What updates do ECAS recommend for catheter ablation of atrial fibrillation?

In this short interview, Prof Riccardo Cappato (IRCCS Humanitas Research Hospital, Milan, IT) and Prof Rui Providência (St Bartholomew's Hospital, London, UK) discuss new guidelines released by ECAS on catheter ablation for atrial fibrillation (AF). Prof Cappato and Prof Providência explain the need for an updated and concise consensus document that is easy to implement within clinical practice. Prof Cappato then highlights the distinctions between the three recommendation classes and the quality from which the evidence was collected from.

Interview Questions:
1. What are the current unmet needs in AF treatment and why did ECAS feel new guidelines were necessary?
2. What are the key recommendations in the new guidelines?
3. What are some of the biggest challenges clinicians face when implementing the guidelines in real-world practice?
4. What do you see as the next frontier in improving catheter ablation outcomes for atrial fibrillation patients?

Recorded remotely from Milan and London, 2025.