Accès ouvert déclaré
2025
article
Epicardial and hybrid surgical ablation of atrial fibrillation: 1-year follow-up outcomes of the EORP EHAFA registry
Mindy Vroomen, Kai-Nicolas Doll, Thierry Folliguet, Carina Blomström Lundqvist, Lluı́s Mont, Nicholas S. Peters, Laurent Pison, Rodrigo Ferrari, Ángeles Alonso, Jeroen J. Bax, C. Blomström‐Lundqvist, Stephan Gielen, Patrizio Lancellotti, A P Maggioni, Fausto J. Pinto, Frank Ruschitzka, L Tavazzi, P Vardas, Franz Weidinger, Uwe Zeymer, Alec Vahanian, A Budaj, N. Dagres, Nicolas Danchin, Victoria Delgado, Jonathan Emberson, Örjan Friberg, Gr. Heyndrickx, Stefan James, A. Pieter Kappetein, G Parati, A-S Petronio, Mikko Pietilä, Eva Prescott, Frans Van de Werf, B. Beleslin, Ovidiu Chioncel, David Erlinge, M Glikson, Alastair Gray, А. О. Недошивин, A-P Petronio, J W Roos-Hesselink, Lars Wallentin, B A Popescu, David Adlam, Alida L.P. Caforio, D Capodanno, Marc R. Dweck, J. Hausleiter, Peter Ludman, Lars H. Lund, С.Т. Мацкеплишвили, Benjamin Meder, Danilo Neglia, Agnès Pasquet, Fernando J. Rossello, Sameh Shaheen, Aleksandra Torbica, Mark La Meir, Aleš Mokráček, Nicolas Doll, Aldo P. Maggioni, Ines Van Loo, Ruaa Al‐Qazazi, Rajiv Tanwani, Brigita Zile, Sohaib Haseeb, Alan Bulava, Petr Pařízek, Luděk Haman, Marek Pojar, Petr Budera, Pavel Osmančík, David Peñalver Talavera, Radka Procházková, Dalibor Heřman, Josef Kautzner, Jan Pirk, Dan Wichterle, Bashar Aldhoon, Petr Kačer, Robert Čihák, Petr Peichl, A Polednova, Philippe Chevalier, Jacques Robin, Jean-Francois Obaida, Carine Flys, Bertrand Marcheix, H Mondor, Éric Bergoend, Etienne Grunenwald, Anne Rollin, Issam Abouliatim, Stéphane Combes, Malte Kuniss, Ersan Akkaya, Christine Scheld, Volkmar Falk, Christoph Starck, Alexander Meyer, Matthias Bauer, Jaime‐Jürgen Eulert‐Grehn, Sabine Huebler, Mahmoud Wehbe, Giuseppe Cittadini, Audrius Aidietis, Vilius Janušauskas, Niels Verberkmoes, Pepijn van der Voort, Jurren M. van Opstal, Jan Van Es, R G H Speekenbrink, Tamara Tap-Smeele, Wendy Breukers, Dirk Jan van Veldhuisen, Massimo A. Mariani, Yuri Blaauw, Reinder C Steenbergen, J. H. H. Deuling, Bao‐Oanh Nguyen, Meelad I H Al-Jazairi, Suzanne Philippens, Rypko Beukema, Reinder Evertz, Sjoerd Westra, Leen van Garsse, Ad J.J.C. Bogers, Natasja de Groot, A Muskens, Jacek Bednarek, Jerzy Sadowski, Piotr Suwalski, Sebastian Stec, Dariusz A. Kosior, Anna Witkowska, Espen Fengsrud, Johan Probst, Jürg Gruenenfelder, Sacha P. Salzberg, Tom Wong, Shouvik Haldar, Anthony DeSouza, Toufan Bahrami, John Pepper, Vennela Boyalla, Habib Khan, Ines Kralj‐Hans
1Citations signalées — pas une note de qualité
14Institutions déclarées
8Pays d’affiliation déclarés
Résumé fourni par la source
AIMS: Stand-alone minimal invasive epicardial and hybrid atrial fibrillation ablation (EHAFA) has evolved to a recognized treatment option in challenging patients. The EHAFA registry was initiated to describe the applied diagnostic and therapeutic approaches used in routine practice for these procedures, as well as the outcomes in terms of rhythm, symptoms, and complications. METHODS AND RESULTS: Between January 2016 and March 2018, patients who underwent an EHAFA procedure for all types of atrial fibrillation (AF) were consecutively enrolled in the international, prospective, observational EHAFA registry. Follow-up occurred after 1 year. A total of 468 patients were enrolled from 17 centres in 10 countries. Stand-alone ablation (n = 464) was performed epicardially in 47% (n = 220) or as epi-/endocardial hybrid in 53% (n = 244). The predominate type of AF was non-paroxysmal in 74% (n = 342), and 36% (n = 166) of patients had failed previous catheter ablation. The main lesion sets applied consisted of pulmonary vein isolation (99%, n = 460) and isolation of the left atrial (LA) posterior wall (82%, n = 383). In 82% (n = 382), the LA appendage was managed. The overall in-hospital major complication rate was 8.2% (n = 38/464). Freedom from atrial arrhythmias > 30 s with and without antiarrhythmic drug usage was 79% and 64% (n = 279/353, n = 223/351, respectively). The EHRA score at follow-up was clearly reduced compared to preoperatively (EHRA I: 72%, n = 233/325, vs. 3%, n = 14/464). CONCLUSION: This international registry revealed good rhythm control efficacy for epicardial and hybrid AF ablation in patients with advanced AF, leading to improvement in AF-related symptoms. However, a certain associated complication rate needs to be considered.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Epicardial and hybrid surgical ablation of atrial fibrillation: 1-year follow-up outcomes of the EORP EHAFA registry
- Date Crossref
- 01/09/2025
- Éditeur
- Oxford University Press (OUP)
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude et ne compte pas comme une seconde source scientifique indépendante.
Institutions déclarées
Une affiliation ne permet pas de déduire la nationalité d’un auteur.
Sujets associés
Atrial Fibrillation Management and OutcomesCardiac Arrhythmias and TreatmentsCardiovascular Disease and Adiposity