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Deaths After Ablation of Atrial Fibrillation 'Concerning' in Real-world Analysis

from TCTMD

The risk of death following catheter ablation for atrial fibrillation is higher than rates observed in randomized controlled trials, with the majority of deaths occurring not during the procedure but rather in the 30 days after discharge, according to a large analysis of real-world data. The early mortality rate, defined as death during the initial admission or 30-day readmission period, was 0.46% among more than 60,000 patients treated for A-fib ablation between 2010 and 2015. For lead investigator Jim Cheung, MD, their research raises the issue about whether or not a firmer recommendation might be necessary, something akin to the clinical competency statement for PCI from the ACC, AHA and Society for Cardiovascular Angiography and Interventions. He noted, however, they only had access to hospital-level data and not information on individual operators. more


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