Embracing New Approaches in Long-Standing Persistent Atrial Fibrillation
Published: 04 August 2022
3m 59sPart 1 Welcome and Introductions Andrea Russo, Hugh Calkins, David DeLurgio, Rukshen Weerasooriya, Pragnesh Joshi, Emily Kotschet, Adrian Pick
12m 9sPart 2 Catheter, Surgical, and Hybrid AF Ablation: How Did We Get Here? Hugh Calkins
12m 34sPart 3 The Data Behind Hybrid Ablation David DeLurgio
12m 32sPart 4 Panel Discussion Andrea Russo, Hugh Calkins, Adrian Pick, Emily Kotschet, David DeLurgio, Rukshen Weerasooriya, Pragnesh Joshi
This on-demand version of the live broadcast aims to highlight the benefits of a hybrid management approach for minimally invasive procedures.
In non-paroxysmal atrial fibrillation (AF), where modification of the atrial arrhythmogenic substrate is required, catheter-based ablation using a transvenous, endocardial approach is commonly used but there is growing evidence for a hybrid approach to improve patient outcomes. Research suggests that an integrated approach involving both electrophysiologists and surgeons can lead to improved success rates and increased patient satisfaction compared with a catheter-only approach.
Whilst relatively new, hybrid AF ablation counts some of the world’s leading surgeons and electrophysiologists amongst its advocates. This expert-led broadcast is aimed at increasing awareness of the approach and helping physicians to adopt it in their daily practice, thanks to a series of practically-focussed presentations and discussions from some of the world’s leading experts.
Note, the live version of this session was CME accredited; this on-demand version is not.
Key Learning Objectives
- Define the key team members essential for the adoption of the convergent procedure
- Recall the scientific evidence supporting the safety and efficacy of hybrid ablation techniques in persistent AF
- Identify clinical and anatomical features that make patients good candidates for whom the convergent procedure
- Describe the role of electrophysiologist and surgeon in hybrid approaches
- Compare the overall approach to hybrid ablation with other approaches such as Mini Maze
- Identify local barriers preventing the uptake of hybrid ablation approaches
- Electrophysiologists (EPs)
- Cardiothoracic Surgeons
- Interventional and General Cardiologists
- Other referrers to EPs
More from this programme
Welcome and Introductions
Catheter, Surgical, and Hybrid AF Ablation: How Did We Get Here?
The Data Behind Hybrid Ablation
Adopting a Hybrid Approach
Minimally Invasive Approaches for Long-Standing Persistent Atrial Fibrillation: Building a Successful Practice
The Future of Hybrid Surgical Ablation: Panel Discussion
Clinical Professor of Medicine
Prof Rukshen Weerasooriya is a UWA graduate who completed cardiology training at Royal Perth Hospital.
Prof Weerasooriya commenced private atrial fibrillation ablation procedures in 2003 after returning from 2 years training overseas at the world’s leading centre for AF ablation – the Hopital Cardiologique du Haut Leveque in Bordeaux, France. AF ablation was pioneered and subsequently developed for mainstream application by the cardiac electrophysiologists in Bordeaux.
Prof Weerasooriya is a Clinical Professor of Medicine at UWA and has maintained close links with his alma mater and he maintains a position as visiting scientist at the LIRYC Institute of advanced cardiac arrhythmia mapping in Bordeaux. He has sub-speciality trained in all aspects of heart rhythm management, and in addition to performing catheter ablation…
Mr Pragnesh Joshi is a Specialist Cardiothoracic Surgeon. He specialises in all types of heart surgery with special interest in beating heart surgery and minimally invasive heart and lung surgeries.
Mr Joshi is a Fellow of Royal Australasian College of Surgeons. He has had vast experienced as a surgeon for Beating heart bypass surgery and he is also proficient in all types of heart and lung surgeries.
He is Supervisor of surgical education and training, Adjunct Associate Professor, University of Notre Dame, and Clinical Lecturer, University of Western Australia.