| Title: |
Hybrid Ablation of Atrial Fibrillation: A Contemporary Overview |
| Authors: |
Massimiliano Marini, Luigi Pannone, Domenico G. Della Rocca, Stefano Branzoli, Antonio Bisignani, Sahar Mouram, Alvise Del Monte, Cinzia Monaco, Anaïs Gauthey, Ivan Eltsov, Ingrid Overeinder, Gezim Bala, Alexandre Almorad, Erwin Ströker, Juan Sieira, Pedro Brugada, Mark La Meir, Gian-Battista Chierchia, Carlo De Asmundis, Fabrizio Guarracini |
| Source: |
Journal of Cardiovascular Development and Disease, Vol 9, Iss 9, p 302 (2022) |
| Publisher Information: |
MDPI AG, 2022. |
| Publication Year: |
2022 |
| Collection: |
LCC:Diseases of the circulatory (Cardiovascular) system |
| Subject Terms: |
atrial arrhythmias, atrial fibrillation, hybrid ablation, atrial fibrillation ablation, Diseases of the circulatory (Cardiovascular) system, RC666-701 |
| More Details: |
Electrical isolation of pulmonary veins (PVI) is the cornerstone of invasive treatment of atrial fibrillation (AF). However, arrhythmia-free survival of a PVI only approach is suboptimal in patients with persistent and long-term persistent AF. Hybrid AF ablation has been developed with the aim of combining the advantages of a thoracoscopic surgical ablation (direct visualization of anatomical structures to be spared and the possibility to perform epicardial lesions) and endocardial ablation (possibility to check line block, confirm PVI, and possibility to perform cavotricuspid isthmus ablation). Patient selection is of utmost importance. In persistent and long-term persistent AF, hybrid AF ablation demonstrated promising results in terms of AF free survival. It has been associated with a relatively low complication rate if performed in centers with expertise in hybrid procedures and experience with both surgical and endocardial ablation. Different techniques have been described, with different approaches and lesion sets. The aim of this review is to provide a state-of-the-art overview of hybrid AF ablation. |
| Document Type: |
article |
| File Description: |
electronic resource |
| Language: |
English |
| ISSN: |
2308-3425 |
| Relation: |
https://www.mdpi.com/2308-3425/9/9/302; https://doaj.org/toc/2308-3425 |
| DOI: |
10.3390/jcdd9090302 |
| Access URL: |
https://doaj.org/article/92cb4cb93c7444bf902c8b11319be37e |
| Accession Number: |
edsdoj.92cb4cb93c7444bf902c8b11319be37e |
| Database: |
Directory of Open Access Journals |
