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Atrial Fibrillation Ablation by the Epicardial Approach

Catheter ablation is an effective treatment for atrial fibrillation (AF). However, over long-term follow-up, it is becoming clear that AF often recurs and repeat ablation is required.  With the goal of improving efficacy, particularly in those patients with risk factors for poor outcomes using a standard endocardial ablation technique, surgical epicardial ablation has emerged as an alternative methodology.  Since its advent in the 1980s, surgical ablation techniques have continued to evolve. New ablation tools make a minimally invasive surgical approach possible. And most recently, we have seen the development of a hybrid (epicardial and endocardial) approach to AF ablation, which can draw upon the advantages of both options. 

Credits: Anil K Gehi; Andy C. Kiser; J. Paul Mounsey

Biosense Webster
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Introduction to AFib
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