Congenital heart diseaseCohort study

Catheter ablation in congenital heart diseases: a French nationwide study

Eur Heart JPublished

  • Prospective nationwide registry study
  • multicentre
  • 28 French centres
  • consecutive procedures

Authors' conclusion

Catheter ablation in patients with CHD demonstrates highly favourable acute outcomes and a low complication rate. Recurrence rates during follow-up vary depending on the targeted arrhythmia and the underlying CHD.

Study context

Population
Patients with congenital heart disease (CHD) referred for catheter ablation, 28 French centres, 2020 to July 2024
Participants
998 patients · 1,135 procedures
Outcome
Per-procedural acute success

Main finding

As reported in the abstract

Acute success

Clinical arrhythmia successfully ablated

1071 (94.4%)

Acute success, ventricular arrhythmias

86.7%

Observational data: associations, not effects.

Secondary outcomes

Freedom from arrhythmia recurrence · 1 and 2 years

1-year recurrence-free rate
77.3% (95% CI 74.2%-80.4%)
2-year recurrence-free rate
68.4% (95% CI 64.7%-72.3%)
Significant variations in recurrence by arrhythmia type and underlying CHD

Safety

Acute complications

Acute complications
43 procedures (3.8%)
Death
1 (0.1%)

Original publication

Catheter ablation in congenital heart diseases: a French nationwide study. Eur Heart J. Published 21 May 2025. doi:10.1093/eurheartj/ehaf343

Summarised from the published abstract; every number is checked against it