Hybrid Convergent Procedure for the Treatment of Persistent and Long-standing Persistent Atrial Fibrillation

被引：8
作者：
DeLurgio, David B. [1 ]
Gill, Jaswinder S. [2 ]
Ahsan, Syed [3 ]
Kaba, Riyaz A. [4 ]
Plasseraud, Kristen M. [5 ]
Halkos, Michael E. [1 ]
机构：
[1] Emory St Josephs Hosp, Atlanta, GA USA
[2] Guys & St Thomas NHS Trust, London, England
[3] St Bartholomews Hosp, London, England
[4] St Georges Univ Hosp NHS Fdn Trust, London, England
[5] AtriCure, Mason, OH USA
来源：
ARRHYTHMIA & ELECTROPHYSIOLOGY REVIEW | 2021年 / 10卷 / 03期
关键词：
Hybrid ablation; hybrid convergent; persistent atrial fibrillation; long-standing persistent atrial fibrillation; epicardial; endocardial; POSTERIOR WALL ISOLATION; RADIOFREQUENCY CATHETER ABLATION; STRUCTURAL HEART-DISEASE; PULMONARY VEIN ISOLATION; ENDOCARDIAL ABLATION; CRYOBALLOON ABLATION; ELECTRICAL ISOLATION; SURGICAL ABLATION; AF; APPENDAGE;
D O I：
10.15420/aer.2021.24
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Recent advances have been made in AF treatment, including the role of early rhythm control and landmark clinical trials using ablation therapy. However, some treatment gaps remain, including the creation of durable lesions outside the pulmonary veins and effective treatment of long-standing persistent AF. A novel epicardial-endocardial ablation approach - the hybrid convergent procedure - was developed to combine surgical and catheter ablation techniques into a collaborative, multidisciplinary approach to managing AF. In this review, the authors discuss recently published data on hybrid convergent ablation, including results of the CONVERGE clinical trial, in the context of current challenges to treatment of persistent and long-standing persistent AF. The review also aims to provide perspective on outstanding questions and future directions in this area.
引用
收藏
页码：198 / 204
页数：7
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