Long-term outcome after totally thoracoscopic ablation for atrial fibrillation.
Autor: | Vos LM; Department of Cardiothoracic Surgery, St. Antonius Hospital, Nieuwegein, The Netherlands.; Department of Cardiothoracic Surgery, Amsterdam University Medical Centers, Amsterdam, The Netherlands., Bentala M; Department of Cardiothoracic Surgery, Amphia Hospital, Breda, The Netherlands., Geuzebroek GS; Department of Cardiothoracic Surgery, Radboud UMC, Nijmegen, The Netherlands., Molhoek SG; Department of Cardiology, Amphia Hospital, Breda, The Netherlands., van Putte BP; Department of Cardiothoracic Surgery, St. Antonius Hospital, Nieuwegein, The Netherlands.; Department of Cardiothoracic Surgery, Amsterdam University Medical Centers, Amsterdam, The Netherlands. |
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Jazyk: | angličtina |
Zdroj: | Journal of cardiovascular electrophysiology [J Cardiovasc Electrophysiol] 2020 Jan; Vol. 31 (1), pp. 40-45. Date of Electronic Publication: 2019 Nov 27. |
DOI: | 10.1111/jce.14267 |
Abstrakt: | Introduction: Totally thoracoscopic ablation for symptomatic atrial fibrillation (AF) refractory to drug or catheter based therapy is indicated as a Class 2A recommendation according to latest guidelines. Evidence for long-term rhythm control and stroke reduction is limited. The aim of this study was to report on long-term outcome after totally thoracoscopic ablation. Methods and Results: In total 82 consecutive patients were included that underwent totally thoracoscopic ablation including left appendage closure (2012-2013). The primary outcome was freedom from atrial arrhythmia recurrence. Secondary outcomes were survival, freedom from cerebrovascular events, freedom from reablation and definite pacemaker implantation. The mean age was 59.9 ± 8.6 years and 71% were male. The mean CHA Conclusions: Totally thoracoscopic ablation is an effective sustainable rhythm control therapy for AF with a reasonable recurrence rate and low stroke rate when performed in dedicated AF centers. (© 2019 Wiley Periodicals, Inc.) |
Databáze: | MEDLINE |
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