open access

Vol 65, No 4 (2007)
Other
Published online: 2007-04-26
Submitted: 2012-12-28
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Original article
Minimally invasive off-pump video-assisted endoscopic surgical pulmonary vein isolation using bipolar radiofrequency ablation – preliminary report

Piotr Suwalski, Grzegorz Suwalski, Radosław Wilimski, Janusz Kochanowski, Piotr Scisło, Hanna Gaca, Zbigniew Popiel, Mariusz Śledź, Julita Smolarska-Świtaj, Kazimierz Suwalski
Kardiol Pol 2007;65(4):370-374.

open access

Vol 65, No 4 (2007)
Other
Published online: 2007-04-26
Submitted: 2012-12-28

Abstract

Background: Atrial fibrillation (AF) is the most common arrhythmia, having a strong impact on long-term stroke and heart failure prevalence and mortality. Nowadays, rapid development in the field of minimising the invasiveness of surgical ablation of AF can be observed. Aim: To report on the feasibility and early results of the first Polish experience with a novel technique of minimally invasive video-assisted beating heart bilateral surgical ablation for lone paroxysmal AF using irrigated bipolar radiofrequency technique. Methods: Between February and December 2006, 6 patients with highly symptomatic paroxysmal AF, resistant to pharmacological treatment, underwent video-assisted beating heart bilateral pulmonary vein isolation using irrigated bipolar radiofrequency combined with vein of Marshall dissection and left atrial appendage closure. In 2 patients at least 2 unsuccessful percutaenous ablations had previously been performed. Results: There were no complications. Ablation time was on average 88±12.1 seconds. At least one recurrence of AF was observed in 4 patients in the early postoperative period; in 3 of them an electrical cardioversion was performed. All patients were discharged home in stable sinus rhythm. Three patients have exceeded 3 months’ observation; one has reached 6 months of observation. All are in stable sinus rhythm and the follow-up course is uneventful. Conclusions: Minimally invasive video-assisted beating heart bilateral surgical ablation for lone paroxysmal AF using irrigated bipolar radiofrequency is effective and safe. These promising results have to be confirmed by larger studies.

Abstract

Background: Atrial fibrillation (AF) is the most common arrhythmia, having a strong impact on long-term stroke and heart failure prevalence and mortality. Nowadays, rapid development in the field of minimising the invasiveness of surgical ablation of AF can be observed. Aim: To report on the feasibility and early results of the first Polish experience with a novel technique of minimally invasive video-assisted beating heart bilateral surgical ablation for lone paroxysmal AF using irrigated bipolar radiofrequency technique. Methods: Between February and December 2006, 6 patients with highly symptomatic paroxysmal AF, resistant to pharmacological treatment, underwent video-assisted beating heart bilateral pulmonary vein isolation using irrigated bipolar radiofrequency combined with vein of Marshall dissection and left atrial appendage closure. In 2 patients at least 2 unsuccessful percutaenous ablations had previously been performed. Results: There were no complications. Ablation time was on average 88±12.1 seconds. At least one recurrence of AF was observed in 4 patients in the early postoperative period; in 3 of them an electrical cardioversion was performed. All patients were discharged home in stable sinus rhythm. Three patients have exceeded 3 months’ observation; one has reached 6 months of observation. All are in stable sinus rhythm and the follow-up course is uneventful. Conclusions: Minimally invasive video-assisted beating heart bilateral surgical ablation for lone paroxysmal AF using irrigated bipolar radiofrequency is effective and safe. These promising results have to be confirmed by larger studies.
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Keywords

lone atrial fibrillation; surgical ablation; minimally invasive; off-pump; endoscopic

About this article
Title

Original article
Minimally invasive off-pump video-assisted endoscopic surgical pulmonary vein isolation using bipolar radiofrequency ablation – preliminary report

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 65, No 4 (2007)

Pages

370-374

Published online

2007-04-26

Bibliographic record

Kardiol Pol 2007;65(4):370-374.

Keywords

lone atrial fibrillation
surgical ablation
minimally invasive
off-pump
endoscopic

Authors

Piotr Suwalski
Grzegorz Suwalski
Radosław Wilimski
Janusz Kochanowski
Piotr Scisło
Hanna Gaca
Zbigniew Popiel
Mariusz Śledź
Julita Smolarska-Świtaj
Kazimierz Suwalski

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