Why the study?
To examine the efficiency and efficacy of using endovascular mapping and pulsed field ablation in a hybrid video-assisted thoracoscopic AF ablation procedure.
Does a hybrid video-assisted thoracoscopic epicardial ablation followed by endocardial pulsed field ablation improve lesion completeness and maintain sinus rhythm in patients with atrial fibrillation?
Does a hybrid video-assisted thoracoscopic epicardial ablation followed by endocardial pulsed field ablation improve lesion completeness and maintain sinus rhythm in patients with atrial fibrillation?
A hybrid approach combining thoracoscopic epicardial ablation with endocardial pulsed field ablation is feasible, achieving 100% lesion completeness and 12-month sinus rhythm maintenance in a small early feasibility cohort.
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Hybrid ablation feasible in small AF cohort; leaves open comparative efficacy versus standard approaches in randomized trials.
Eltsov et al. (2025) studied this question.
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