Abstract
Atrial fibrillation ablation is a technically challenging procedure with a high periprocedural risk. Hence, this procedure should be performed only in appropriately equipped electrophysiology laboratories with experienced and well‐trained personnel. This chapter summarizes current recommendations on staffing, training, and volume requirements of atrial fibrillation ablation procedures.
Catheter ablation of atrial fibrillation (AF) has undergone substantial development over the past 15 years. A recent survey of practicing electrophysiologists revealed that 30% performed AF ablations. Electrophysiologists involved in catheter ablation of AF should be updated on current clinical guidelines and recommendations with regard to indications/contraindications and patient selection. Naturally, AF ablation procedures comprises distinctive features such as the interpretation of pulmonary vein electrograms, related pacing maneuvers, the use of three‐dimensional mapping systems and other imaging modalities and left atrial access by transseptal puncture. Postinterventional observational and follow‐up principles of rhythm monitoring define the rates of acute, mid‐, and long‐term success. Both the European Heart Rhythm Association and Heart Rhythm Society (EHRA and HRS) generally agree that a minimum of 12 months of basic training in conventional electrophysiology procedures including simpler (mostly right‐sided) ablations is needed to acquire the cognitive and technical skills before being involved in AF ablation procedures.