guidelines hrs 2017. opening the way to...
TRANSCRIPT
Guidelines HRS 2017. Opening the way to Hybrid ?
prof. Carlo de Asmundis MD, PhD
Heart Rhythm Management Center, Postgraduate program in Cardiac Electrophysiology and Pacing, Vrije Universiteit Brussel - Universitair
Ziekenhuis Brussel, Brussels Belgium
Potential conflicts of interest
Carlo de Asmundis:
▪ I have the following potential conflicts of interest toreport: educational grants Medtronic, Abbott,Biotronik, Biosense Webster, Daichi Sankyo,Cardiotek, Livanova, Atricure, Bayer.
…Catheter ablation is the recommended treatment for symptomatic paroxysmal AF which is refractory to at least one class I or class III anti-arrhythmic drug…
- Calkins H, HRS/EHRA/ECAS Catheter and Surgical Ablation of AF, Heart Rhythm 2012
- Calkins H, HRS/EHRA/ECAS Catheter and Surgical Ablation of AF, Heart Rhythm 2017
First Time we consider the anatomy, thanks to the surgeons
Mechanisms of AF: Multiple Wavelet Hypothesis, Reentry, Spiral Waves, Rotational Activity, and Focal Triggers from the Pulmon
ablation induced
The Mechanisms of AF Recurrence After Catheter Ablation or Surgical AF Ablation
28 endpoint only 1 I A
Taken together, thoracoscopic surgery is a promising tool
for the treatment of persistent AF.
What that does take to succeed is the collaboration of
surgeons and electrophysiologists, which is consistent with
the philosophy of working in heart teams. Which patients
with persistent AF are the best candidates for thoracoscopic
surgery remains unresolved for this moment.