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<p>The updated position paper of the German Cardiac Society (DGK) on catheter ablation of atrial fibrillation (AF) presents the current evidence, techniques and quality standards, which have clearly evolved since 2017 together with the indications, techniques and the role of ablation in treatment. Pulmonary vein isolation (PVI) remains the cornerstone of AF ablation. In addition to established procedures, such as radiofrequency and cryoballoon ablation, pulsed field ablation (PFA) is gaining in importance. For persistent AF clear recommendations beyond PVI are lacking, despite growing evidence supporting adjunctive ablation strategies. The healthcare landscape shows a&#xa0;marked increase in ablation, with same day discharge procedures recommended only for carefully selected patients. Precise patient selection, including medical history, risk factors and imaging, is critical for procedural success and safety. The importance of periprocedural management and structured follow-up is emphasized. Complications such as pericardial tamponade, stroke and phrenic nerve paresis require structured protocols and experienced teams. Ablation can potentially improve the prognosis, particularly in patients with heart failure. Certification of centers by the DGK supports quality assurance. New developments, such as artificial intelligence (AI)-assisted ablation planning and studies on postablation oral anticoagulation strategies, are expected to further influence clinical practice.</p>

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Qualitätskriterien zur Durchführung der Katheterablation von Vorhofflimmern – DGK-Positionspapier

  • 期刊论文

  • 发表日期：

    2025年11月10日

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  • Daniel Steven,
  • Julian Chun,
  • Isabel Deisenhofer,
  • Thomas Deneke,
  • Maria Papathanasiou,
  • Boris Schmidt,
  • Andreas Rillig,
  • Stephan Willems,
  • Maura M. Zylla,
  • Christian Veltmann,
  • Lars Eckardt

摘要

The updated position paper of the German Cardiac Society (DGK) on catheter ablation of atrial fibrillation (AF) presents the current evidence, techniques and quality standards, which have clearly evolved since 2017 together with the indications, techniques and the role of ablation in treatment. Pulmonary vein isolation (PVI) remains the cornerstone of AF ablation. In addition to established procedures, such as radiofrequency and cryoballoon ablation, pulsed field ablation (PFA) is gaining in importance. For persistent AF clear recommendations beyond PVI are lacking, despite growing evidence supporting adjunctive ablation strategies. The healthcare landscape shows a marked increase in ablation, with same day discharge procedures recommended only for carefully selected patients. Precise patient selection, including medical history, risk factors and imaging, is critical for procedural success and safety. The importance of periprocedural management and structured follow-up is emphasized. Complications such as pericardial tamponade, stroke and phrenic nerve paresis require structured protocols and experienced teams. Ablation can potentially improve the prognosis, particularly in patients with heart failure. Certification of centers by the DGK supports quality assurance. New developments, such as artificial intelligence (AI)-assisted ablation planning and studies on postablation oral anticoagulation strategies, are expected to further influence clinical practice.