Why the study?
Does a hybrid procedure using catheter mapping and ablation in addition to minimally invasive surgical ablation improve early outcomes and efficacy in patients with atrial fibrillation?
Does a hybrid procedure using catheter mapping and ablation in addition to minimally invasive surgical ablation improve early outcomes and efficacy in patients with atrial fibrillation?
This review assesses the early outcomes and efficacy of hybrid surgical and catheter ablation for atrial fibrillation, noting a lack of large comparative studies.
Hybrid ablation data remain preliminary without comparators; leaves open whether this approach improves AF outcomes over established therapies.
Advances in surgery for atrial fibrillation from cut and sew technique to thoracoscopy and new energy source have enabled minimally invasive approach which avoids median sternotomy and cardiopulmonary bypass. However, minimally invasive approach is unable to match the outcome of classic surgical technique due to difficulty in creating some of linear ablation lines. Hybrid procedure using catheter mapping and ablation in addition to minimally invasive surgical ablation has gained interest to combine the advantages of both procedures. No large study has been conducted to date comparing this new technique to other existing treatments. The aim of this paper is to review the data on hybrid procedure for atrial fibrillation and assess its early outcome and efficacy.
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Kaneko et al. (2013) studied this question.
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