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Journal of Interventional Cardiac Electrophysiology
Erschienen in: Journal of Interventional Cardiac Electrophysiology 3/2007

01.12.2007

Minimally invasive pulmonary vein isolation and partial autonomic denervation for surgical treatment of atrial fibrillation

verfasst von: James R. Edgerton, Warren M. Jackman, Michael J. Mack

Erschienen in: Journal of Interventional Cardiac Electrophysiology | Ausgabe 3/2007

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Abstract

Objective

It was our goal to determine the efficacy of a minimally invasive surgical approach to the treatment of atrial fibrillation that combines pulmonary vein antral isolation with targeted partial autonomic denervation.

Methods

Eighty-three patients underwent video-assisted bilateral pulmonary vein antral electrical isolation with confirmation of block and partial autonomic denervation. Sixty-two (41 paroxysmal, 21 persistent/long-standing persistent) patients had a follow-up of 6 months or greater. Fifty-seven of these patients had a long-term rhythm monitor at 6 months (39 paroxysmal, 18 persistent/long-standing persistent).

Results

Success was defined as no episodes of atrial fibrillation greater than 15 s duration on long-term monitoring. Treatment was successful in 32 of 39 (82.1%) patients with paroxysmal atrial fibrillation and 10 of 18 (55.6%) with persistent/long-standing persistent atrial fibrillation.

Conclusion

Early data suggest that pulmonary vein electrical isolation combined with targeted partial autonomic denervation is a safe and efficacious approach for the treatment of paroxysmal atrial fibrillation. Techniques are being developed for the minimally invasive surgical treatment of persistent and long-standing persistent atrial fibrillation from an epicardial approach.
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Metadaten
Titel
Minimally invasive pulmonary vein isolation and partial autonomic denervation for surgical treatment of atrial fibrillation
verfasst von
James R. Edgerton
Warren M. Jackman
Michael J. Mack
Publikationsdatum
01.12.2007
Verlag
Springer US
Erschienen in
Journal of Interventional Cardiac Electrophysiology / Ausgabe 3/2007
Print ISSN: 1383-875X
Elektronische ISSN: 1572-8595
DOI
https://doi.org/10.1007/s10840-007-9177-y

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