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Is a hybrid procedure the gold standard in patients with persistent atrial fibrillation?

Precision and Future Medicine 2020년 4권 3호 p.91 ~ 98
정동섭, 이윤서, 온영근,
소속 상세정보
정동섭 ( Jeong Dong-Seop ) - Sungkyunkwan University School of Medicine Samsung Medical Center Department of Thoracic and Cardiovascular Surgery
이윤서 ( Lee Yoon-Seo ) - Sungkyunkwan University School of Medicine Samsung Medical Center Department of Thoracic and Cardiovascular Surgery
온영근 ( On Young-Keun ) - Sungkyunkwan University School of Medicine Samsung Medical Center Department of Medicine Division of Cardiology

Abstract


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.

키워드

Atrial fibrillation; Catheter ablation; Hybrid; Thoracoscopy

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