ArticleJournal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing2020
Two-year follow-up of one-stage left unilateral thoracoscopic epicardial and transcatheter endocardial ablation for persistent and long-standing persistent atrial fibrillation.
Article in Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 11 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Mid term freedom from atrial fibrillation following hybrid ablation, a systematic review and meta analysis.Journal of cardiothoracic surgery · 2023Pooled it
- Hybrid atrial fibrillation ablation.Annals of cardiothoracic surgery · 2024Review
- Hybrid ablation of atrial fibrillation: A unilateral left-sided thoracoscopic approach.Journal of cardiac surgery · 2022Article
- Mapping Atrial Fibrillation After Surgical Therapy to Guide Endocardial Ablation.Circulation. Arrhythmia and electrophysiology · 2022Article
- A Chronicle of Hybrid Atrial Fibrillation Ablation Therapy: From Cox Maze to Convergent.Arrhythmia & electrophysiology review · 2022Review
- Surgery and Catheter Ablation for Atrial Fibrillation: History, Current Practice, and Future Directions.Journal of clinical medicine · 2021Review
- In vivo preliminary test of a new biparietal bidirectional bipolar radiofrequency magnetic coupling system.Pacing and clinical electrophysiology : PACE · 2021Article
- Ablation of persistent atrial fibrillation: the added value of hybrid.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2021Article
- A narrative review of hybrid ablation for persistent and longstanding persistent atrial fibrillation.Annals of translational medicine · 2021Review
- European multicentre experience of staged hybrid atrial fibrillation ablation for the treatment of persistent and longstanding persistent atrial fibrillation.International journal of cardiology. Heart & vasculature · 2020Article
- Characterizing Recurrence Following Hybrid Ablation in Patients With Persistent Atrial Fibrillation.Journal of patient-centered research and reviews · 2020Article
Corrections and comments
- Erratum issued
Authors and funding
17 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe purpose of this study was to analyze the efficacy and complication rates of a one-stage left unilateral thoracoscopic hybrid procedure in a series of patients with persistent and long-standing persistent atrial fibrillation (AF) in a 2-year follow-up.
methodsFifty-one consecutive patients (34 males, 65.7 ± 8 years) having undergone hybrid isolation of pulmonary veins (PVs) and posterior wall of left atrium (LA) by means of left unilateral hybrid thoracoscopic ablation for symptomatic persistent (n = 22, 43%) and long-standing persistent atrial fibrillation (AF) (n = 29, 57%) were analyzed.
resultsAt a mean follow-up of 24.9 ± 11.8 months (median 24), the success rate without antiarrhythmic therapy was achieved in 68.6% of patients. Procedure-related major complications were observed in 2 patients (4%) including diaphragmatic perforation and late pericardial tamponade requiring mini left-sided thoracotomy and pericardial drainage, respectively. The success rate did not significantly differ between persistent and long-standing persistent AF (respectively, 68.2 and 69%; P = 0.89). Patients with AF relapse during the blanking period were 3.8 times more likely to have AF recurrence after 3 months from the ablation procedure.
conclusionThe hybrid one-stage left unilateral thoracoscopic procedure exhibits encouraging results in the setting of both persistent and long-standing persistent AF after a 2-year follow-up, at a low rate of adverse events.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.