2019 HRS/EHRA/APHRS/LAHRS expert consensus statement on catheter ablation of ventricular arrhythmias: Executive summary

. Author manuscript; available in PMC: 2021 Sep 23.

Published in final edited form as: Heart Rhythm. 2019 May 10;17(1):e155–e205. doi: 10.1016/j.hrthm.2019.03.014

Recommendations for intraprocedural anticoagulation

COR	LOE	Recommendations	References

I	B-NR	1. In patients undergoing endocardial LV catheter mapping and/or ablation, intraprocedural systemic anticoagulation with intravenous heparin is recommended.	S6.5.1–S6.5.6
I	C-EO	2. In patients undergoing RV endocardial mapping and/or ablation who are considered high risk for thromboembolism, intraprocedural systemic anticoagulation with intravenous heparin is recommended.
IIa	C-LD	3. In patients undergoing epicardial access after systemic heparinization, reversal of heparin with protamine is reasonable.	S6.5.7,S6.5.8