Key result
Minimally invasive surgical ablation techniques are emerging as effective therapies to restore sinus rhythm in patients with atrial fibrillation with lower morbidity and quicker recovery.
Minimally invasive surgical ablation is an emerging field aiming to provide the efficacy of the traditional Cox-Maze procedure with lower morbidity and quicker recovery for patients with atrial fibrillation.
May support minimally invasive AF surgery for rhythm control; leaves open need for RCTs versus catheter ablation.
Atrial fibrillation is the most common sustained arrhythmia and is associated with significant risks of thromboembolism, stroke, congestive heart failure, and death. There have been major advances in the management of atrial fibrillation including pharmacologic therapies, antithrombotic therapies, and ablation techniques. Surgery for atrial fibrillation, including both concomitant and stand-alone interventions, is an effective therapy to restore sinus rhythm. Minimally invasive surgical ablation is an emerging field that aims for the superior results of the traditional Cox-Maze procedure through a less invasive operation with lower morbidity, quicker recovery, and improved patient satisfaction. These novel techniques utilize endoscopic or minithoracotomy approaches with various energy sources to achieve electrical isolation of the pulmonary veins in addition to other ablation lines. We review advancements in minimally invasive techniques for atrial fibrillation surgery, including management of the left atrial appendage.
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Nakamura et al. (2012) conducted a review in Atrial fibrillation. Minimally invasive surgical therapies was evaluated. Minimally invasive surgical ablation techniques are emerging as effective therapies to restore sinus rhythm in patients with atrial fibrillation with lower morbidity and quicker recovery.
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