Arrhythmias & electrophysiology

HRS/ACC scientific statement: Guiding principles on the performance of intracardiac ablation procedures in ambulatory surgical centers

Heart RhythmPublished Scientific statement

Recommendations

As issued by the authors

  1. Evidence supports the feasibility of intracardiac ablation in the ambulatory surgical centers (ASC) setting, with an ongoing need for clinical investigation to track outcomes

  2. Barriers to scalable adoption include regulatory fragmentation, workforce challenges and heterogeneity in reimbursement

  3. Stakeholder collaboration (clinicians, policymakers, payers, advocacy groups) is required to ensure safety and effectiveness, harmonize payment policies, prioritize equitable access and embed rigorous quality assurance frameworks

Original publication

HRS/ACC scientific statement: Guiding principles on the performance of intracardiac ablation procedures in ambulatory surgical centers. Heart Rhythm. Published 24 November 2025. doi:10.1016/j.hrthm.2025.09.019

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