2018 Korean Guidelines for Catheter Ablation of Atrial Fibrillation: Part III

Lee, Jung Myung; Jeong, Dong Seop; Yu, Hee Tae; Park, Hyoung Seob; Shim, Jaemin; Kim, Joo Yeon; Kim, Jun; Yoon, Nam Sik; Oh, Seil; Roh, Seung Young; Cho, Young Jin; Kim, Ki Hoon

Abstract

Catheter ablation of atrial fibrillation (AF) is one of the most complex interventional electrophysiological procedures. The success of AF ablation is based in large part on freedom from AF recurrence based on electrocardiography (ECG) monitoring. Arrhythmia monitoring can be performed with the use of noncontinuous or continuous ECG monitoring tools. AF ablation is an invasive procedure that entails risks, most of which are present during the acute procedural period. However, complications can also occur in the weeks or months following ablation. Recognizing common symptoms after AF ablation and distinguishing those that require urgent evaluation and referral to an electrophysiologist is an important part of follow-up after AF ablation. This section reviews the complications associated with catheter ablation procedures performed to treat AF. The types and incidence of complications are presented, their mechanisms are explored, and the optimal approach to prevention and treatment is discussed. Finally, surgical and hybrid AF ablation technology and the indications for concomitant open or closed surgical ablation of AF, stand-alone and hybrid surgical ablation of AF are covered in this section.