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lasting more than 5 minutes and an overall burden of 0.5% of time spent in AF on a monthly basis;7:Any asymptomatic or symptomatic episode of AF lasting >30 seconds noted on ECG, 24-h monitoring or pacemaker/implantable cardiac defibrillator interrogation.Follow-Up type: OC: Outpatient Clinic; CV: Cardiologic Visits. Rhythm Monitoring: EKG: Electrocardiograms, HM: Holter Monitoring, CAT: Contin- uous autotriggered monitor; ICM: Insertable Cardiac Monitor. *Fup: 6 months (n=2), 12 months (n=21), 24 months n=3. Ns: not specified. **Estimated prevalence. ***This author reports 3-6-12 and 24- month results (see text)
Table 4. Results according to HRS/EHRA/ECAS Consensus*
12 5 8 34 5
63.1% 36.8% 72.2% 66.5% 91.6% 77.7%
73.3 60.7% ns 88.9%
90% 0 50% 8 ns ns
86.7% 86% 85.7%
91.6% 2 ns 87.5% 1 ns 93% 1 ns 60% 2 ns - ns ns - ns ns ns ns ns
ns 77.7% 87.5%
1 ns
2 ns
1 ns
2 ns
- -
- -
ns ns ------5
The hybrid procedure
ALL
Paroxysmal
Persistent
LS-Persistent
First Author
n
AF
AF- AAD
n
AF
AF- AAD
n
AF
AF- AAD
n
AF
AF- AAD
Mahapatra S.17 Krul S.P.J18 La Meir M.19 Pison L.20
La Meir M. 21 Zembala M.22* Muneretto C.23 Gehi A.K24. Bisleri G.25
2 93.3%
3 ns
5 ns
2 ns 92%
- - - ns ns
ns ns ns 0 ns 100% 2 ns 81.8%
ns 100% ns 20% ns ns ns ns ns ns
ns ns ns ns
ns
88.9%
Studies were presented by year of publication. Abbreviations: HRS: Heart Rhythm Society; EHRA: Euro- pean Heart Rhythm Association; ECAS: European Cardiac Arrhythmia Society;AF: (patients free of) Atrial fibrillation; AF-AAD (Patients free of) Atrial Fibrillation and Antiarrhythmics, Ns: not specified. * Freedom from AF, off antiarrhythmic drugs (ADD) at 6 months (see text).
Table 5. Early and late outcome
First Author
Early death
Conversion*
Complications
Late death
Repeated ablation
ECV
TEs
Mahapatra S.17 Krul S.P.J18
La Meir M.19 Pison L.20
La Meir M. 21 Zembala M.22 Muneretto C.23 Gehi A.K24. Bisleri G.25
0 0 0 3
0 0 0 0
0 0
1 0
0 0 2 0 0 0
T 0 0 2 0 B(3) HeTX PNX 0 0 0 0
PN 8 0 0 0 2 0
PLE
0 TB
0 B(2) T(2) 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
Studies were presented by year of publication. *Conversion: Conversion to sternotomy and cardiopulmo- nary bypass. ECV: Electric Cardioversion. TEs: Thromboembolic events. T: Tamponade; B: Bleeding; HeTX: Hemothorax; PNX: Pmeumothorax, PN: Pneumonia; PLE: Pleural effusion; B: Bleeding
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