Key result
A survey of 89 centres in 12 countries highlighted variability in procedural details of atrial flutter ablation, though reasonable consensus exists regarding oral anticoagulation and desired endpoints.
Cross-Sectional (n=89)
Yes
There is significant variability in procedural practices for atrial flutter ablation among European and Canadian electrophysiologists, suggesting a need for specific guidelines, despite consensus on anticoagulation and ablation endpoints.
Survey identifies gaps in AFL ablation practices vs guidelines; leaves open need for targeted education or updated consensus.
The purpose of this EP wire survey was to examine current practice in the management of both cavotricuspid isthmus (CTI)-dependent and non-CTI-dependent atrial flutter (AFL) ablation amongst electrophysiologists in European and Canadian centres and to understand how current opinions vary from guidelines. The results of the survey were collected from a detailed questionnaire that was created by the European Heart Rhythm Association Research Network and the Canadian Heart Rhythm Society. Responses were received from 89 centres in 12 countries. The survey highlighted variability within certain aspects of the management of AFL ablation. The variability in opinion regarding other procedural details suggests a need for further research in this area and consideration of the development of guidelines specific to AFL. Overall, there is reasonable consensus regarding oral anticoagulation and the desired endpoints of ablation for patients with CTI-dependent AFL and for non-CTI-dependent AFL.
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Glover et al. (2016) conducted a cross-sectional in Atrial flutter (n=89). Management of atrial flutter ablation was evaluated on Current practice and variability in management of AFL ablation. A survey of 89 centres in 12 countries highlighted variability in procedural details of atrial flutter ablation, though reasonable consensus exists regarding oral anticoagulation and desired endpoints.
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