Pick Adrian W, Kotschet Emily, Healy Stewart, Adam David, Bittinger Logan
Victorian Heart Hospital, Melbourne, Vic, Australia; Cabrini Medical Centre, Melbourne, Vic, Australia; Peninsula Private Hospital, Melbourne, Vic, Australia.
Victorian Heart Hospital, Melbourne, Vic, Australia; Cabrini Medical Centre, Melbourne, Vic, Australia.
Heart Lung Circ. 2023 Sep;32(9):1107-1114. doi: 10.1016/j.hlc.2023.06.002. Epub 2023 Jul 16.
Atrial fibrillation is now a pandemic in our ageing community. Although James L. Cox devised a surgical procedure with near-universal curative success in 1987, catheter-based interventions have flourished. For persistent atrial fibrillation (AF), however, an isolated endocardial approach has limitations: procedural times are long, carry risk, and the outcomes are not durable. By combining left atrial endocardial and epicardial interventions with staged mapping, we optimise the benefits of both approaches. Our initial series of hybrid ablation for persistent atrial fibrillation reports excellent early outcomes, freedom from complications and excellent success at follow-up.
