A Chronicle of Hybrid Atrial Fibrillation Ablation Therapy: From Cox Maze to Convergent
The burden of AF is increasing in prevalence and healthcare resource usage in the UK and worldwide. It can result in impaired quality of life for affected patients, as well as increased risk of stroke, heart failure and mortality. A holistic, integrated approach to AF management is recommended, whic...
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| Format: | Article |
| Language: | English |
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Radcliffe Medical Media
2022-07-01
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| Series: | Arrhythmia & Electrophysiology Review |
| Online Access: | https://www.aerjournal.com/articleindex/aer.2022.05 |
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| author | Riyaz A Kaba Omar Ahmed Elijah Behr Aziz Momin |
| author_facet | Riyaz A Kaba Omar Ahmed Elijah Behr Aziz Momin |
| author_sort | Riyaz A Kaba |
| collection | DOAJ |
| description | The burden of AF is increasing in prevalence and healthcare resource usage in the UK and worldwide. It can result in impaired quality of life for affected patients, as well as increased risk of stroke, heart failure and mortality. A holistic, integrated approach to AF management is recommended, which may include a focus on reducing risk factors and on medical management with anticoagulation and anti-arrhythmic drugs. There are also various ablation strategies that may be considered when anti-arrhythmic drugs fail to alleviate symptoms and reduce AF burden. These ablation techniques range from standalone percutaneous endocardial catheter ablation to open surgical ablation procedures concomitant with cardiac surgery. More recently, hybrid ablation that combines aspects of both surgical and electrophysiologically targeted ablation has been described. This article reviews the evolution of ablation strategies, beginning with the origin of the Cox maze IV procedure and continuing to the recent hybrid convergent approach, and provides a summary of the associated outcomes. |
| format | Article |
| id | doaj-art-702c32a2c26e41a7afc94c12fe41b017 |
| institution | DOAJ |
| issn | 2050-3369 2050-3377 |
| language | English |
| publishDate | 2022-07-01 |
| publisher | Radcliffe Medical Media |
| record_format | Article |
| series | Arrhythmia & Electrophysiology Review |
| spelling | doaj-art-702c32a2c26e41a7afc94c12fe41b0172025-08-20T02:39:18ZengRadcliffe Medical MediaArrhythmia & Electrophysiology Review2050-33692050-33772022-07-011110.15420/aer.2022.05A Chronicle of Hybrid Atrial Fibrillation Ablation Therapy: From Cox Maze to ConvergentRiyaz A Kaba0Omar Ahmed1Elijah Behr2Aziz Momin3Cardiovascular Clinical Academic Group, Molecular and Clinical Sciences Institute, St George’s, University of London and St George’s University Hospitals NHS Foundation Trust, London, UK; Department of Cardiology, Ashford and St Peter’s NHS Foundation Trust, Chertsey, Surrey, UKCardiovascular Clinical Academic Group, Molecular and Clinical Sciences Institute, St George’s, University of London and St George’s University Hospitals NHS Foundation Trust, London, UKCardiovascular Clinical Academic Group, Molecular and Clinical Sciences Institute, St George’s, University of London and St George’s University Hospitals NHS Foundation Trust, London, UKCardiovascular Clinical Academic Group, Molecular and Clinical Sciences Institute, St George’s, University of London and St George’s University Hospitals NHS Foundation Trust, London, UK; Department of Cardiology, Ashford and St Peter’s NHS Foundation Trust, Chertsey, Surrey, UKThe burden of AF is increasing in prevalence and healthcare resource usage in the UK and worldwide. It can result in impaired quality of life for affected patients, as well as increased risk of stroke, heart failure and mortality. A holistic, integrated approach to AF management is recommended, which may include a focus on reducing risk factors and on medical management with anticoagulation and anti-arrhythmic drugs. There are also various ablation strategies that may be considered when anti-arrhythmic drugs fail to alleviate symptoms and reduce AF burden. These ablation techniques range from standalone percutaneous endocardial catheter ablation to open surgical ablation procedures concomitant with cardiac surgery. More recently, hybrid ablation that combines aspects of both surgical and electrophysiologically targeted ablation has been described. This article reviews the evolution of ablation strategies, beginning with the origin of the Cox maze IV procedure and continuing to the recent hybrid convergent approach, and provides a summary of the associated outcomes.https://www.aerjournal.com/articleindex/aer.2022.05 |
| spellingShingle | Riyaz A Kaba Omar Ahmed Elijah Behr Aziz Momin A Chronicle of Hybrid Atrial Fibrillation Ablation Therapy: From Cox Maze to Convergent Arrhythmia & Electrophysiology Review |
| title | A Chronicle of Hybrid Atrial Fibrillation Ablation Therapy: From Cox Maze to Convergent |
| title_full | A Chronicle of Hybrid Atrial Fibrillation Ablation Therapy: From Cox Maze to Convergent |
| title_fullStr | A Chronicle of Hybrid Atrial Fibrillation Ablation Therapy: From Cox Maze to Convergent |
| title_full_unstemmed | A Chronicle of Hybrid Atrial Fibrillation Ablation Therapy: From Cox Maze to Convergent |
| title_short | A Chronicle of Hybrid Atrial Fibrillation Ablation Therapy: From Cox Maze to Convergent |
| title_sort | chronicle of hybrid atrial fibrillation ablation therapy from cox maze to convergent |
| url | https://www.aerjournal.com/articleindex/aer.2022.05 |
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