2023 Cardiac Society of Australia and New Zealand Expert Position Statement on Catheter and Surgical Ablation for Atrial Fibrillation

Peter M Kistler; Prash Sanders; John V Amarena; Chris R Bain; Karin M Chia; Wai-Kah Choo; Adam T Eslick; Tanya Hall; Ingrid K Hopper; Emily Kotschet; Han S Lim; Liang-Han Ling; Rajiv Mahajan; Silvana F Marasco; Mark A McGuire; Alex J McLellan; Rajeev K Pathak; Karen P Phillips; Sandeep Prabhu; Martin K Stiles; Raymond W Sy; Stuart P Thomas; Tracey Toy; Troy W Watts; Rukshen Weerasooriya; Bradley R Wilsmore; Lauren Wilson; Jonathan M Kalman

doi:10.1016/j.hlc.2023.12.024

2023 Cardiac Society of Australia and New Zealand Expert Position Statement on Catheter and Surgical Ablation for Atrial Fibrillation

Heart Lung Circ. 2024 Jun;33(6):828-881. doi: 10.1016/j.hlc.2023.12.024. Epub 2024 May 3.

Authors

Peter M Kistler¹, Prash Sanders², John V Amarena³, Chris R Bain⁴, Karin M Chia⁵, Wai-Kah Choo⁶, Adam T Eslick⁷, Tanya Hall⁸, Ingrid K Hopper⁴, Emily Kotschet⁹, Han S Lim¹⁰, Liang-Han Ling¹¹, Rajiv Mahajan¹², Silvana F Marasco⁴, Mark A McGuire¹³, Alex J McLellan¹⁴, Rajeev K Pathak¹⁵, Karen P Phillips¹⁶, Sandeep Prabhu¹⁷, Martin K Stiles¹⁸, Raymond W Sy¹⁹, Stuart P Thomas²⁰, Tracey Toy²¹, Troy W Watts²², Rukshen Weerasooriya²³, Bradley R Wilsmore²⁴, Lauren Wilson²⁵, Jonathan M Kalman²⁶

Affiliations

¹ The Alfred Hospital, Melbourne, Vic, Australia; The Baker Heart and Diabetes Research Institute, Melbourne, Vic, Australia; University of Melbourne, Melbourne, Vic, Australia; Monash University, Melbourne, Vic, Australia. Electronic address: peter.kistler@baker.edu.au.
² University of Adelaide, Adelaide, SA, Australia; Royal Adelaide Hospital, Adelaide, SA, Australia.
³ University Hospital, Geelong, Vic, Australia.
⁴ The Alfred Hospital, Melbourne, Vic, Australia; Monash University, Melbourne, Vic, Australia.
⁵ Royal North Shore Hospital, Sydney, NSW, Australia.
⁶ Gold Coast University Hospital, Gold Coast, Qld, Australia; Royal Darwin Hospital, Darwin, NT, Australia.
⁷ University of Sydney, Sydney, NSW, Australia; The Canberra Hospital, Canberra, ACT, Australia.
⁸ Hearts4Heart, Melbourne, Vic, Australia.
⁹ Victorian Heart Hospital, Monash Health, Melbourne, Vic, Australia.
¹⁰ University of Melbourne, Melbourne, Vic, Australia; Austin Health, Melbourne, Vic, Australia; Northern Health, Melbourne, Vic, Australia.
¹¹ The Alfred Hospital, Melbourne, Vic, Australia; The Baker Heart and Diabetes Research Institute, Melbourne, Vic, Australia; University of Melbourne, Melbourne, Vic, Australia.
¹² University of Adelaide, Adelaide, SA, Australia; Lyell McEwin Hospital, Adelaide, SA, Australia.
¹³ Royal Prince Alfred Hospital, Sydney, NSW, Australia.
¹⁴ University of Melbourne, Melbourne, Vic, Australia; Royal Melbourne Hospital, Melbourne, Vic, Australia; St Vincent's Hospital, Melbourne, Vic, Australia.
¹⁵ Australian National University and Canberra Heart Rhythm, Canberra, ACT, Australia.
¹⁶ Brisbane AF Clinic, Greenslopes Private Hospital, Brisbane, Qld, Australia.
¹⁷ The Alfred Hospital, Melbourne, Vic, Australia; The Baker Heart and Diabetes Research Institute, Melbourne, Vic, Australia; University of Melbourne, Melbourne, Vic, Australia; Monash University, Melbourne, Vic, Australia.
¹⁸ Waikato Clinical School, University of Auckland, Hamilton, New Zealand.
¹⁹ Royal Prince Alfred Hospital, Sydney, NSW, Australia; Concord Repatriation General Hospital, Sydney, NSW, Australia.
²⁰ University of Sydney, Sydney, NSW, Australia; Westmead Hospital, Sydney, NSW, Australia.
²¹ The Alfred Hospital, Melbourne, Vic, Australia.
²² Royal Melbourne Hospital, Melbourne, Vic, Australia.
²³ Hollywood Private Hospital, Perth, WA, Australia; University of Western Australia, Perth, WA, Australia.
²⁴ John Hunter Hospital, Newcastle, NSW, Australia.
²⁵ Royal Adelaide Hospital, Adelaide, SA, Australia.
²⁶ University of Melbourne, Melbourne, Vic, Australia; Royal Melbourne Hospital, Melbourne, Vic, Australia.

PMID: 38702234
DOI: 10.1016/j.hlc.2023.12.024

Abstract

Catheter ablation for atrial fibrillation (AF) has increased exponentially in many developed countries, including Australia and New Zealand. This Expert Position Statement on Catheter and Surgical Ablation for Atrial Fibrillation from the Cardiac Society of Australia and New Zealand (CSANZ) recognises healthcare factors, expertise and expenditure relevant to the Australian and New Zealand healthcare environments including considerations of potential implications for First Nations Peoples. The statement is cognisant of international advice but tailored to local conditions and populations, and is intended to be used by electrophysiologists, cardiologists and general physicians across all disciplines caring for patients with AF. They are also intended to provide guidance to healthcare facilities seeking to establish or maintain catheter ablation for AF.

Keywords: Atrial fibrillation; Catheter ablation; Guidelines; Surgical ablation.

Copyright © 2024 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). Published by Elsevier B.V. All rights reserved.

Publication types

Practice Guideline

MeSH terms

Atrial Fibrillation* / surgery
Australia
Cardiology / standards
Catheter Ablation* / methods
Catheter Ablation* / standards
Humans
New Zealand
Societies, Medical