Staged hybrid procedure in persistent atrial fibrillation: safety, efficacy, and atrial tachyarrhythmia

Choi, Min Suk; Jeong, Dong Seop

doi:10.21037/jtd.2017.11.21

Cited by 4 publications

(2 citation statements)

References 24 publications

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“…We absolutely agree with the position of Choi et al in their Editorial (2), in which they state that the safety of hybrid procedures is of utmost importance and that there is a considerable learning curve, which most likely consists of 40-50 procedures. We have currently performed epicardial ablations on more than 100 patients and the last 60 were without complication, except for one insignificant PV stenosis (unpublished data).…”

Section: Rate Of Complications During Thoracoscopic Ablationssupporting

confidence: 87%

Hybrid procedures for persistent atrial fibrillation: necessity and timing of the catheter ablation stage

Bulava

2018

J. Thorac. Dis.

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Section: Rate Of Complications During Thoracoscopic Ablationssupporting

confidence: 87%

Hybrid procedures for persistent atrial fibrillation: necessity and timing of the catheter ablation stage

Bulava

2018

J. Thorac. Dis.

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“…There is a range of reported 1-year freedom from AF for a hybrid ablation for AF (Table 3). One meta-analysis reported 71% for hybrid ablation versus 87% for Cox-maze (19). Another meta-analysis reported successful freedom from atrial fibrillation following hybrid AF procedures ranging from 36.8% to 92% (20).…”

Section: Discussionmentioning

confidence: 99%

A narrative review of hybrid ablation for persistent and longstanding persistent atrial fibrillation

Khoynezhad¹,

Warrier²,

Worthington³

et al. 2021

Ann Transl Med

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Atrial fibrillation is the most common sustained arrhythmia and is characterized by rapid and irregular atrial activation with loss of atrial contraction. There has been a significant evolution of treatments over the past 30 years. Initially, cardiac surgeons developed approaches via sternotomy with superior efficacy, however early iterations of the procedure were associated with prolonged recovery time and frequent need for pacemaker placement. The current surgical approach to the maze procedure via sternotomy yields excellent efficacy and is a Class 1 recommendation for patients with atrial fibrillation undergoing a concomitant procedure. Several years following the initial development of the surgical maze procedure, cardiac electrophysiologists developed less invasive, however less efficacious catheter ablation options by percutaneous approach. Both the surgical and transcatheter approaches have their advantages and disadvantages with varying risks of complications and efficacy. Through the combination of expertise of cardiac surgeons paired with the electrophysiology team, a hybrid ablation procedure has been developed offering an increased efficacy with a less-invasive approach than the current gold standard treatment of Coxmaze IV procedure. This review will discuss the hybrid ablation procedure, review recent associated clinical trials, and discuss advantages and challenges associated with this multidisciplinary approach for management of patients with AF.

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Hybrid video-assisted thoracoscopic radiofrequency ablation of recurrent ventricular tachycardia in a patient with desmoplakin cardiomyopathy

Schoonvelde,

van Schaagen,

Hirsch

et al. 2024

HeartRhythm Case Reports

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Staged hybrid procedure in persistent atrial fibrillation: safety, efficacy, and atrial tachyarrhythmia

Cited by 4 publications

References 24 publications

Hybrid procedures for persistent atrial fibrillation: necessity and timing of the catheter ablation stage

Hybrid procedures for persistent atrial fibrillation: necessity and timing of the catheter ablation stage

A narrative review of hybrid ablation for persistent and longstanding persistent atrial fibrillation

Hybrid video-assisted thoracoscopic radiofrequency ablation of recurrent ventricular tachycardia in a patient with desmoplakin cardiomyopathy

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