Major in-hospital complications after catheter ablation of cardiac arrhythmias: individual case analysis of 43 031 procedures.
Lars EckardtFlorian DoldiOmar AnwarNele GesslerKatharina ScherschelAnn Kathrin KahleAenne Solvejg von FalkenhausenRaffael ThalerJulian WolfesAndreas MetznerChristian MeyerStephan WillemsJulia KöbePhilipp Sebastian LangeGerrit FrommeyerKarl-Heinz KuckStefan KääbGerhard SteinbeckMoritz F SinnerPublished in: Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology (2023)
Major adverse events are low and comparable after catheter ablation for AFL and AF (∼1.0%), whereas they are five times higher for VT ablations. In the presence of an increase in complex ablation procedures, a moderate but significant increase in overall complications from 2005-20 was observed. Individual case analysis demonstrated a lower than coded ablation-related in-hospital mortality. This highlights the importance of individual case adjudication when analysing administrative data.