Hybrid Treatment of Advanced Atrial Fibrillation: A Best Practice Guide for the Subxiphoid Approach-Hybrid Ablation as THE Treatment Option for Complex Atrial Arrhythmias

Hybrid Ablation as THE Treatment Option for Complex Atrial Arrhythmias - Dr Chad Brodt

Video Transcription

Video Summary

The video discusses the implementation and benefits of hybrid ablation for treating complex atrial fibrillation (AFib) cases, providing insights from a practitioner who established a hybrid ablation program at Palo Alto Medical Foundation within Sutter Health. Since 2020, this program has involved collaborations with electrophysiologists and surgeons across multiple hospitals, utilizing the Convergent and totally thoracoscopic (TT) approaches. The speaker emphasizes the successful integration of hybrid ablation, its algorithmic approaches, and positive outcomes, especially for persistent AFib and atypical flutters. The presentation highlights the unique advantage of hybrid ablation in managing complex arrhythmias by combining endocardial and epicardial ablation techniques. These techniques target specific epicardial circuits contributing to arrhythmias, providing sustained relief and improved outcomes for challenging cases, which often involve multiple prior ablations and complex recurrences like atrial flutters, tachycardias, and non-pulmonary vein triggers. The speaker notes the importance of multidisciplinary collaboration and iterative program development in achieving success.

Keywords

hybrid ablation

atrial fibrillation

Palo Alto Medical Foundation

Convergent approach

thoracoscopic ablation

multidisciplinary collaboration