Key result
Modified thoracoscopic PVI simplifies procedure to shorten operative time and reduce bleeding risk.
Why the study?
Minimally invasive thoracoscopic ablation for AF has evolved but pulmonary vein encircling remains a blind maneuver with bleeding risks that need addressing.
May simplify thoracoscopic PVI with shorter times and less bleeding; leaves open prospective validation before clinical adoption.
Since the introduction of thoracoscopic ablation for atrial fibrillation (AF), the field of minimally invasive AF treatment has evolved toward an established treatment option for AF, with an overall 2-year antiarrhythmic drug free success rate of 77%. Complications are usually minor, and the incidence of bleeding needing conversion to sternotomy or (mini-)thoracotomy varies between 0% and 1.6%. Bleeding is often related to encircling the pulmonary veins, which is a blind maneuver that has to be done without direct camera vision. We propose here a modified surgical technique to simplify the procedure, shorten the operating time, and lower the risk of complications.
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Al-Jazairi et al. (2017) studied Atrial fibrillation (AF). Modified surgical technique for totally thoracoscopic pulmonary vein isolation was evaluated. A modified surgical technique for totally thoracoscopic pulmonary vein isolation is proposed to simplify the procedure, shorten operating time, and lower the risk of bleeding complications.
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