Hybrid Ablation: A New Standard of Care in Long Standing Persistent Atrial Fibrillation?
The cornerstone of AF is electrical isolation of the pulmonary veins (PV). In patients with non-paroxysmal AF, PV isolation alone is insufficient, and one needs to modify the atrial arrhythmogenic substrate. AF ablation is now a common procedure and mostly performed using a transvenous, endocardial approach with catheters. For patients with persistent AF however, this procedure is not sufficient.
There is a growing movement towards a convergent procedure management strategy, used alongside standard catheterisation techniques to optimise patient outcomes. More and more research suggests that an integrated approach involving multidisciplinary teams (of electrophysiologists and surgeons) may lead to improved success rates and increased patient satisfaction.
This programme, first presented at EHRA 2022, brings together thought-leaders from across Europe to discuss the role of hybrid ablation in treating long-standing persistent AF. Moderator, Prof John Camm (St George’s University of London, UK) leads the faculty to explore the need for the hybrid approach, the science supporting its implementation and insights from experienced practitioners.
Note, the live version of the programme was CME-accredited, this on-demand version is not.
Learning Objectives
- Describe the fundamental steps in hybrid ablation
- Recall the clinical outcomes from randomised controlled trials and real-world data supporting the use of hybrid ablation in persistent AF
- Select ideal patient candidates for hybrid ablation
- Consider the existing equipment and skill requirements for successful hybrid ablation
Audience
- Electrophysiologists
- General cardiologists
- Allied health professionals engaged in the treatment of persistent AF
More from this programme
Part 1
Introduction
| 1 session | |
| Introduction | Watch now |
Part 2
Why Hybrid Ablation?
| 1 session | |
| Why Hybrid Ablation? | Watch now |
Part 3
The Hybrid Convergent Procedure Explained
Part 4
Building a Standard of Care: Insight From an Experienced Operator
Part 5
Key Considerations for Electrophysiologists, and Close
Faculty Biographies
A John Camm
Professor of Clinical Cardiology
A. John Camm is a British cardiologist internationally recognised for his contributions to clinical cardiology and cardiac electrophysiology. He has spent the majority of his professional career in the United Kingdom and has been closely associated with St George’s, University of London, where he has lived and worked for many decades. Throughout his career, he has combined clinical practice, academic leadership, and international guideline development, becoming one of the most influential figures in modern arrhythmia management.
Academic History
Professor Camm undertook his medical education and postgraduate training in the United Kingdom, progressing through specialist training in internal medicine and cardiology before focusing on cardiac electrophysiology. He developed a strong academic foundation early in his career, which led to senior academic appointments in cardiovascular medicine.
He was appointed British Heart Foundation Professor of…
Yuri Blaauw
University Medical Center Groningen, Groningen, The Netherlands
Dr Yuri Blaauw is an Electrophysiologist at the University Medical Center Groningen, Groningen, The Netherlands.
Jaswinder Gill
Consultant Cardiologist
Dr Jaswinder Singh Gill qualified from Cambridge University in 1979 and was appointed Consultant Cardiologist to Guy’s & St Thomas’ NHS Trust in 1995.
Dr Gill has set up the electrophysiology unit and arrhythmia services for Guy’s & St Thomas’ NHS Trust. His special interests are in the treatment of arrhythmias including radio frequency ablation and the implantation of pacemakers and defibrillators.
Claudio Tondo
Director
Prof Claudio Tondo is the Chairman of the Heart Rhythm centre at Centro Cardiologico, University of Milan, Italy. Prof Tondo's interests range from clinical aspects of arrhythmias to genetics.