Progress in Minimally Invasive Surgery for Atrial Fibrillation_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

GUOQiu-zhe ,  GUOYing-qiang

Department of Cardiovascular Surgery, West China Hospital of Sichuan University, Chengdu 610041, P. R. China;

Corresponding author：

GUOYing-qiang, Email: drguoyq@hotmail.com

Keywords：

Atrial fibrillation; Minimally invasive surgery; Hybrid procedure

DOI：

10.7507/1007-4848.20140026

Video：

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Atrial fibrillation (AF) is difficult to cure for its complex etiology and long disease duration. Heart failure, sudden death and stroke are the main causes for consequent high mortality and morbidity. In recent years, minimally invasive surgery has made rapid progress, not only improved treatment efficiency of traditional Cox Maze procedure but also massively reduced surgical injuries, and has become a preferred treatment strategy for lone AF. Minimally invasive surgery and catheter ablation complement each other, and are likely to open up a new prospect of AF treatment.

Citation： GUOQiu-zhe, GUOYing-qiang. Progress in Minimally Invasive Surgery for Atrial Fibrillation. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2014, 21(1): 97-101. doi: 10.7507/1007-4848.20140026 Copy

1.	Zhang S.Atrial fibrillation in mainland China:epidemiology and current management.Heart, 2009, 95 (13):1052-1055.
2.	周自强, 胡大一, 陈捷, 等.中国心房颤动现状的流行病学研究.中华内科杂志, 2004, 43 (7):491-494.
3.	Williams JM, Ungerleider RM, Lofland GK, et al.Left atrial isolation:a new technique for the treat of superventricular arrhythmias.J Thorac Cardiovasc Surg, 1980, 80 (3):373-380.
4.	Cox JL, Schuessler RB, D'agostino HJ, et al.The surgical treatment of atrial fibrillation.J Thorac Cardiovasc Surg, 1991, 101 (4):569-592.
5.	Prasad SM, Maniar HS, Camillo CJ, et al.The cox maze Ⅲ procedure for atrial fibrillation:long-term efficacy in patients undergoing lone versus concomitant procedures.J Thorac Cardiovasc Surg, 2003, 126 (6):1822-1828.
6.	Lee AM, Melby SJ, Damiano RJ.The surgical treatment of atrial fibrillation.Surg Clin North Am, 2009, 89 (4):1001-1020.
7.	Wolf RK, Schneeberger EW, Osterday R, et al.Video-assisted bilateral pulmonary vein isolation and left atrial appendage exclusion for atrial fibrillation.J Thorac Cardiovasc Surg, 2005, 130 (3):797-802.
8.	王坚刚, 孟旭, 韩杰, 等.胸腔镜辅助微创射频消融治疗持续性心房颤动.中华外科杂志, 2010, 48 (20):1561-1564.
9.	Yilmaz A, Van Putte BP, Van Boven WJ.Completely thoracoscopic bilateral pulmonary vein isolation and left atrial appendage exclusion for atrial fibrillation.J Thorac Cardiovasc Surg, 2008, 136 (2):521-522.
10.	程云阁, 肖明第, 王改非, 等.完全胸腔镜下左房后入路射频迷宫四型手术治疗孤立性心房颤动.中国心血管病研究, 2010, 8 (12):927-928.
11.	Shah D, Haissagguerra M, Jais P, et al.Nonpulmonary vein Foci-do they exist? pacing clinical electrophysiology.Pacing Clin.Electroph ysiol, 2003, 26 (7):1631-1635.
12.	Kumagai K, Muraoka S, Mitsutake C, et al.A new approach for complete isolation of the posterior left atrium including pulmonary veins for atrial fibrillation.J Cardiovasc Electrophysiol, 2007, 18 (10):1047-1052.
13.	Voeller RK, Bailey MS, Zierer A, et al.Isolating the entire posterior left atrium improves surgical outcomes after the Cox maze procedure.J Thorac Cardiovasc Surg, 2008, 135 (4):870-877.
14.	Doty JR, Clayson SE.Surgical treatment of isolated (lone) atrial fibrillation with Gemini-S Ablation and Left Atrial Appendage Excision.(GALAXY procedure).Innovations (Phila), 2012, 7 (1):33-38.
15.	Edgerton JR, Jackman WM, Mack MJ.A new epicardial lesion set for minimal access left atrial maze:the Dallas lesion set.Ann Thorac Surg, 2009, 88 (5):1655-1657.
16.	Scherlag BJ, Nakagawa H, Wm J, et al.Electrical stimulation to identify neural elements on the heart:their role in atrial fibrillation.J Interv Card Electrophysiol, 2005, 13 (Suppl 1):37-42.
17.	Pappone C, Santinelli V, Manguso F, et al.Pulmonary vein denervation enhances long-term benefit after circumferential ablation for paroxysmal atrial fibrillation.Circulation, 2004, 109 (3):327-334.
18.	Edgerton JR, Edgerton ZJ, Weaver T, et al.Minimally invasive pulmonary vein isolation and partial autonomic denervation for surgical treatment of atrial fibrillation.Ann Thorac Surg, 2008, 86 (1):35-38.
19.	Lin Z, Shan ZG, Liao CX, et al.The effect of microwave and bipolar radio-frequency ablation in the surgical treatment of permanent atrial fibrillation during valve surgery.Thorac Cardiovasc Surg, 2011, 59 (8):460-464.
20.	Rahman NM, Chard RB, Thomas SP.Outcomes for surgical treatment of atrial fibrillation using cryoablation during concomitant cardiac procedures.Ann Thorac Surg, 2010, 90 (5):1523-1527.
21.	Aupperle H, Doll N, Walther T, et al.Histological findings induced by different energy sources in experimental atrial ablation in sheep.Interact Cardiovasc Thorac Surg, 2005, 4 (5):450-455.
22.	Blackshear JL, Odell JA.Appendage obliteration to reduce stroke in cardiac surgical patients with atrial fibrillation.Ann Thorac Surg, 1996, 61 (2):755-759.
23.	Onalan O, Lashevsky I, Hamad A, et al.Nonpharmacologic stroke prevention in atrial fibrillation.Expert Rev Cardiovasc Ther, 2005, 3 (4):619-633.
24.	García-Fernández MA, Pérez-David E, Quiles J, et al.Role of left atrial appendage obliteration in stroke reduction in patients with mitral valve prosthesis:a transesophageal echocardiographic study.J Am Coll Cardiol, 2003, 42 (7):1253-1258.
25.	Yoshihara F, Nishikimi T, Kosakai Y, et al.Atrial natriuretic peptide secretion and body fluid balance after bilateral atrial appendectomy by the maze procedure.J Thorac Cardiovasc Surg, 1998, 116 (2):213-219.
26.	Loulmet DF, Patel NC, Patel NU, et al.First robotic endoscopic epicardial isolation of the pulmonary veins with microwave energy in a patient in chronic atrial fibrillation.Ann Thorac Surg, 2004, 78 (2):24-25.
27.	Boersma LV, Castella M, van Boven W, et al.Atrial fibrillation catheter ablation versus surgical ablation treatment (FAST):a 2-center randomized clinical trial.Circulation, 2012, 125 (1):23-30.
28.	Pison L, La Meir M, van Opstal J, et al.Hybrid thoracoscopic surgical and transvenous catheter ablation of atrial fibrillation.J Am Coll Cardiol, 2012, 60 (1):54-61.
29.	Muneretto C, Bisleri G, Bontempi L, et al.Durable staged hybrid ablation with thoracoscopic and percutaneous approach for treatment of long-standing atrial fibrillation:a 30-month assessment with continuous monitoring.J Thorac Cardiovasc Surg, 2012, 144 (6):1460-1465.
30.	Cappato R, Negroni S, Pecora D, et al.Prospective assessment of late conduction recurrence across radiofrequency lesions producing electrical disconnection at the pulmonary vein ostium in patients with atrial fibrillation.Circulation, 2003, 108 (13):1599-1604.

1. Zhang S.Atrial fibrillation in mainland China:epidemiology and current management.Heart, 2009, 95 (13):1052-1055.
2. 周自强, 胡大一, 陈捷, 等.中国心房颤动现状的流行病学研究.中华内科杂志, 2004, 43 (7):491-494.
3. Williams JM, Ungerleider RM, Lofland GK, et al.Left atrial isolation:a new technique for the treat of superventricular arrhythmias.J Thorac Cardiovasc Surg, 1980, 80 (3):373-380.
4. Cox JL, Schuessler RB, D'agostino HJ, et al.The surgical treatment of atrial fibrillation.J Thorac Cardiovasc Surg, 1991, 101 (4):569-592.
5. Prasad SM, Maniar HS, Camillo CJ, et al.The cox maze Ⅲ procedure for atrial fibrillation:long-term efficacy in patients undergoing lone versus concomitant procedures.J Thorac Cardiovasc Surg, 2003, 126 (6):1822-1828.
6. Lee AM, Melby SJ, Damiano RJ.The surgical treatment of atrial fibrillation.Surg Clin North Am, 2009, 89 (4):1001-1020.
7. Wolf RK, Schneeberger EW, Osterday R, et al.Video-assisted bilateral pulmonary vein isolation and left atrial appendage exclusion for atrial fibrillation.J Thorac Cardiovasc Surg, 2005, 130 (3):797-802.
8. 王坚刚, 孟旭, 韩杰, 等.胸腔镜辅助微创射频消融治疗持续性心房颤动.中华外科杂志, 2010, 48 (20):1561-1564.
9. Yilmaz A, Van Putte BP, Van Boven WJ.Completely thoracoscopic bilateral pulmonary vein isolation and left atrial appendage exclusion for atrial fibrillation.J Thorac Cardiovasc Surg, 2008, 136 (2):521-522.
10. 程云阁, 肖明第, 王改非, 等.完全胸腔镜下左房后入路射频迷宫四型手术治疗孤立性心房颤动.中国心血管病研究, 2010, 8 (12):927-928.
11. Shah D, Haissagguerra M, Jais P, et al.Nonpulmonary vein Foci-do they exist? pacing clinical electrophysiology.Pacing Clin.Electroph ysiol, 2003, 26 (7):1631-1635.
12. Kumagai K, Muraoka S, Mitsutake C, et al.A new approach for complete isolation of the posterior left atrium including pulmonary veins for atrial fibrillation.J Cardiovasc Electrophysiol, 2007, 18 (10):1047-1052.
13. Voeller RK, Bailey MS, Zierer A, et al.Isolating the entire posterior left atrium improves surgical outcomes after the Cox maze procedure.J Thorac Cardiovasc Surg, 2008, 135 (4):870-877.
14. Doty JR, Clayson SE.Surgical treatment of isolated (lone) atrial fibrillation with Gemini-S Ablation and Left Atrial Appendage Excision.(GALAXY procedure).Innovations (Phila), 2012, 7 (1):33-38.
15. Edgerton JR, Jackman WM, Mack MJ.A new epicardial lesion set for minimal access left atrial maze:the Dallas lesion set.Ann Thorac Surg, 2009, 88 (5):1655-1657.
16. Scherlag BJ, Nakagawa H, Wm J, et al.Electrical stimulation to identify neural elements on the heart:their role in atrial fibrillation.J Interv Card Electrophysiol, 2005, 13 (Suppl 1):37-42.
17. Pappone C, Santinelli V, Manguso F, et al.Pulmonary vein denervation enhances long-term benefit after circumferential ablation for paroxysmal atrial fibrillation.Circulation, 2004, 109 (3):327-334.
18. Edgerton JR, Edgerton ZJ, Weaver T, et al.Minimally invasive pulmonary vein isolation and partial autonomic denervation for surgical treatment of atrial fibrillation.Ann Thorac Surg, 2008, 86 (1):35-38.
19. Lin Z, Shan ZG, Liao CX, et al.The effect of microwave and bipolar radio-frequency ablation in the surgical treatment of permanent atrial fibrillation during valve surgery.Thorac Cardiovasc Surg, 2011, 59 (8):460-464.
20. Rahman NM, Chard RB, Thomas SP.Outcomes for surgical treatment of atrial fibrillation using cryoablation during concomitant cardiac procedures.Ann Thorac Surg, 2010, 90 (5):1523-1527.
21. Aupperle H, Doll N, Walther T, et al.Histological findings induced by different energy sources in experimental atrial ablation in sheep.Interact Cardiovasc Thorac Surg, 2005, 4 (5):450-455.
22. Blackshear JL, Odell JA.Appendage obliteration to reduce stroke in cardiac surgical patients with atrial fibrillation.Ann Thorac Surg, 1996, 61 (2):755-759.
23. Onalan O, Lashevsky I, Hamad A, et al.Nonpharmacologic stroke prevention in atrial fibrillation.Expert Rev Cardiovasc Ther, 2005, 3 (4):619-633.
24. García-Fernández MA, Pérez-David E, Quiles J, et al.Role of left atrial appendage obliteration in stroke reduction in patients with mitral valve prosthesis:a transesophageal echocardiographic study.J Am Coll Cardiol, 2003, 42 (7):1253-1258.
25. Yoshihara F, Nishikimi T, Kosakai Y, et al.Atrial natriuretic peptide secretion and body fluid balance after bilateral atrial appendectomy by the maze procedure.J Thorac Cardiovasc Surg, 1998, 116 (2):213-219.
26. Loulmet DF, Patel NC, Patel NU, et al.First robotic endoscopic epicardial isolation of the pulmonary veins with microwave energy in a patient in chronic atrial fibrillation.Ann Thorac Surg, 2004, 78 (2):24-25.
27. Boersma LV, Castella M, van Boven W, et al.Atrial fibrillation catheter ablation versus surgical ablation treatment (FAST):a 2-center randomized clinical trial.Circulation, 2012, 125 (1):23-30.
28. Pison L, La Meir M, van Opstal J, et al.Hybrid thoracoscopic surgical and transvenous catheter ablation of atrial fibrillation.J Am Coll Cardiol, 2012, 60 (1):54-61.
29. Muneretto C, Bisleri G, Bontempi L, et al.Durable staged hybrid ablation with thoracoscopic and percutaneous approach for treatment of long-standing atrial fibrillation:a 30-month assessment with continuous monitoring.J Thorac Cardiovasc Surg, 2012, 144 (6):1460-1465.
30. Cappato R, Negroni S, Pecora D, et al.Prospective assessment of late conduction recurrence across radiofrequency lesions producing electrical disconnection at the pulmonary vein ostium in patients with atrial fibrillation.Circulation, 2003, 108 (13):1599-1604.

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