Hybrid Treatment of Advanced Atrial Fibrillation: A Best Practice Guide for the Subxiphoid Approach-Evolution of the Convergent Procedure 1 to 2 to 3

Evolution of the Convergent Procedure 1 to 2 to 3 - Dr Andrew J Sherman

Video Transcription

Video Summary

In the video, the speaker discusses the evolution of the convergent procedure for treating atrial fibrillation and the collaborative journey with colleague Kevin. The focus is on how their professional partnership has transformed the treatment approach within their hospital system, evolving from the original convergent method to newer iterations (Convergent 1, 2, and 3). The speaker highlights the importance of addressing the left atrial appendage and implementing additional thoracoscopic lines of ablation, driven by data showing recurring perimitral flutter in patients. The partnership has led to innovations, including using different energy sources, such as cryo and pulsed field ablation (PFA), and enhancing procedural techniques, like thoracoscopic ligation of the left atrial appendage. There is an emphasis on continual learning, collaboration, and critique for improving patient outcomes and advancing practices within the treatment of atrial fibrillation.

Keywords

atrial fibrillation

convergent procedure

thoracoscopic ablation

left atrial appendage

pulsed field ablation