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KMID : 1140320200040030091
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Precision and Future Medicine
2020 Volume.4 No. 3 p.91 ~ p.98
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Is a hybrid procedure the gold standard in patients with persistent atrial fibrillation?
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Jeong Dong-Seop
Lee Yoon-Seo
On Young-Keun
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Abstract
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Endocardial radiofrequency catheter ablation is considered to be a useful procedure for paroxysmal atrial fibrillation. However, catheter ablation has difficulties in achieving successful results in patients with persistent or long-standing persistent atrial fibrillation. Currently, the gold standard is surgical ablation (the Cox maze III procedure). However, because surgical ablation requires a sternotomy and extracorporeal cardiopulmonary bypass and has been associated with surgery-related complications, minimally invasive (totally thoracoscopic) and epicardial-endocardial (hybrid) ablation procedures have been developed. This article reviews the primary surgical and hybrid approaches used to treat persistent or long-standing persistent atrial fibrillation.
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KEYWORD
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Atrial fibrillation, Catheter ablation, Hybrid, Thoracoscopy
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