Position paper concerning the competence, performance and environment required in the practice of complex ablation procedures

Working Group of Pacing, Electrophysiology of the French Society of Cardiology

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

The introduction of catheter ablation techniques has vastly improved the treatment of cardiac arrhythmias. However, as complex ablations are technically demanding and can cause various complications, they require a high level of expertise to maximize success rates and minimize complication rates. As French recommendations regarding the required technical competence and equipment are not yet available, this position paper has been compiled by the Working Group of Pacing and Electrophysiology of the French Society of Cardiology, detailing the required features of an interventional cardiac electrophysiological centre for complex ablation procedures: (1) sufficient institutional volume; (2) physician training, qualifications and experience; (3) paramedical staff training and attendance; and (4) institutional facilities and technical equipment. The importance of being able to diagnose, monitor and manage complications associated with complex ablations is highlighted. Supplemental hospital-based resources are also discussed, such as anaesthesia, surgical back-up, intensive care, haemodynamic assistance and imaging. Further, the ideal features of an interventional cardiac electrophysiology training centre are considered. Lastly, the need for quality evaluations and national registries for complex ablations is discussed.

Original languageEnglish
Pages (from-to)67-73
Number of pages7
JournalArchives of Cardiovascular Diseases
Volume112
Issue number1
DOIs
Publication statusPublished - Jan 2019

Bibliographical note

Copyright © 2018 Elsevier Masson SAS. All rights reserved.

Keywords

  • Arrhythmias, Cardiac/diagnosis
  • Cardiology/education
  • Catheter Ablation/adverse effects
  • Clinical Competence/standards
  • Consensus
  • Credentialing/standards
  • Education, Medical, Graduate/standards
  • France
  • Humans
  • Treatment Outcome

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