Hybrid Treatment of Advanced Atrial Fibrillation: A Best Practice Guide for the Subxiphoid Approach-Hybrid Ablation Therapy

Video Transcription

Video Summary

The conference presentation focused on patient selection criteria and the challenges of managing atrial fibrillation (AF) through various ablation techniques. While providing guidelines is important, the speaker emphasized the need for institutions to develop tailored strategies based on local resources. He highlighted the complexity of procedures, particularly after open-heart surgery, and cautioned against inappropriate patient selection for specific ablation methods like the convergent approach. Emerging issues such as the relationship between AF and mitral valve regurgitation were discussed. The speaker shared an example of managing recurrent AF post-pulmonary vein isolation, outlining various procedural options and emphasizing the need for evidence-based decision-making despite current limitations. The presentation concluded with an overview of the tailored treatment algorithm developed at their institution, acknowledging regional differences and the importance of evidence-based practice while adapting to available resources and patient needs.

Keywords

atrial fibrillation

ablation techniques

patient selection

mitral valve regurgitation

evidence-based decision-making

tailored treatment algorithm