First robotic endoscopic epicardial isolation of the pulmonary veins with microwave energy in a patient in chronic atrial fibrillation.
The pulmonary veins have been demonstrated to play an important role in generating atrial fibrillation. We report the first successful endoscopic epicardial isolation of the pulmonary veins in a patient with permanent atrial fibrillation, along with a 1-year follow-up. The procedure consisted of making a conduction block around the pulmonary veins with a flexible microwave energy delivery probe. The probe was placed endoscopically on the left atrial epicardium with the aid of robotic instruments.
Loulmet
Didier F
DF
Division of Cardiac Surgery, Lenox Hill Hospital, New York, New York 10021, USA. loulmetd@aol.com
Patel
Nirav C
NC
Patel
Nilesh U
NU
Frumkin
William I
WI
Santoni-Rugiu
Francesco
F
Langan
Marie Noelle
MN
Subramanian
Valavanur A
VA
D000319:Adrenergic beta-Antagonists / Q000627:therapeutic use; D000328:Adult; D001281:Atrial Fibrillation / Q000150:complications / Q000188:drug therapy / Q000601:surgery*; D001282:Atrial Flutter / Q000601:surgery; D017115:Catheter Ablation; D002908:Chronic Disease; D003131:Combined Modality Therapy; D003972:Diathermy / Q000295:instrumentation / Q000379:methods*; D004724:Endoscopy; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008872:Microwaves / Q000627:therapeutic use*; D011183:Postoperative Complications / Q000601:surgery; D011667:Pulmonary Veins / Q000601:surgery*; D012008:Recurrence; D012371:Robotics; D018487:Ventricular Dysfunction, Left / Q000209:etiology
D000319:Adrenergic beta-Antagonists