Minimal invasive surgery for atrial fibrillation: an updated review

摘要: Aims Despite its proven efficacy, the Cox-Maze III procedure did not gain widespread acceptance for treatment of stand-alone atrial fibrillation (SA-AF) because complexity and technical difficulty. Surgical ablation SA-AF can now be successfully performed utilizing minimally invasive surgery (MIS). This study provides an overview state-of-the-art MIS SA-AF. Methods results Studies selected this review were identified on PUBMED exclusion inclusion criteria applied to select publication screened. Twenty-eight studies included; 27 (96.4%) observational in nature whereas 1 was prospective non-randomized. The total number patients 1051 (range 14–114). Mean age ranged from 45.3 67.1 years. Suboptimal obtained when employing microwave high focused ultrasound energies. In contrast, achieved satisfactory 1-year bipolar radiofrequency employed as energy source, with antiarrhythmic drug-free success rate comparable percutaneous catheter (PCA). paroxysmal even higher than PCA. ganglionated plexi left appendage removal seem influence recurrence AF occurrence postoperative thromboembolic events. Conclusion Minimally employed. Nevertheless, relatively complication reported suggest that such techniques require further refinement. Finally, preliminary hybrid approach are promising but they need confirmed.