Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2012
Surgical and hybrid atrial fibrillation ablation procedures.
СтатьяМногоцентровое исследованиеНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Pison Laurent, Dagres Nikolaos, Lewalter Thorsten, Proclemer Alessandro, Marinskis Germanas, Blomström-Lundqvist Carina, Scientific Initiative Committee, European Heart Rhythm Association
Аннотация
AIMS: The purpose of this EP Wire is to survey clinical practice in this rapidly evolving field as the variety of surgical techniques and the heterogeneity of treated patients make the comparison of results and outcomes challenging.
METHODS AND RESULTS: Twenty-four European centres, all members of the EHRA EP research network, responded to this survey and completed the questions. Of the participating centres, 11 (46%) performed (irrespective of the technique) stand-alone surgical atrial fibrillation (AF) ablation in 2011. Seven hospitals (64%) performed totally thoracoscopic AF ablation procedures off-pump (in 20-100% of their cases). The most commonly used lesion set was only pulmonary vein isolation in five hospitals (46%). Eight centres (73%) performed validation of the surgical lesion set at the time of intervention. The most important indication for performing stand-alone, totally thoracoscopic surgical AF ablation in seven participating hospitals was failed catheter ablation. According to their definition of success, participating centres reported their success rate to be 10-100% for paroxysmal AF and 0-95% for (longstanding) persistent AF. The most frequently encountered complications during stand-alone, surgical AF ablation were pneumothorax and haemothorax in up to 10% of the cases.
CONCLUSION: This EP Wire survey shows a wide variation not only in indications for stand-alone, surgical AF ablation, but also in surgical techniques, lesion sets, follow-up, and outcome.
METHODS AND RESULTS: Twenty-four European centres, all members of the EHRA EP research network, responded to this survey and completed the questions. Of the participating centres, 11 (46%) performed (irrespective of the technique) stand-alone surgical atrial fibrillation (AF) ablation in 2011. Seven hospitals (64%) performed totally thoracoscopic AF ablation procedures off-pump (in 20-100% of their cases). The most commonly used lesion set was only pulmonary vein isolation in five hospitals (46%). Eight centres (73%) performed validation of the surgical lesion set at the time of intervention. The most important indication for performing stand-alone, totally thoracoscopic surgical AF ablation in seven participating hospitals was failed catheter ablation. According to their definition of success, participating centres reported their success rate to be 10-100% for paroxysmal AF and 0-95% for (longstanding) persistent AF. The most frequently encountered complications during stand-alone, surgical AF ablation were pneumothorax and haemothorax in up to 10% of the cases.
CONCLUSION: This EP Wire survey shows a wide variation not only in indications for stand-alone, surgical AF ablation, but also in surgical techniques, lesion sets, follow-up, and outcome.