混合一期房颤消融。

Q4 Medicine

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-09-22 DOI:10.1510/mmcts.2025.067

Raymond Pfister, Jorge Alcocer, Stefano Italiano, Sherif Negm, Ignacio Morales-Rey, Guichard Jean Baptiste, Porta-Sanchez Andreu, Castella Manel

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引用次数: 0

摘要

持续性和长期持续性心房颤动与许多不良后果和显著降低生活质量有关。单独心内膜导管消融（CA）在这一人群中的疗效有限。混合入路联合心外膜消融（包括左心耳排除）和心内膜辅助CA已显示出改善的结果。本视频教程介绍了一种混合技术，包括左心房穹窿消融和左心房附件切除，通过左开胸术，以及通过剑突下入路左心房后壁消融。随后在相同的程序中进行心内膜CA。

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Hybrid one-stage atrial fibrillation ablation.

Persistent and long-standing persistent atrial fibrillation are associated with numerous adverse outcomes and significantly impaired quality of life. Endocardial catheter ablation (CA) alone has limited efficacy in this population. Hybrid approaches combining epicardial ablation, including left atrial appendage exclusion, with complementary endocardial CA have demonstrated improved outcomes. This video tutorial illustrates a hybrid technique involving left atrial dome ablation and left atrial appendage exclusion via left thoracotomy, along with posterior left atrial wall ablation through a subxiphoid approach. Endocardial CA is subsequently performed during the same procedure.

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来源期刊

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Medicine-Medicine (all)

CiteScore

0.60

自引率

0.00%

发文量

期刊介绍： The Multimedia Manual of Cardio-Thoracic Surgery (MMCTS) is produced by The European Association for Cardio-Thoracic Surgery (EACTS). MMCTS is the world’s premier video-based educational resource for cardiovascular and thoracic surgeons; freely accessible - and essential - for all. MMCTS was launched more than ten years ago under the leadership of founding editor Professor Marko Turina. It was Professor Turina’s vision that the European Association for Cardio-Thoracic Surgery (EACTS), already the world-leader in CT surgery education, should take advantage of the Internet’s rapidly improving video publication capabilities and create a new step-by-step manual of surgical procedures. Professor Turina and EACTS agreed that the manual, MMCTS, should be freely accessible to all users, regardless of association membership status, nationality, or affiliation. MMCTS was self-published by EACTS for some years before being transferred to Oxford University Press, which hosted it until the end of 2016. In November 2016, the Manual returned home to EACTS and it has now relaunched in a completely new format. Since its birth in 2005, MMCTS has published some 400 detailed, video-based demonstrations of cardio-thoracic surgical procedures. Tutorials published prior to 2012 have been archived and we are working with the authors of these tutorials to update their work pending republication on the new site. Our mission is to make MMCTS the best online reference for cardio-thoracic surgeons – residents and experienced surgeons alike. Our aim is to include tutorials presenting procedures at both a fundamental and an advanced level. Truly innovative procedures are also included and are identified as such.