| Title: |
Catheter ablation in congenital heart diseases: a French nationwide study |
| Authors: |
Waldmann, Victor; Duthoit, Guillaume; Pasquié, Jean Luc; Champ-Rigot, Laure; Albertini, Mathieu; Anselme, Frédéric; Bartoletti, Stefano; Bonnet, Damien; Bredy, Charlène; Bun, Sok-Sithikun; Clerici, Gaël; da Costa, Antoine; de Chillou, Christian; Defaye, Pascal; de Guillebon, Maxime; Davril, Clément; Delinière, Antoine; Derval, Nicolas; Ditac, Geoffroy; Gardey, Kévin; Ghanimé, Caroline; Gourraud, Jean-Baptiste; Hascoët, Sébastien; Hammache, Néfissa; Henaine, Roland; Iserin, Laurence; Jacon, Peggy; Jourda, Frédéric; Karsenty, Clément; Koutbi, Linda; Laurent, Gabriel; Maille, Baptiste; Maltret, Alice; Mansourati, Jacques; Marimpouy, Nathan; Martins, Raphaël; Maury, Philippe; Milhem, Antoine; Moceri, Pamela; Ollitrault, Pierre; Pinon, Pauline; Piot, Olivier; Richard-Vitton, Robin; Sacher, Frédéric; Sebag, Frederic; Tortigue, Marine; Venier, Sandrine; Wilkin, Marie; Winum, Pierre; Marijon, Eloi; Combes, Nicolas; Bessière, Francis |
| Contributors: |
Paris-Centre de Recherche Cardiovasculaire (PARCC (UMR_S 970/ U970)); Hôpital Européen Georges Pompidou APHP (HEGP); Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpitaux Universitaires Paris Ouest - Hôpitaux Universitaires Île de France Ouest (HUPO)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpitaux Universitaires Paris Ouest - Hôpitaux Universitaires Île de France Ouest (HUPO)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris Cité (UPCité); Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpitaux Universitaires Paris Ouest - Hôpitaux Universitaires Île de France Ouest (HUPO); Unité Médicochirurgicale de Cardiologie Congénitale et Pédiatrique (CHU Necker - Enfants Malades AP-HP ); Centre de Référence M3C Malformations Cardiaques Congénitales Complexes CHU Necker (CARPEDEM-M3C); Hôpital Necker - Enfants Malades AP-HP; Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Necker - Enfants Malades AP-HP; Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP); CHU Pitié-Salpêtrière AP-HP; Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU); Physiologie & médecine expérimentale du Cœur et des Muscles U 1046 (PhyMedExp); Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-Université de Montpellier (UM); Centre Hospitalier Régional Universitaire Montpellier (CHRU Montpellier); Service de cardiologie et de pathologie vasculaire CHU Caen; Université de Caen Normandie (UNICAEN); Normandie Université (NU)-Normandie Université (NU)-CHU Caen Normandie – Centre Hospitalier Universitaire de Caen Normandie (CHU Caen Normandie); Normandie Université (NU); Service de Cardiologie CHU Rouen; CHU Rouen; Normandie Université (NU)-Normandie Université (NU)-Université de Rouen Normandie (UNIROUEN); Hôpital Marie-Lannelongue; CHU Montpellier = Montpellier University Hospital; Centre Hospitalier Universitaire de Nice (CHU Nice); Service de cardiologie CHU La Réunion; Centre Hospitalier Universitaire de La Réunion (CHU La Réunion); Service de Cardiologie CHU Saint-Etienne; Centre Hospitalier Universitaire de Saint-Etienne CHU Saint-Etienne (CHU ST-E)-Université Jean Monnet - Saint-Étienne (UJM); Service de Cardiologie CHRU Nancy; Centre Hospitalier Régional Universitaire de Nancy (CHRU Nancy); Département de cardiologie CHU de Grenoble; CHU de Grenoble-Alpes - Centre Hospitalier Universitaire CHU Grenoble (CHUGA); Centre hospitalier de Pau; Hôpital Louis Pradel CHU - HCL; Hospices Civils de Lyon (HCL); CHU de Bordeaux Pellegrin Bordeaux; Service de Cardiologie CHU de Dijon; Centre Hospitalier Universitaire de Dijon - Hôpital François Mitterrand (CHU Dijon); Centre Hospitalier Universitaire de Nantes = Nantes University Hospital (CHU Nantes); Research on Healthcare Performance (RESHAPE - Inserm U1290 - UCBL1); Université Claude Bernard Lyon 1 (UCBL); Université de Lyon-Université de Lyon-Institut National de la Santé et de la Recherche Médicale (INSERM); Service de cardiologie (centre hospitalier d'Auxerre); Centre hospitalier d'Auxerre (CHA); Service Cardiologie CHU Toulouse; Pôle Cardiovasculaire et Métabolique CHU Toulouse; Centre Hospitalier Universitaire de Toulouse (CHU Toulouse)-Centre Hospitalier Universitaire de Toulouse (CHU Toulouse); Département de Cardiologie Hôpital de la Timone - APHM; Assistance Publique - Hôpitaux de Marseille (APHM)-Hôpital de la Timone CHU - APHM (TIMONE); Centre Hospitalier Régional Universitaire de Brest (CHRU Brest); Centre Hospitalier Universitaire de Rennes CHU Rennes = Rennes University Hospital Pontchaillou; Laboratoire Traitement du Signal et de l'Image (LTSI); Université de Rennes (UR)-Institut National de la Santé et de la Recherche Médicale (INSERM); Hôpitaux La Rochelle Ré Aunis Groupe hospitalier littoral Atlantique; Centre cardiologique du Nord (CCN); Clinique Pasteur Toulouse; Institut Mutualiste de Montsouris (IMM); Hôpital privé les Franciscaines; Laboratoire des applications thérapeutiques des ultrasons / Application des ultrasons à la thérapie (LabTAU); Centre Léon Bérard Lyon -Université Claude Bernard Lyon 1 (UCBL); Research grant of the French Society of Cardiology. |
| Source: |
ISSN: 0195-668X. |
| Publisher Information: |
CCSD; Oxford University Press (OUP) |
| Publication Year: |
2026 |
| Collection: |
Université Jean Monnet – Saint-Etienne: HAL |
| Subject Terms: |
Catheter ablation; Congenital heart disease; Supraventricular arrhythmia; Ventricular arrhythmia; [SDV.IB]Life Sciences [q-bio]/Bioengineering; [SDV.MHEP.CSC]Life Sciences [q-bio]/Human health and pathology/Cardiology and cardiovascular system |
| Description: |
International audience ; Background and aims: Current evidence on catheter ablation for patients with congenital heart disease (CHD) is derived from small, retrospective studies. This study aims to provide insights from a nationwide contemporary registry.Methods: This prospective study included all CHD patients referred for catheter ablation from 2020 to July 2024 across 28 French centres. The primary outcome was the rate of per-procedural acute success. Secondary outcomes included complications as well as freedom from arrhythmia recurrence.Results: A total of 1135 consecutive catheter ablation procedures were performed in 998 patients (mean age 46.1 ± 16 years, 55.5% male). The main primary clinical arrhythmias targeted were atrial flutter/tachycardia in 677 (59.6%), atrial fibrillation in 195 (17.2%), ventricular arrhythmia in 188 (16.6%), and atrioventricular reentrant tachycardia in 38 (3.3%), with significant variations in patterns observed based on the underlying substrate. Clinical arrhythmia was successfully ablated in 1071 patients (94.4%). The mean number of arrhythmias targeted per procedure was 1.5 ± 0.7, with overall acute success rates exceeding 90% for all arrhythmias except for ventricular arrhythmias (86.7%). Acute complication occurred in 43 procedures (3.8%), including 1 (0.1%) death. The overall 1- and 2-year recurrence-free rates were 77.3% (95% confidence interval 74.2%-80.4%) and 68.4% (95% confidence interval 64.7%-72.3%), respectively. Significant variations in recurrence rates were noted based on the type of arrhythmia and the underlying CHD.Conclusions: Catheter ablation in patients with CHD demonstrates highly favourable acute outcomes and a low complication rate. Recurrence rates during follow-up vary depending on the targeted arrhythmia and the underlying CHD. These findings should be considered in the benefit-risk assessment.Pre-registered Clinical Trial Number NCT04202796 |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| Relation: |
info:eu-repo/semantics/altIdentifier/pmid/40396276; PUBMED: 40396276 |
| DOI: |
10.1093/eurheartj/ehaf343 |
| Availability: |
https://hal.science/hal-05077494; https://hal.science/hal-05077494v1/document; https://hal.science/hal-05077494v1/file/2025%20Waldmann%20et%20al.,%20Catheter%20ablation.pdf; https://doi.org/10.1093/eurheartj/ehaf343 |
| Rights: |
https://about.hal.science/hal-authorisation-v1/ ; info:eu-repo/semantics/OpenAccess |
| Accession Number: |
edsbas.253DFE94 |
| Database: |
BASE |