Minimally invasive surgery for atrial fibrillation

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• 作者：Timothy S. Lancaster ; MD ; Spencer J. Melby ; MD ; Ralph J. Damiano Jr ; MD ; ^{damianor@wustl.edu" class="auth_mail" title="E-mail the corresponding author}
• 关键词：Atrial fibrillation ; Cardiac surgery ; Minimally invasive surgery ; Ablation ; Cox-Maze procedure ; Pulmonary vein isolation ; Hybrid approach
• 刊名：Trends in Cardiovascular Medicine
• 出版年：2016
• 出版时间：April 2016
• 年：2016
• 卷：26
• 期：3
• 页码：268-277
• 全文大小：5981 K

文摘

The surgical treatment of atrial fibrillation (AF) has been revolutionized over the past two decades through surgical innovation and improvements in endoscopic imaging, ablation technology, and surgical instrumentation. These advances have prompted the development of the less complex and less morbid Cox-Maze IV procedure, and have allowed its adaptation to a minimally invasive right mini-thoracotomy approach that can be used in stand-alone AF ablation and in patients undergoing concomitant mitral and tricuspid valve surgery. Other minimally invasive ablation techniques have been developed for stand-alone AF ablation, including video-assisted pulmonary vein isolation, extended left atrial lesion sets, and a hybrid approach. This review will discuss the tools, techniques, and outcomes of minimally invasive surgical procedures currently being practiced for AF ablation.