Key Points
- To provide an updated, state-of-the-art consensus review detailing indications, techniques, trial design standards, and outcome definitions for catheter and surgical ablation of atrial fibrillation.
- Convened an international writing committee of 60 experts representing 11 major cardiovascular societies.
- Developed recommendations via systematic surveys and formal balloting requiring at least 80% consensus approval, followed by a 1-month public comment period.
- Graded recommendation strength and evidence certainty using standard Class of Recommendation and Level of Evidence (A, B-R, B-NR, C-LD, and C-EO) criteria.
- Standardized procedural indications and execution frameworks for catheter and surgical ablation across distinct clinical presentations of atrial fibrillation.
- Provided unified definitions, endpoint criteria, and structural guidelines to standardize future clinical trial designs and outcome reporting.
- Categorized ablation interventions across Class I through Class III recommendations based on comparative risk-benefit balances and clinical evidence quality.
Structured PICO
PPopulationPatients with atrial fibrillation
IInterventionCatheter and surgical ablation of atrial fibrillation
This 2017 international expert consensus statement provides updated recommendations on the indications, techniques, and outcomes for catheter and surgical ablation of atrial fibrillation.