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Hybrid thoracoscopic surgical and transvenous catheter ablation of atrial fibrillation.

Abstract：

OBJECTIVES:The purpose of this study was to evaluate the feasibility, safety, and clinical outcomes up to 1 year in patients undergoing combined simultaneous thoracoscopic surgical and transvenous catheter atrial fibrillation (AF) ablation. BACKGROUND:The combination of the transvenous endocardial approach with the thoracoscopic epicardial approach in a single AF ablation procedure overcomes the limitations of both techniques and should result in better outcomes. METHODS:A cohort of 26 consecutive patients with AF who underwent hybrid thoracoscopic surgical and transvenous catheter ablation were followed, with follow-up of up to 1 year. RESULTS:Twenty-six patients (42% with persistent AF) underwent successful hybrid procedures. There were no complications. The mean follow-up period was 470 ± 154 days. In 23% of the patients, the epicardial lesions were not transmural, and endocardial touch-up was necessary. One-year success, defined according to the Heart Rhythm Society, European Heart Rhythm Association, and European Cardiac Arrhythmia Society consensus statement for the catheter and surgical ablation of AF, was 93% for patients with paroxysmal AF and 90% for patients with persistent AF. Two patients underwent catheter ablation for recurrent AF or left atrial flutter after the hybrid procedure. CONCLUSIONS: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.

journal_name

J Am Coll Cardiol

journal_title

Journal of the American College of Cardiology

authors

Pison L,La Meir M,van Opstal J,Blaauw Y,Maessen J,Crijns HJ

doi

10.1016/j.jacc.2011.12.055

subject

Has Abstract

pub_date

2012-07-03 00:00:00

pages

54-61

issue

1

eissn

0735-1097

issn

1558-3597

pii

S0735-1097(12)01391-5

journal_volume

60

pub_type

杂志文章

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