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Totally thoracoscopic pulmonary vein isolation a simplified technique


Al-Jazairi, Meelad I H; Klinkenberg, Theo J; Van Putte, Bart P; Mariani, Massimo A; Benussi, Stefano (2017). Totally thoracoscopic pulmonary vein isolation a simplified technique. Innovations : Technology And Techniques In Cardiothoracic And Vascular Surgery, 12(6):493-495.

Abstract

Since the introduction of thoracoscopic ablation for atrial fibrillation (AF), the field of minimally invasive AF treatment has evolved toward an established treatment option for AF, with an overall 2-year antiarrhythmic drug free success rate of 77%. Complications are usually minor, and the incidence of bleeding needing conversion to sternotomy or (mini-)thoracotomy varies between 0% and 1.6%. Bleeding is often related to encircling the pulmonary veins, which is a blind maneuver that has to be done without direct camera vision. We propose here a modified surgical technique to simplify the procedure, shorten the operating time, and lower the risk of complications.

Abstract

Since the introduction of thoracoscopic ablation for atrial fibrillation (AF), the field of minimally invasive AF treatment has evolved toward an established treatment option for AF, with an overall 2-year antiarrhythmic drug free success rate of 77%. Complications are usually minor, and the incidence of bleeding needing conversion to sternotomy or (mini-)thoracotomy varies between 0% and 1.6%. Bleeding is often related to encircling the pulmonary veins, which is a blind maneuver that has to be done without direct camera vision. We propose here a modified surgical technique to simplify the procedure, shorten the operating time, and lower the risk of complications.

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Clinic for Cardiovascular Surgery
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:1 December 2017
Deposited On:18 Dec 2017 16:29
Last Modified:19 Feb 2018 09:40
Publisher:Lippincott Williams & Wilkins
ISSN:1556-9845
OA Status:Closed
Free access at:Publisher DOI. An embargo period may apply.
Publisher DOI:https://doi.org/10.1097/IMI.0000000000000428
PubMed ID:29200088

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Embargo till: 2018-11-01