Arrhythmias & electrophysiology

Causes of Early Mortality After Catheter Ablation of Atrial Fibrillation

Circ Arrhythm ElectrophysiolPublished Retrospective cohort study

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

Composed by AI from the published abstract and checked against it. How Briefs are made →

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