Radiofrequency catheter ablation for atrial fibrillation (interventional procedure consultation document)
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE
Interventional Procedure Consultation Document
Percutaneous radiofrequency catheter ablation for atrial fibrillation
The National Institute for Health and Clinical Excellence is examining percutaneous radiofrequency catheter ablation for atrial fibrillation and will publish guidance on its safety and efficacy to the NHS in England, Wales and Scotland. The Institute's Interventional Procedures Advisory Committee has considered the available evidence and the views of Specialist Advisors, who are consultants with knowledge of the procedure. The Advisory Committee has made provisional recommendations about percutaneous radiofrequency catheter ablation for atrial fibrillation.
Note that this document is not the Institute's formal guidance on this procedure. The recommendations are provisional and may change after consultation.
The process that the Institute will follow after the consultation period ends is as follows.
For further details, see the Interventional Procedures Programme manual, which is available from the Institute's website (www.nice.org.uk/ipprogrammemanual).
Closing date for comments: 31 January 2006
Note that this document is not the Institute's guidance on this procedure. The recommendations are provisional and may change after consultation.
Current evidence on the safety and efficacy of percutaneous radiofrequency catheter ablation for atrial fibrillation appears adequate to support the use of this procedure in appropriately selected patients (see 2.1.4) provided that normal arrangements are in place for audit and clinical governance.
|1.2||Clinicians should ensure that patients fully understand the potential complications, the likelihood of success and the risk of recurrent atrial fibrillation associated with this procedure. In addition, use of the Institute's Information for the public is recommended (available from www.nice.org.uk/IPGxxxpublicinfo).|
|1.3||This procedure should only be performed in specialist units where there are arrangements for cardiac surgical support in the event of complications.|
|1.4||This procedure should only be performed by cardiologists with extensive experience of other types of ablation procedures.|
The Department of Health runs the UK Central Cardiac Audit Database (UKCCAD), and clinicians are encouraged to enter all patients undergoing percutaneous radiofrequency catheter ablation for atrial fibrillation onto this database (www.ccad.org.uk).
|3.1||The Institute has issued guidance on radiofrequency ablation, microwave ablation, and cryoablation for atrial fibrillation in association with other cardiac surgery (available from www.nice.org.uk/IPG121, www.nice.org.uk/IPG122 and www.nice.org.uk/IPG123 respectively).|
The Institute is also developing Interventional Procedures guidance on high-intensity focused ultrasound for atrial fibrillation as an associated procedure with other cardiac surgery (www.nice.org.uk/ip_312) and a clinical guideline on atrial fibrillation (www.nice.org.uk/guidelines.inprogress.atrialfibrillation).
Chairman, Interventional Procedures Advisory Committee
|Appendix:||Sources of evidence|
The following document, which summarises the evidence, was considered by the Interventional Procedures Advisory Committee when making its provisional recommendations.
Available from: www.nice.org.uk/ip300overview
This page was last updated: 04 February 2011