of Cardiology · doi:10.1016/j.ijcard.2007.07.030 · Cited by 23
Comparison of cardiac computed tomography versus cardiac magnetic resonance for characterization of left atrium anatomy before radiofrequency catheter ablation of atrial fibrillation
Pontone, G., Andreini, D., Bertella, E., Petullà, M., Russo, E., Innocenti, E., Mushtaq, S., Gripari, P., Loguercio, M., Segurini, C., et al. (2014) · International Journal of Cardiology · doi:10.1016/j.ijcard.2014.10.030 · Cited by 23
Ion channel trafficking: A new therapeutic horizon for atrial fibrillation
Schumacher, S. M., & Martens, J. R. (2010) · Heart Rhythm · doi:10.1016/j.hrthm.2010.02.017 · Cited by 23
Catheter Ablation of Atrial Fibrillation in the Elderly
Yamada, T., & Kay, G. N. (2009) · Pacing and Clinical Electrophysiology · doi:10.1111/j.1540-8159.2009.02442.x · Cited by 23
Complications of atrial fibrillation ablation: when prevention is better than cure
Sorgente, A., Chierchia, G., de Asmundis, C., Sarkozy, A., Capulzini, L., & Brugada, P. (2011) · EP Europace · doi:10.1093/europace/eur209 · Cited by 23
“A worldwide survey on the methods, efficacy, and safety of AF catheter ablation recently published by Cappato et al.[4] revealed that the indications for AF catheter ablation have been progressively widened.”
MethodInfluential
Pulmonary vein isolation and left atrial complex-fractionated atrial electrograms ablation for persistent atrial fibrillation with phased radio frequency energy and multi-electrode catheters: efficacy and safety during 12 months follow-up
Mulder, A. A. W., WIJFFELS, M. C. E. F., WEVER, E. F. D., & Boersma, L. V. A. (2011) · EP Europace · doi:10.1093/europace/eur204 · Cited by 23
“5%.(14) The multi-centre pilot study from Scharf et al.”
Background
Catheter Ablation of Atrial Fibrillation
Latchamsetty, R., & Morady, F. (2016) · Heart Failure Clinics · doi:10.1016/j.hfc.2015.08.018 · Cited by 23
The 4q25, 1q21, and 16q22 polymorphisms and recurrence of atrial fibrillation after pulmonary vein isolation
Kiliszek, M., Koźluk, E., Franaszczyk, M., Lodziński, P., Piątkowska, A., Płoski, R., & Opolski, G. (2016) · Archives of Medical Science · doi:10.5114/aoms.2015.48284 · Cited by 23
“Catheter ablation is a standard therapy in many cases of atrial fibrillation (AF) [1], with well-documented efficacy (mainly with pulmonary vein isolation – PVI) [2].”
BackgroundMethodResultInfluential
Atrial Fibrillation: The Science behind Its Defiance
Czick, M. E., Shapter, C., & Silverman, D. I. (2016) · Aging and Disease · doi:10.14336/ad.2016.0211 · Cited by 26
The best of two worlds? Pulmonary vein isolation using a novel radiofrequency ablation catheter incorporating contact force sensing technology and 56-hole porous tip irrigation
Maurer, T., Rottner, L., Makimoto, H., Reißmann, B., Heeger, C.-H. H., Lemeš, C., Fink, T., Riedl, J., Santoro, F., Wohlmuth, P., et al. (2018) · Clinical Research in Cardiology · doi:10.1007/s00392-018-1270-y · Cited by 23
Paroxysmal and persistent atrial fibrillation ablation outcomes with the pulmonary vein ablation catheter GOLD duty-cycled phased radiofrequency ablation catheter: quality of life and 12-month efficacy results from the GOLD Atrial Fibrillation Registry
Boersma, L. V. A., Koźluk, E., Maglia, G., de Sousa, J., Grebe, O. C., Eckardt, L., Hokanson, R. B., Hemingway, L., Ostern, E., Park, H., et al. (2020) · EP Europace · doi:10.1093/europace/euaa042 · Cited by 22
Attenuation of atrial remodeling by aliskiren via affecting oxidative stress, inflammation and PI3K/Akt signaling pathway
Zhao, Z., Li, R., Wang, X., Li, J., Yuan, M., Liu, E., Liu, T., & Li, G. (2020) · Cardiovascular Drugs and Therapy · doi:10.1007/s10557-020-07002-z · Cited by 23
“Both are quite effective in preventing secondary episodes of AF, but still far away from curing all forms of AF [6, 7].”
Background
The role of pulmonary veins in atrial fibrillation: A complex yet simple story
Chard, M., & Tabrizchi, R. (2009) · Pharmacology & Therapeutics · doi:10.1016/j.pharmthera.2009.07.002 · Cited by 23
Complications during catheter ablation of atrial fibrillation: Identification and prevention
Doppalapudi, H., Yamada, T., & Kay, G. N. (2009) · Heart Rhythm · doi:10.1016/j.hrthm.2009.07.025 · Cited by 23
Triggering Pulmonary Veins: A Paradoxical Predictor for Atrial Fibrillation Recurrence After PV Isolation
Greef, Y. D., Tavernier, R., Vandekerckhove, Y. R., & Duytschaever, M. F. (2009) · Journal of Cardiovascular Electrophysiology · doi:10.1111/j.1540-8167.2009.01646.x · Cited by 23
Periprocedural imaging and outcomes after catheter ablation of atrial fibrillation
Steinberg, B. A., Hammill, B. G., Daubert, J. P., Bahnson, T. D., Douglas, P. S., Qualls, L. G., Pokorney, S. D., Calkins, H. G., Curtis, L. H., & Piccini, J. P. (2014) · Heart · doi:10.1136/heartjnl-2014-306067 · Cited by 23
Compensatory caspase activation in MPP+-induced cell death in dopaminergic neurons
Chee, J. L. Y., Guan, X. L., Lee, J. Y., Dong, B., Leong, S. M., Ong, E. H., Liou, A. K. F., & Lim, T. M. (2005) · Cellular and Molecular Life Sciences · doi:10.1007/s00018-004-4413-4 · Cited by 23
Isolation of Pulmonary Veins Using a Transvenous Curvilinear Cryoablation Catheter: Feasibility, Initial Experience, and Analysis of Recurrences
Skanes, A. C., Jensen, S. M., Pap, R., Li, J., Yee, R. K., Krahn, A. D., & Klein, G. J. (2005) · Journal of Cardiovascular Electrophysiology · doi:10.1111/j.1540-8167.2005.00287.x · Cited by 23
Apples and Oranges
Callans, D. J. (2008) · Circulation · doi:10.1161/circulationaha.108.823179 · Cited by 23
Rate or Rhythm Control for Atrial Fibrillation: Update and Controversies
Chinitz, J. S., Halperin, J. L., Reddy, V. Y., & Fuster, V. (2012) · The American Journal of Medicine · doi:10.1016/j.amjmed.2012.04.007 · Cited by 22
Endoscopic fluorescence mapping of the left atrium: A novel experimental approach for high resolution endocardial mapping in the intact heart
Kalifa, J., Klos, M., Zlochiver, S., Mironov, S. F., Tanaka, K., Ulahannan, N., Yamazaki, M., Jalife, J., & Berenfeld, O. (2007) · Heart Rhythm · doi:10.1016/j.hrthm.2007.03.009 · Cited by 22
Current Hot Potatoes in Atrial Fibrillation Ablation
Roten, L., Derval, N., Pascale, P., Scherr, D., Komatsu, Y., Shah, A. J., Ramoul, K., Denis, A., Sacher, F., Hocini, M., et al. (2012) · Current Cardiology Reviews · doi:10.2174/157340312803760802 · Cited by 21
Periprocedural Management of New Oral Anticoagulants in Patients Undergoing Atrial Fibrillation Ablation
Weitz, J. I., Healey, J. S., Skanes, A. C., & Verma, A. (2014) · Circulation · doi:10.1161/circulationaha.113.005376 · Cited by 22
“Need for Anticoagulation in AF Patients Undergoing Catheter Ablation Stroke is one of the most feared complications of catheter ablation.(3) The stimulus for thromboembolism, the underlying cause of most strokes in AF patients, differs before, during, and after ablation, which may influence the optimal choice of antic…”
BackgroundInfluential
Prevention of Recurrent Atrial Fibrillation With Angiotensin-Converting Enzyme Inhibitors or Angiotensin Receptor Blockers: A Systematic Review and Meta-Analysis of Randomized Trials
Bhuriya, R., Singh, M., Sethi, A., Molnár, J., Bahekar, A., Singh, P. P., Khosla, S., & Arora, R. R. (2011) · Journal of Cardiovascular Pharmacology and Therapeutics · doi:10.1177/1074248410389045 · Cited by 22
Complications of Atrial Fibrillation Cryoablation
Canpolat, U. (2017) · Journal of Atrial Fibrillation · doi:10.4022/jafib.1620 · Cited by 22
Advantages of the integration of ICE and 3D electroanatomical mapping and ultrasound-guided femoral venipuncture in catheter ablation of atrial fibrillation
Greca, C. L., Cirasa, A., Modica, D. D., Sorgato, A., Simoncelli, U., & Pecora, D. (2020) · Journal of Interventional Cardiac Electrophysiology · doi:10.1007/s10840-020-00835-6 · Cited by 22
Cost-effectiveness of combined catheter ablation and left atrial appendage closure for symptomatic atrial fibrillation in patients with high stroke and bleeding risk
Kawakami, H., Nolan, M. T., Phillips, K. P., Scuffham, P., & Marwick, T. H. (2020) · American Heart Journal · doi:10.1016/j.ahj.2020.08.008 · Cited by 22
Atrial fibrillation catheter ablation complications in obese and diabetic patients: Insights from the US Nationwide Inpatient Sample 2005–2013
D’Souza, S., Elshazly, M. B., Dargham, S. R., Donnellan, E., Asaad, N., Hayat, S., Kanj, M. H., Baranowski, B., Wazni, O. M., Saliba, W. I., et al. (2021) · Clinical Cardiology · doi:10.1002/clc.23667 · Cited by 22
Early mortality after inpatient versus outpatient catheter ablation in patients with atrial fibrillation
Obeid, M. J., Zhou, J., Sale, A., Longacre, C. F., Zeitler, E. P., Andrade, J. G., Mittal, S., & Piccini, J. P. (2023) · Heart Rhythm · doi:10.1016/j.hrthm.2023.02.016 · Cited by 22
Italian Registry of Cardiac Computed Tomography
CCT Italian Registry Group, Cademartiri, F., Cesare, E. D., Francone, M., Ballerini, G., Ligabue, G., Maffei, E., Romagnoli, A., Argiolas, G. M., Russo, V. C., et al. (2015) · La radiologia medica · doi:10.1007/s11547-015-0518-0 · Cited by 22
Pulmonary vein isolation with a novel endoscopic ablation system using laser energy
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Incidence and clinical characteristics of transient ST-T elevation during transseptal catheterization for atrial fibrillation ablation
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Visual, tactile, and contact force feedback: Which one is more important for catheter ablation? Results from an in vitro experimental study
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Safety and efficacy outcomes of protamine administration for heparin reversal following cryoballoon-based pulmonary vein isolation
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“Several studies have suggested that bridging resulted in a high incidence of bleeding complications, especially at the site of vascular access [15–17].”
Background
Atrial fibrillation after typical atrial flutter ablation: a long-term follow-up
Bandini, A., Golia, P., Caroli, E., Biancoli, S., & Galvani, M. (2011) · Journal of Cardiovascular Medicine · doi:10.2459/jcm.0b013e3283403301 · Cited by 20

Authors: Cappato, R., Calkins, H., Chen, S.-A., Davies, W., Iesaka, Y., Kalman, J., Kim, Y.-H., Klein, G., Natale, A., Packer, D., Skanes, A., Ambrogi, F., & Biganzoli, E.
Affiliations: The Royal Melbourne Hospital (AU)
ORCID: Cappato, Riccardo
Calkins, Hugh
Chen, Shih-Ann
Kalman, Jonathan
Kim, You-Ho
Klein, George
Natale, Andrea
Packer, Douglas
Skanes, Allan
Ambrogi, Federico
Biganzoli, Elia
Venue: Circulation Arrhythmia and Electrophysiology
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2010-02
Volume: 3
Issue: 1
Pages: 32-38
ISSN: 1941-3084 (ISSN-L)
1941-3149
DOI: 10.1161/circep.109.859116
OpenAlex: W2146673314
Cited by: 2,852
References: 34
Citations by year: 2026: 26 · 2025: 42 · 2024: 51 · 2023: 68 · 2022: 81 · 2021: 110 · 2020: 126 · 2019: 125 · 2018: 141 · 2017: 177 · 2016: 199 · 2015: 184 · 2014: 220 · 2013: 246 · 2012: 218
FWCI: 156.54
Type: journal article
Language: en
Open access: closed
Locations: Circulation Arrhythmia and Electrophysiology (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Atrial Fibrillation Management and Outcomes
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Arrhythmias and Treatments
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac pacing and defibrillation studies
Keywords: catheter ablation, atrial fibrillation, paroxysmal atrial fibrillation, persistent atrial fibrillation, ablation efficacy, ablation safety, procedural complications, CARTO system
MeSH terms: Adolescent, Adult, Aged, Aged, 80 and over, Anticoagulants, Atrial Fibrillation, Data Collection, Female, Humans, Male, Middle Aged, Surveys and Questionnaires, Treatment Outcome, Catheter Ablation, Young Adult

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Updated Worldwide Survey on the Methods, Efficacy, and Safety of Catheter Ablation for Human Atrial Fibrillation

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