Minimally Invasive Pulmonary Vein Isolation and Partial Autonomic Denervation for Surgical Treatment of Atrial Fibrillation

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

“…19) [815]. 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].…”

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

“…An additional ablation strategy that has been reported is minimally invasive PVI and partial autonomic denervation. 1354 In a study of 74 patients undergoing this approach, 84% of the patients with PAF were free of AF and 57% of patients with persistent or long-standing persistent AF were free of AF at 6 months. There was one death, one hemothorax, one case of transient renal insufficiency, and one patient with a transient brachial plexopathy.…”

Cirugía de la fibrilación auricular

“…Otro procedimiento asociado a las ablaciones quirúrgicas consiste en la denervación cardiaca del sistema nervioso autónomo, con el fin de evitar cambios electrofisiológicos que puedan inducir FA, aumentando así la efectividad de las técni-cas de ablación 47 , aunque no todos los grupos la realizan de manera rutinaria.…”