Minimally Invasive Surgery Using Bipolar Radiofrequency Energy Is Effective Treatment for Refractory Atrial Fibrillation

Quality of life improves after thoracoscopic surgical ablation of advanced atrial fibrillation: Results of the Atrial Fibrillation Ablation and Autonomic Modulation via Thoracoscopic Surgery (AFACT) study

“…[19][20][21] Small, nonrandomized studies have reported an improvement of QoL after thoracoscopic surgery for AF, similar to the change in QoL that was observed after catheter ablation. 22,23 These observations are in line with the current study in patients with advanced AF undergoing a thoracoscopic procedure, which is more invasive than a catheter procedure. The absolute change in the different SF-36 scales in our study was larger than in the QoL substudy of the SAFE-T study, investigating restoration of sinus rhythm with AADs, but a minimal clinically important difference in SF-36 scales has not been defined for AF.…”

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].…”

Surgical Treatment of Atrial Fibrillation

“…Overall rates of freedom from AF of approximately 70-85% are reported at 12 months. Most studies, but not all, show conversion rates to be higher in paroxysmal AF than persistent AF when using PVI [56][57][58]. It is generally accepted that PVI is a reasonable treatment for paroxysmal AF with freedom rates of 70% reported at 5 years [59].…”