A novel totally endoscopic ablation procedure via the left chest using three ports was successfully performed in 45 patients with lone atrial fibrillation.
May support feasibility of novel three-port endoscopic ablation in lone AF; hypothesis-generating pending randomized efficacy and safety trials.
Surgical treatment is effective and less invasive for lone atrial fibrillation because of the emergence of the endoscopic technology and the adoption of new type of energy. On the basis of these improvements, we developed a new surgical ablation procedure by endoscopy for lone atrial fibrillation. The procedure enrolls only three ports on the left chest wall, which can provide pulmonary vein isolation, resection of the left atrial appendage, ganglionic plexus ablation, and make ablation of left atrium with direct vision. A total of 45 procedures were successfully performed. We reported the technique and result of the procedure.
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Ma et al. (2012) studied this question.
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