Merritt-Genore HelenMari, Kiankhooy Armin
Methodist Physicians Clinic, Omaha, NE 68022, USA.
Department of Cardiothoracic Surgery, Saint Helena Hospital, Saint Helena, CA 94574, USA.
Rev Cardiovasc Med. 2022 Oct 11;23(10):338. doi: 10.31083/j.rcm2310338. eCollection 2022 Oct.
Nonparoxysmal atrial fibrillation continues to challenge electrophysiologist and surgeons alike. Stand-alone endocardial catheter ablation has resulted in less than satisfying results, and while the on-pump Cox-Maze surgery has excellent results, the invasiveness has limited its adoption amongst both referring providers and surgeons. The CONVERGE IDE trial has shed new light on this once dim problem. EPs and Surgeons are now working together in a Hybrid Team Ablation Approach to provide a combined ablation strategy that has improved patient outcomes and rekindled the collaboration necessary to better patient outcomes. We herein summarize the current Hybrid Team Ablation Approaches (CONVERGE and Totally Thoracoscopic) with nonparoxysmal atrial fibrillation.
非阵发性心房颤动持续困扰着电生理学家和外科医生。单纯的心内膜导管消融术效果不尽人意，尽管体外循环下的Cox迷宫手术效果极佳，但因其侵入性，在转诊机构和外科医生中都未得到广泛应用。CONVERGE IDE试验为这个曾经模糊不清的问题带来了新的曙光。电生理学家和外科医生现在正通过混合团队消融方法共同努力，提供一种联合消融策略，改善了患者预后，并重新点燃了为改善患者预后所需的合作。我们在此总结目前用于非阵发性心房颤动的混合团队消融方法（CONVERGE和完全胸腔镜手术）。
