Arrhythmias & electrophysiology

Comparing simultaneous hybrid ablation with stand-alone thoracoscopic surgical ablation for the treatment of non-paroxysmal atrial fibrillation: a prospective randomized controlled trial

EuropacePublished Randomised controlled trial

Primary result · Freedom from AF off AADsResult — go to the resultOdds ratio 2.955 95% CI 1.275–6.848

Authors' conclusion

In patients with PerAF and enlarged left atrium or LSPAF, HA achieved better freedom from AF after 1 year of follow-up compared with thoracoscopic SA.

Study context

Population
Patients with persistent atrial fibrillation (AF) and enlarged left atrium or long-standing persistent AF
Participants
100 patients
Comparison
Hybrid ablation vs thoracoscopic surgical ablation
Primary endpoint
Freedom from any AF recurrence off antiarrhythmic drugs (7-day ECG monitoring)
Follow-up
12 months after operation
Methodological details1:1 randomisation
  • 1:1 randomisation

Primary result

Freedom from AF off AADs · 12 months

Odds ratio

2.955

95% CI 1.275–6.848

P = 0.014

Events by treatment group

HAvs SA
OR 2.955 (95% CI 1.275–6.848); P = 0.014

As reported in the abstract

Further findings

AF burden · 12 months after operation

P = 0.048

Mean difference, mm

OutcomeHASAP value
Change in left atrial diameter · 12 months after operation−5.53 (SD 4.97)−3.27 (SD 5.20)P = 0.037

Original publication

Comparing simultaneous hybrid ablation with stand-alone thoracoscopic surgical ablation for the treatment of non-paroxysmal atrial fibrillation: a prospective randomized controlled trial. Europace. Published 3 September 2024. doi:10.1093/europace/euae226

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