Convergent ablation for persistent atrial fibrillation: A UK multicentre perspective

Nilanka N. Mannakkara; Ibrar Khan; Auns Ghazanfar; Nadeev Wijesuriya; Vishal S. Mehta; Felicity De Vere; Sandra Howell; Shaumik Adhya; Bradley Porter; Nicholas Child; Reza Razavi; Christopher A. Rinaldi; Paolo Bosco; Christopher Blauth; Jaswinder S. Gill

doi:10.1111/jce.16399

Convergent ablation for persistent atrial fibrillation: A UK multicentre perspective

Nilanka N. Mannakkara^*, Ibrar Khan, Auns Ghazanfar, Nadeev Wijesuriya, Vishal S. Mehta, Felicity De Vere, Sandra Howell, Shaumik Adhya, Bradley Porter, Nicholas Child, Reza Razavi, Christopher A. Rinaldi, Paolo Bosco, Christopher Blauth, Jaswinder S. Gill

^*Corresponding author for this work

Research output: Contribution to journal › Review article › peer-review

2 Citations (Scopus)

Abstract

Atrial fibrillation (AF) is the most common sustained arrhythmia worldwide and remains a major cause of morbidity and mortality. Unfortunately, a significant proportion of patients have persistent AF, for which conventional catheter ablation is less effective. However, convergent ablation has emerged in recent years as a hybrid treatment targeting both the epicardium and endocardium in a multidisciplinary joint cardiothoracic and electrophysiology procedure, with promising efficacy outcomes in recent studies. This treatment is increasingly being performed in the United Kingdom. This review article discusses the rationale and evidence behind convergent ablation, along with factors that need to be considered when setting up a successful ablation service.

Original language	English
Pages (from-to)	2039-2052
Number of pages	14
Journal	Journal of Cardiovascular Electrophysiology
Volume	35
Issue number	10
DOIs	https://doi.org/10.1111/jce.16399
Publication status	Published - Oct 2024

Keywords

arrhythmia
atrial fibrillation
catheter ablation
hybrid ablation

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10.1111/jce.16399

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Mannakkara, N. N., Khan, I., Ghazanfar, A., Wijesuriya, N., Mehta, V. S., De Vere, F., Howell, S., Adhya, S., Porter, B., Child, N., Razavi, R., Rinaldi, C. A., Bosco, P., Blauth, C., & Gill, J. S. (2024). Convergent ablation for persistent atrial fibrillation: A UK multicentre perspective. Journal of Cardiovascular Electrophysiology, 35(10), 2039-2052. https://doi.org/10.1111/jce.16399

@article{3e861cb5863247b3b9a5c3107d23d79c,

title = "Convergent ablation for persistent atrial fibrillation: A UK multicentre perspective",

abstract = "Atrial fibrillation (AF) is the most common sustained arrhythmia worldwide and remains a major cause of morbidity and mortality. Unfortunately, a significant proportion of patients have persistent AF, for which conventional catheter ablation is less effective. However, convergent ablation has emerged in recent years as a hybrid treatment targeting both the epicardium and endocardium in a multidisciplinary joint cardiothoracic and electrophysiology procedure, with promising efficacy outcomes in recent studies. This treatment is increasingly being performed in the United Kingdom. This review article discusses the rationale and evidence behind convergent ablation, along with factors that need to be considered when setting up a successful ablation service.",

keywords = "arrhythmia, atrial fibrillation, catheter ablation, hybrid ablation",

author = "Mannakkara, {Nilanka N.} and Ibrar Khan and Auns Ghazanfar and Nadeev Wijesuriya and Mehta, {Vishal S.} and {De Vere}, Felicity and Sandra Howell and Shaumik Adhya and Bradley Porter and Nicholas Child and Reza Razavi and Rinaldi, {Christopher A.} and Paolo Bosco and Christopher Blauth and Gill, {Jaswinder S.}",

note = "Publisher Copyright: {\textcopyright} 2024 The Author(s). Journal of Cardiovascular Electrophysiology published by Wiley Periodicals LLC.",

year = "2024",

month = oct,

doi = "10.1111/jce.16399",

language = "English",

volume = "35",

pages = "2039--2052",

journal = "Journal of Cardiovascular Electrophysiology",

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Mannakkara, NN, Khan, I, Ghazanfar, A, Wijesuriya, N , Mehta, VS , De Vere, F , Howell, S, Adhya, S, Porter, B, Child, N, Razavi, R , Rinaldi, CA, Bosco, P, Blauth, C & Gill, JS 2024, 'Convergent ablation for persistent atrial fibrillation: A UK multicentre perspective', Journal of Cardiovascular Electrophysiology, vol. 35, no. 10, pp. 2039-2052. https://doi.org/10.1111/jce.16399

TY - JOUR

T1 - Convergent ablation for persistent atrial fibrillation

T2 - A UK multicentre perspective

AU - Mannakkara, Nilanka N.

AU - Khan, Ibrar

AU - Ghazanfar, Auns

AU - Wijesuriya, Nadeev

AU - Mehta, Vishal S.

AU - De Vere, Felicity

AU - Howell, Sandra

AU - Adhya, Shaumik

AU - Porter, Bradley

AU - Child, Nicholas

AU - Razavi, Reza

AU - Rinaldi, Christopher A.

AU - Bosco, Paolo

AU - Blauth, Christopher

AU - Gill, Jaswinder S.

PY - 2024/10

Y1 - 2024/10

N2 - Atrial fibrillation (AF) is the most common sustained arrhythmia worldwide and remains a major cause of morbidity and mortality. Unfortunately, a significant proportion of patients have persistent AF, for which conventional catheter ablation is less effective. However, convergent ablation has emerged in recent years as a hybrid treatment targeting both the epicardium and endocardium in a multidisciplinary joint cardiothoracic and electrophysiology procedure, with promising efficacy outcomes in recent studies. This treatment is increasingly being performed in the United Kingdom. This review article discusses the rationale and evidence behind convergent ablation, along with factors that need to be considered when setting up a successful ablation service.

AB - Atrial fibrillation (AF) is the most common sustained arrhythmia worldwide and remains a major cause of morbidity and mortality. Unfortunately, a significant proportion of patients have persistent AF, for which conventional catheter ablation is less effective. However, convergent ablation has emerged in recent years as a hybrid treatment targeting both the epicardium and endocardium in a multidisciplinary joint cardiothoracic and electrophysiology procedure, with promising efficacy outcomes in recent studies. This treatment is increasingly being performed in the United Kingdom. This review article discusses the rationale and evidence behind convergent ablation, along with factors that need to be considered when setting up a successful ablation service.

KW - arrhythmia

KW - atrial fibrillation

KW - catheter ablation

KW - hybrid ablation

UR - http://www.scopus.com/inward/record.url?scp=85201095669&partnerID=8YFLogxK

U2 - 10.1111/jce.16399

DO - 10.1111/jce.16399

M3 - Review article

C2 - 39136365

AN - SCOPUS:85201095669

SN - 1045-3873

VL - 35

SP - 2039

EP - 2052

JO - Journal of Cardiovascular Electrophysiology

JF - Journal of Cardiovascular Electrophysiology

IS - 10

ER -

Convergent ablation for persistent atrial fibrillation: A UK multicentre perspective

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