Hybrid Thoracoscopic Surgical and Transvenous Catheter Ablation of Atrial Fibrillation

Pison, Laurent; Meir, Mark La; Opstal, Jurren van; Blaauw, Yuri; Maessen, Jos G.; Crijns, Harry J.G.M.

doi:10.1016/j.jacc.2011.12.055

Cited by 232 publications

(230 citation statements)

References 20 publications

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“…W celu poprawy wyników leczenia [468,[816][817][818] wykonywano bardziej rozległe uszkodzenia, w tym linie łączące między miejscami PVI (uszkodzenie typu "pudełka"; box lesion) oraz linie biegnące w kierunku pierścienia mitralnego [812,[819][820][821][822]. W celu poprawy wytwarzania pełnościennych uszkodzeń [716] zaproponowano www.kardiologiapolska.pl ostatnio strategie ablacji od strony wsierdzia i nasierdzia [812,[823][824][825]. Mimo że wstępne doświadczenia z jednoczesną hybrydową ablacją są obiecujące, to czas trwania zabiegu jest dłuższy, a częstość występowania powikłań krwotocznych większa [812,823].…”

Section: Oddzielne Zabiegi Chirurgiczne W Celu Kontroli Rytmu Sercaunclassified

2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS

Kirchhof

Benussi

Kotecha³

et al. 2016

Kardiol Pol

2,399

4,206

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Section: Oddzielne Zabiegi Chirurgiczne W Celu Kontroli Rytmu Sercaunclassified

2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS

Kirchhof

Benussi

Kotecha³

et al. 2016

Kardiol Pol

2,399

4,206

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“…606,607,608,609,610,611,612,613,614,615,616 Before these approaches are applied more widely, a streamlining of the workflow of the dual procedure approach will be required.…”

Section: Section 5: Strategies Techniques and Endpointsmentioning

confidence: 99%

“…1376 This approach provided improved results, and in most cases, gaps in surgical lesions could be completed by endocardial catheter ablation during the same procedure. 608 A sequential hybrid approach was subsequently developed. 606 There are advantages and disadvantages to simultaneous and staged hybrid procedures.…”

Section: Stand-alone Surgical Ablation Of Afmentioning

confidence: 99%

2012 HRS/EHRA/ECAS Expert Consensus Statement on Catheter and Surgical Ablation of Atrial Fibrillation: Recommendations for Patient Selection, Procedural Techniques, Patient Management and Follow-up, Definitions, Endpoints, and Research Trial Design

Calkins,

Kuck,

Cappato

et al. 2012

Heart Rhythm

1,769

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“…It seems that a combined transvenous endocardial and thoracoscopic epicardial ablation procedure for AF is feasible and safe, with a single-procedure success rate of 83% at 1 year [28]. Although the true success rates of these procedures are likely to be lower than has been reported if more extensive monitoring will be performed in the future, these results are encouraging.…”

Section: Thoracoscopic Epicardial Posterior Left Atrial Wall Isolatiomentioning

confidence: 88%

“…The efficacy and the safety of hybrid procedure which combine minim invasive epicardial right monolateral thoracoscopy with catheter endocardial ablation, in symptomatic refractory persistent AF was analysed in small studies [27][28][29][30]. It seems that a combined transvenous endocardial and thoracoscopic epicardial ablation procedure for AF is feasible and safe, with a single-procedure success rate of 83% at 1 year [28].…”

Section: Thoracoscopic Epicardial Posterior Left Atrial Wall Isolatiomentioning

confidence: 99%

Minimally invasive epicardial posterior left atrial wall isolation: technique and results

Floria¹,

Grecu²,

Tinică³

2017

Arch Clin Cases

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Atrial fibrillation (AF) is the most frequent arrhythmia in clinical practice. Catheter and surgical ablation has emerged as an alternative to maintain sinus rhythm and to avoid long-term AF complications. An ablation technique aims to target the triggers and the substrate of AF to prevent initiation and perpetuation of this arrhythmia. Surgical ablation is the gold standard in AF ablation; it has the best results in maintaining sinus rhythm in patients with persistent AF. Epicardial posterior left atrial wall isolation by right monolateral thoracoscopic approach is a minim invasive surgical technique that aims to eliminate major ganglionated plexi isolation influence on atrial myocardium in addition to pulmonary vein isolation. The exclusion of the left atrial posterior wall, including the pulmonary veins (considered as triggers or initiators) could be completed with an additional isolation/destruction of the adjacent major ganglionated plexi (considered as substrate modifiers) including the complex interconnection neural network which could add to influence the persistence of AF. Different hybrid surgical ablation lesions sets were developed, usually in a manner less than the full Cox-Maze IV lesion set. They are performed epicardially via minimally invasive (non-sternotomy) approaches without cardiopulmonary bypass, followed by catheter-based endocardial mapping, and if necessary additional ablation lines. The results of these innovative techniques are promising in persistent and long persistent AF. Epicardial right monolateral thoracoscopic approach to isolate the pulmonary vein and the major ganglionated plexi isolation in symptomatic refractory persistent AF patients is feasible and efficient.

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Hybrid Thoracoscopic Surgical and Transvenous Catheter Ablation of Atrial Fibrillation

Abstract: A combined transvenous endocardial and thoracoscopic epicardial ablation procedure for AF is feasible and safe, with a single-procedure success rate of 83% at 1 year.

Cited by 232 publications

References 20 publications

2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS

2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS

2012 HRS/EHRA/ECAS Expert Consensus Statement on Catheter and Surgical Ablation of Atrial Fibrillation: Recommendations for Patient Selection, Procedural Techniques, Patient Management and Follow-up, Definitions, Endpoints, and Research Trial Design

Minimally invasive epicardial posterior left atrial wall isolation: technique and results

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