Arrhythmias & electrophysiologyResearch article

Catheter Ablation of Atrial Arrhythmias After Orthotopic Heart Transplantation

Heart RhythmPublished

  • narrative review
  • structured search of PubMed and Embase (1995-2025)

Authors' conclusion

CA is feasible, effective, and associated with improved survival in appropriately selected orthotopic heart transplant recipients. Prospective multicenter registries with standardized reporting are needed to advance evidence-based practice in this population.

Study context

Population
Orthotopic heart transplant recipients with atrial arrhythmias
Comparison
catheter ablation for atrial arrhythmias after orthotopic heart transplantation (OHT)

Main finding

As reported in the abstract

Acute success of CA for cavotricuspid isthmus-dependent flutter

acute success rates exceeding 90%

90%

Further findings

Survival · significant survival benefit with CA

P = 0.026

Atrioatrial conduction

develops in approximately, of patients presenting with arrhythmias
20%-30%
mean onset after transplantation
10.1 years

Original publication

Catheter Ablation of Atrial Arrhythmias After Orthotopic Heart Transplantation. Heart Rhythm. Published 4 September 2026. doi:10.1016/j.hrthm.2026.08.056

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