Arrhythmias & electrophysiology
Causes of Early Mortality After Catheter Ablation of Atrial Fibrillation
Authors' conclusion
AF ablation procedure has a 90-day mortality of 0.22%, and the most common cause of early mortality was sudden death. The majority (73.3%) of early mortality was not directly associated with a procedural complication, and the mortality rate due to complications associated with the AF ablation procedure was low at 0.06%.
Study context
- Population
- Patients undergoing atrial fibrillation (AF) catheter ablation at the Mayo Clinic (Rochester, Phoenix, Jacksonville), 2013–2021
- Participants
- 6,723 patients
- Outcome
- Causes of early mortality after AF ablation
- Follow-up
- ≤90 days
Methodological detailsmulticentre
- Multicentre
Main finding
As reported in the abstract
90 days
- 90-day all-cause mortality
- 0.22% (n=15)
- Deaths without direct relationship to the procedure
- 73.3%
- Sudden death (most common cause)
- 20%
- Peri-procedural stroke
- 13%
- Respiratory failure
- 13%
- Atrioesophageal fistula
- 13%
- Infection
- 7%
- HF
- 7%
- Traumatic brain injury
- 7%
Observational data: associations, not effects.
Further findings
90-day mortality directly due to AF ablation procedural complications
- Mortality due to procedural complications
- 0.06% (n=4)
Original publication
Causes of Early Mortality After Catheter Ablation of Atrial Fibrillation. Circ Arrhythm Electrophysiol. Published 21 April 2023. doi:10. 1161/ circep. 122. 011365
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