Staged hybrid ablation for persistent and longstanding persistent atrial fibrillation effectively restores sinus rhythm in long-term observation
Hybrid ablation (HABL) of atrial fibrillation combining endoscopic, minimally invasive, closed chest epicardial ablation with endocardial CARTO-guided accuracy was introduced to overcome the limitations of current therapeutic options for patients with persistent (PSAF) and longstanding persistent at...
Saved in:
Published in | Archives of medical science Vol. 13; no. 1; pp. 109 - 117 |
---|---|
Main Authors | , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
Poland
Termedia Publishing House
01.02.2017
|
Subjects | |
Online Access | Get full text |
Cover
Loading…
Abstract | Hybrid ablation (HABL) of atrial fibrillation combining endoscopic, minimally invasive, closed chest epicardial ablation with endocardial CARTO-guided accuracy was introduced to overcome the limitations of current therapeutic options for patients with persistent (PSAF) and longstanding persistent atrial fibrillation (LSPAF). The purpose of this study was to evaluate the procedural safety and feasibility as well as effectiveness of HABL in patients with PSAF and LSPAF 1 year after the procedure.
The study is a single-center, prospective clinical registry. From 07/2009 to 12.2014, 90 patients with PSAF (
= 39) and LSPAF (
= 51), at the mean age of 54.8 ±9.8, in mean EHRA class 2.6, underwent HABL. 64.4% of patients had a history of prior cardioversion or catheter ablation. Thirteen patients had LVEF less than 35%. Mean AF duration was 4.5 ±3.7 years. Patients were scheduled for 3-, 6- and 12-month follow-up with 7-day Holter monitoring.
At 6 months after the procedure 78% (54/69) of patients were in SR. At 12 months after the procedure 86% (59/69) were in SR and 62.3% (43/69) in SR and off class I/III antiarrhythmic drugs (AADs). Only 1% (1/69) of patients required a repeat ablation for atrial flutter. A significant decrease in LA dimension and an increase in LVEF were noted.
A combination of epicardial and endocardial RF ablation should be considered as a treatment option for patients with persistent and long-standing persistent atrial fibrillation as it is safe and effective in restoring sinus rhythm. |
---|---|
AbstractList | Introduction: Hybrid ablation (HABL) of atrial fibrillation combining endoscopic, minimally invasive, closed chest epicardial ablation with endocardial CARTO-guided accuracy was introduced to overcome the limitations of current therapeutic options for patients with persistent (PSAF) and longstanding persistent atrial fibrillation (LSPAF). The purpose of this study was to evaluate the procedural safety and feasibility as well as effectiveness of HABL in patients with PSAF and LSPAF 1 year after the procedure. Material and methods : The study is a single-center, prospective clinical registry. From 07/2009 to 12.2014, 90 patients with PSAF (n = 39) and LSPAF (n = 51), at the mean age of 54.8 ±9.8, in mean EHRA class 2.6, underwent HABL. 64.4% of patients had a history of prior cardioversion or catheter ablation. Thirteen patients had LVEF less than 35%. Mean AF duration was 4.5 ±3.7 years. Patients were scheduled for 3-, 6- and 12-month follow-up with 7-day Holter monitoring. Results : At 6 months after the procedure 78% (54/69) of patients were in SR. At 12 months after the procedure 86% (59/69) were in SR and 62.3% (43/69) in SR and off class I/III antiarrhythmic drugs (AADs). Only 1% (1/69) of patients required a repeat ablation for atrial flutter. A significant decrease in LA dimension and an increase in LVEF were noted. Conclusions : A combination of epicardial and endocardial RF ablation should be considered as a treatment option for patients with persistent and long-standing persistent atrial fibrillation as it is safe and effective in restoring sinus rhythm. Hybrid ablation (HABL) of atrial fibrillation combining endoscopic, minimally invasive, closed chest epicardial ablation with endocardial CARTO-guided accuracy was introduced to overcome the limitations of current therapeutic options for patients with persistent (PSAF) and longstanding persistent atrial fibrillation (LSPAF). The purpose of this study was to evaluate the procedural safety and feasibility as well as effectiveness of HABL in patients with PSAF and LSPAF 1 year after the procedure. The study is a single-center, prospective clinical registry. From 07/2009 to 12.2014, 90 patients with PSAF ( = 39) and LSPAF ( = 51), at the mean age of 54.8 ±9.8, in mean EHRA class 2.6, underwent HABL. 64.4% of patients had a history of prior cardioversion or catheter ablation. Thirteen patients had LVEF less than 35%. Mean AF duration was 4.5 ±3.7 years. Patients were scheduled for 3-, 6- and 12-month follow-up with 7-day Holter monitoring. At 6 months after the procedure 78% (54/69) of patients were in SR. At 12 months after the procedure 86% (59/69) were in SR and 62.3% (43/69) in SR and off class I/III antiarrhythmic drugs (AADs). Only 1% (1/69) of patients required a repeat ablation for atrial flutter. A significant decrease in LA dimension and an increase in LVEF were noted. A combination of epicardial and endocardial RF ablation should be considered as a treatment option for patients with persistent and long-standing persistent atrial fibrillation as it is safe and effective in restoring sinus rhythm. INTRODUCTIONHybrid ablation (HABL) of atrial fibrillation combining endoscopic, minimally invasive, closed chest epicardial ablation with endocardial CARTO-guided accuracy was introduced to overcome the limitations of current therapeutic options for patients with persistent (PSAF) and longstanding persistent atrial fibrillation (LSPAF). The purpose of this study was to evaluate the procedural safety and feasibility as well as effectiveness of HABL in patients with PSAF and LSPAF 1 year after the procedure. MATERIAL AND METHODSThe study is a single-center, prospective clinical registry. From 07/2009 to 12.2014, 90 patients with PSAF (n = 39) and LSPAF (n = 51), at the mean age of 54.8 ±9.8, in mean EHRA class 2.6, underwent HABL. 64.4% of patients had a history of prior cardioversion or catheter ablation. Thirteen patients had LVEF less than 35%. Mean AF duration was 4.5 ±3.7 years. Patients were scheduled for 3-, 6- and 12-month follow-up with 7-day Holter monitoring. RESULTSAt 6 months after the procedure 78% (54/69) of patients were in SR. At 12 months after the procedure 86% (59/69) were in SR and 62.3% (43/69) in SR and off class I/III antiarrhythmic drugs (AADs). Only 1% (1/69) of patients required a repeat ablation for atrial flutter. A significant decrease in LA dimension and an increase in LVEF were noted. CONCLUSIONSA combination of epicardial and endocardial RF ablation should be considered as a treatment option for patients with persistent and long-standing persistent atrial fibrillation as it is safe and effective in restoring sinus rhythm. |
Author | Zembala, Michal Gąsior, Mariusz Filipiak, Krzysztof Buchta, Piotr Kalarus, Zbigniew Kowalski, Oskar Koba, Rafał Niklewski, Tomasz Nadziakiewicz, Pawel Zembala, Marian |
AuthorAffiliation | Department of Cardiac Surgery and Transplantology, Silesian Center For Heart Diseases, Zabrze, Poland |
AuthorAffiliation_xml | – name: Department of Cardiac Surgery and Transplantology, Silesian Center For Heart Diseases, Zabrze, Poland |
Author_xml | – sequence: 1 givenname: Michal surname: Zembala fullname: Zembala, Michal organization: Department of Cardiac Surgery and Transplantology, Silesian Center For Heart Diseases, Zabrze, Poland – sequence: 2 givenname: Krzysztof surname: Filipiak fullname: Filipiak, Krzysztof organization: Department of Cardiac Surgery and Transplantology, Silesian Center For Heart Diseases, Zabrze, Poland – sequence: 3 givenname: Oskar surname: Kowalski fullname: Kowalski, Oskar organization: Department of Cardiac Surgery and Transplantology, Silesian Center For Heart Diseases, Zabrze, Poland – sequence: 4 givenname: Piotr surname: Buchta fullname: Buchta, Piotr organization: Department of Cardiac Surgery and Transplantology, Silesian Center For Heart Diseases, Zabrze, Poland – sequence: 5 givenname: Tomasz surname: Niklewski fullname: Niklewski, Tomasz organization: Department of Cardiac Surgery and Transplantology, Silesian Center For Heart Diseases, Zabrze, Poland – sequence: 6 givenname: Pawel surname: Nadziakiewicz fullname: Nadziakiewicz, Pawel organization: Department of Cardiac Surgery and Transplantology, Silesian Center For Heart Diseases, Zabrze, Poland – sequence: 7 givenname: Rafał surname: Koba fullname: Koba, Rafał organization: Department of Cardiac Surgery and Transplantology, Silesian Center For Heart Diseases, Zabrze, Poland – sequence: 8 givenname: Mariusz surname: Gąsior fullname: Gąsior, Mariusz organization: Department of Cardiac Surgery and Transplantology, Silesian Center For Heart Diseases, Zabrze, Poland – sequence: 9 givenname: Zbigniew surname: Kalarus fullname: Kalarus, Zbigniew organization: Department of Cardiac Surgery and Transplantology, Silesian Center For Heart Diseases, Zabrze, Poland – sequence: 10 givenname: Marian surname: Zembala fullname: Zembala, Marian organization: Department of Cardiac Surgery and Transplantology, Silesian Center For Heart Diseases, Zabrze, Poland |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/28144262$$D View this record in MEDLINE/PubMed |
BookMark | eNpdkkuLHCEUhYswIfNI1tkFIZtsqsd3lZtAGPIYGMgiyVq01GqbKu2o3dD_Yn5y7EeG6dmo3Hvupx7OdXMRYrBN8x7BBUOI3qo45wWGiC0YERy-aq5QL3grEEMX9dwR2iKB8WVznfMKQlor6E1ziXtEKeb4qnn8VdRoDVjudPIGKD2p4mMALiawtin7XGwoQAUDphjGXOrJh_GsV5JXE3C-EqbTuHXODsVv7bQDyeYS6wKyD5sM0nJXljPw4QBsi00ziDrbtD2Mvm1eOzVl--603zR_vn39ffejffj5_f7uy0M70L4rLeEWck160WENYedIrxmjSCHSGc6EhcI5IgTBulP9YAShCHNtq5ZxghUnN839kWuiWsl18rNKOxmVl4dCTKNUqfhhstKwoSdk6KjWAxVcCV1JxEBFnVE9RpX1-chab_RszVBdSWo6g553gl_KMW4lw5ATRivg0wmQ4t9N9UvOPg-2uhls3GSJek644ILu7_r4QrqKmxSqVVXFuo5yiruquj2qhhRzTtY9PQZBuU-O3CdH7pMjD8mpEx-e_-FJ_z8q5B8dAMWB |
CitedBy_id | crossref_primary_10_1053_j_jvca_2020_07_034 crossref_primary_10_15420_aer_2022_05 crossref_primary_10_1016_j_xjon_2021_07_005 crossref_primary_10_1093_icvts_ivy203 crossref_primary_10_5507_bp_2023_053 crossref_primary_10_1016_j_ijcard_2019_12_048 crossref_primary_10_1016_j_hrthm_2024_03_017 crossref_primary_10_1007_s10840_024_01771_5 crossref_primary_10_1177_0003319719856455 crossref_primary_10_1016_j_jacep_2022_12_011 crossref_primary_10_1093_europace_euae043 crossref_primary_10_36290_vnl_2022_069 crossref_primary_10_1007_s10840_019_00616_w crossref_primary_10_1371_journal_pone_0190170 crossref_primary_10_1097_MD_0000000000014053 crossref_primary_10_5114_aoms_2019_86770 crossref_primary_10_1016_j_crvasa_2017_06_004 crossref_primary_10_1016_j_ahj_2020_02_016 crossref_primary_10_1002_ccr3_4837 crossref_primary_10_1007_s11936_018_0682_3 crossref_primary_10_1016_j_ijcard_2017_08_037 crossref_primary_10_1016_j_jacc_2022_11_039 crossref_primary_10_1161_CIRCEP_120_009288 crossref_primary_10_1016_j_xjon_2022_08_014 |
ContentType | Journal Article |
Copyright | Copyright Termedia Publishing House 2017 Copyright: © 2016 Termedia & Banach 2016 |
Copyright_xml | – notice: Copyright Termedia Publishing House 2017 – notice: Copyright: © 2016 Termedia & Banach 2016 |
DBID | NPM AAYXX CITATION 3V. 7X7 7XB 8FI 8FJ 8FK ABUWG AFKRA AZQEC BENPR BYOGL CCPQU DWQXO FYUFA GHDGH K9. M0S PIMPY PQEST PQQKQ PQUKI PRINS 7X8 5PM DOA |
DOI | 10.5114/aoms.2015.53960 |
DatabaseName | PubMed CrossRef ProQuest Central (Corporate) Health & Medical Collection ProQuest Central (purchase pre-March 2016) Hospital Premium Collection Hospital Premium Collection (Alumni Edition) ProQuest Central (Alumni) (purchase pre-March 2016) ProQuest Central (Alumni Edition) ProQuest Central ProQuest Central Essentials AUTh Library subscriptions: ProQuest Central East Europe, Central Europe Database ProQuest One Community College ProQuest Central Health Research Premium Collection Health Research Premium Collection (Alumni) ProQuest Health & Medical Complete (Alumni) Health & Medical Collection (Alumni Edition) ProQuest - Publicly Available Content Database ProQuest One Academic Eastern Edition (DO NOT USE) ProQuest One Academic ProQuest One Academic UKI Edition ProQuest Central China MEDLINE - Academic PubMed Central (Full Participant titles) DOAJ Directory of Open Access Journals |
DatabaseTitle | PubMed CrossRef Publicly Available Content Database ProQuest Central Essentials ProQuest One Academic Eastern Edition East Europe, Central Europe Database ProQuest Health & Medical Complete (Alumni) ProQuest Central (Alumni Edition) ProQuest One Community College ProQuest Hospital Collection Health Research Premium Collection (Alumni) ProQuest Central China ProQuest Hospital Collection (Alumni) ProQuest Central ProQuest Health & Medical Complete Health Research Premium Collection ProQuest One Academic UKI Edition Health and Medicine Complete (Alumni Edition) ProQuest Central Korea ProQuest One Academic ProQuest Central (Alumni) MEDLINE - Academic |
DatabaseTitleList | Publicly Available Content Database PubMed MEDLINE - Academic |
Database_xml | – sequence: 1 dbid: DOA name: DOAJ Directory of Open Access Journals url: https://www.doaj.org/ sourceTypes: Open Website – sequence: 2 dbid: NPM name: PubMed url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 3 dbid: BYOGL name: East Europe, Central Europe Database url: https://proxy.k.utb.cz/login?url=https://search.proquest.com/eastcentraleurope sourceTypes: Aggregation Database |
DeliveryMethod | fulltext_linktorsrc |
Discipline | Medicine |
EISSN | 1896-9151 |
EndPage | 117 |
ExternalDocumentID | oai_doaj_org_article_d5c833c74bbc496a9b6be3d0a4fda821 4299234201 10_5114_aoms_2015_53960 28144262 |
Genre | Journal Article |
GroupedDBID | --- 23N 2NK 2WC 3EA 3V. 53G 5GY 7X7 8FI 8FJ AAWTL ABDBF ABMXE ABUWG ACIHN ADBBV ADRAZ AEAQA AENEX AFKRA AHMBA ALIPV ALMA_UNASSIGNED_HOLDINGS AOIJS BAWUL BCNDV BENPR BPHCQ BVXVI BYOGL CCPQU DIK E3Z EBS EJD EOJEC FYUFA GROUPED_DOAJ GX1 HMCUK HYE KQ8 M48 M~E NPM OBODZ OK1 P2P P6G PGMZT PIMPY PQQKQ PROAC RNS RPM TR2 UKHRP XSB Y2W AAYXX C1A CITATION 7XB 8FK AZQEC DWQXO K9. PQEST PQUKI PRINS 7X8 5PM |
ID | FETCH-LOGICAL-c487t-36e06b38972b007f38b5541a137d659e09ff39932b7a8cd934126beb005632a63 |
IEDL.DBID | RPM |
ISSN | 1734-1922 |
IngestDate | Thu Jul 04 20:41:20 EDT 2024 Tue Sep 17 21:15:18 EDT 2024 Sat Aug 17 03:59:27 EDT 2024 Fri Sep 13 08:46:10 EDT 2024 Fri Aug 23 02:04:17 EDT 2024 Sat Sep 28 08:08:26 EDT 2024 |
IsDoiOpenAccess | true |
IsOpenAccess | true |
IsPeerReviewed | true |
IsScholarly | true |
Issue | 1 |
Keywords | atrial fibrillation hybrid procedures pulmonary vein isolation ablation |
Language | English |
License | This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License, allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license. |
LinkModel | DirectLink |
MergedId | FETCHMERGED-LOGICAL-c487t-36e06b38972b007f38b5541a137d659e09ff39932b7a8cd934126beb005632a63 |
Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
OpenAccessLink | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5206354/ |
PMID | 28144262 |
PQID | 1857746427 |
PQPubID | 696359 |
PageCount | 9 |
ParticipantIDs | doaj_primary_oai_doaj_org_article_d5c833c74bbc496a9b6be3d0a4fda821 pubmedcentral_primary_oai_pubmedcentral_nih_gov_5206354 proquest_miscellaneous_1863696941 proquest_journals_1857746427 crossref_primary_10_5114_aoms_2015_53960 pubmed_primary_28144262 |
PublicationCentury | 2000 |
PublicationDate | 2017-02-01 |
PublicationDateYYYYMMDD | 2017-02-01 |
PublicationDate_xml | – month: 02 year: 2017 text: 2017-02-01 day: 01 |
PublicationDecade | 2010 |
PublicationPlace | Poland |
PublicationPlace_xml | – name: Poland – name: Poznan |
PublicationTitle | Archives of medical science |
PublicationTitleAlternate | Arch Med Sci |
PublicationYear | 2017 |
Publisher | Termedia Publishing House |
Publisher_xml | – name: Termedia Publishing House |
References | 17556213 - Heart Rhythm. 2007 Jun;4(6):816-61 22245414 - Am J Cardiol. 2012 Apr 15;109(8):1179-86 22082673 - Circulation. 2012 Jan 3;125(1):23-30 24516796 - Ann Cardiothorac Surg. 2014 Jan;3(1):38-44 25567961 - Eur J Cardiothorac Surg. 2015 Oct;48(4):531-40; discussion 540-1 26003961 - Eur J Cardiothorac Surg. 2016 Apr;49(4):1044-51 9737513 - Circulation. 1998 Sep 8;98(10):946-52 21282258 - BMJ. 2011 Jan 31;342:d124 20961832 - Heart Surg Forum. 2010 Oct;13(5):E317-21 20876603 - Europace. 2010 Oct;12(10):1360-420 22587585 - J Cardiovasc Electrophysiol. 2012 Oct;23(10):1059-66 22818327 - Ann Thorac Surg. 2012 Aug;94(2):689-90; author reply 690 22742400 - J Am Coll Cardiol. 2012 Jul 3;60(1):54-61 19838967 - Kardiol Pol. 2009 Sep;67(9):1057-62 23062968 - J Thorac Cardiovasc Surg. 2012 Dec;144(6):1460-5; discussion 1465 22386883 - Heart Rhythm. 2012 Apr;9(4):632-696.e21 24904659 - Arch Med Sci. 2014 May 12;10(2):266-72 11216949 - J Am Coll Cardiol. 2001 Feb;37(2):371-8 11401607 - JAMA. 2001 Jun 13;285(22):2864-70 24773866 - Rev Esp Cardiol (Engl Ed). 2013 Oct;66(10):822-3 21392637 - J Am Coll Cardiol. 2011 Mar 15;57(11):e101-98 23988287 - J Thorac Cardiovasc Surg. 2014 Apr;147(4):1411-6 23500312 - J Am Coll Cardiol. 2013 Apr 23;61(16):1713-23 23904136 - Eur J Cardiothorac Surg. 2014 Mar;45(3):401-7 26088590 - Eur J Cardiothorac Surg. 2016 Apr;49(4):1052-3 22933215 - Kardiol Pol. 2012;70(8):819-28 25721819 - Eur J Cardiothorac Surg. 2016 Jan;49(1):265-71 |
References_xml | |
SSID | ssj0041731 |
Score | 2.2588665 |
Snippet | Hybrid ablation (HABL) of atrial fibrillation combining endoscopic, minimally invasive, closed chest epicardial ablation with endocardial CARTO-guided accuracy... Introduction: Hybrid ablation (HABL) of atrial fibrillation combining endoscopic, minimally invasive, closed chest epicardial ablation with endocardial... INTRODUCTIONHybrid ablation (HABL) of atrial fibrillation combining endoscopic, minimally invasive, closed chest epicardial ablation with endocardial... |
SourceID | doaj pubmedcentral proquest crossref pubmed |
SourceType | Open Website Open Access Repository Aggregation Database Index Database |
StartPage | 109 |
SubjectTerms | ablation atrial fibrillation Clinical Research hybrid procedures pulmonary vein isolation |
SummonAdditionalLinks | – databaseName: DOAJ Directory of Open Access Journals dbid: DOA link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV1Lb9QwELZQD4gLojwDBRmJA5fQ-BE7PhZEVSGVE5V6i-zY7q609Va72cP-C34yM3Z26SIkLpwixY7leGbsb-zxN4R8aI1lzPqmHngUtQzS1Z1xXd3xoTMhRuYt3ka-_K4uruS36_b6XqovjAkr9MBl4E59O3RCDFo6N0ijrHHKBeEbK6O3HS-OD2t3zlSZgyXTORMhPGQNGIYXUh8AF_LULm-Rppu1n1phMjPl7_Uo0_b_DWv-GTJ5bw06f0IeT-CRnpVOH5MHIT0lDy-n4_Fn5CdAx5vg6WyL97CodSXQjQIwpXe4MQYiTSO1ydPFMt3s7rQclOU0HjTiTYDF9HmJ-YBpcbGlq5yJJqzpep42a7qabcfZLZ2n3GCN8zxduv1O73Nydf71x5eLekq5UA_guYy1UKFRDkCM5mCPOorOAd5glgntVWtCY2JESMOdtt3gDayBHOSBtqwEt0q8IEdpmcIrQr2GgiFy5hv0iqKzNjAAP2JQwsdgKvJxN_D9XWHW6MEjQRn1KKMeZdRnGVXkMwpmXw0psfMLUJR-UpT-X4pSkZOdWPvJTtc9MmFpCT6Yrsj7fTFYGB6b2BSWG6yjMOmhkdDEy6IF-57wDhxSrnhF9IF-HHT1sCTNZ5nFu-WADlv5-n_82xvyiCPcyNHkJ-RoXG3CWwBLo3uX7eIXdP0Xwg priority: 102 providerName: Directory of Open Access Journals – databaseName: Health & Medical Collection dbid: 7X7 link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV1Lj9MwELaWRUJcEG8KCzISBy6h9SN2fEKAWFVIy4mVeov8bCt1k9Kmh_4LfjIzTtqlCHGKFDuJlXn4m_E8CHlXGsuYDZPC8yQKGaUrKuOqouK-MjElFixmI199V9Nr-W1Wzs7I9JALg2GVB52YFXVoPfrIx1izSEtAy3psHXoBfDf-uP5ZYP8oPGcdmmncIXcZB1gBnK1nR9NLMp07E8JFFoBpeF_kB8CGHNv2Bst2s_JDKUyuVHm7P-Uy_v_Cnn-HUP6xJ10-JA8GMEk_9dR_RM5i85jcuxqOy5-QXwAl5zHQxR7zsqh1feAbBaBK1-goAxI3HbVNoKu2mR9yXE7GclsPmjAzYDU83seAgJpc7ekmd6aJW7pdNrst3Sz23eKGLpv8wgL1Pm3d0fP7lFxffv3xZVoMLRgKD5ZMVwgVJ8oBqNEc5FMnUTnAH8wyoYMqTZyYlBDicKdt5YOBPZErh_2ISiW4VeIZOW_aJr4gNGgY8ImzMEErKTlrIwMwJLwSIUUzIu8PP75e95U2arBQkEY10qhGGtWZRiPyGQlznIYlsvONdjOvB4mrQ-krIbyWznlplDUOvi_CxMoUbMXZiFwcyFoPcrutb7lsRN4eh0Hi8BjFNrHd4RyFTRCNhFc877nguBJegYHKFR8RfcIfJ0s9HWmWi1zVu-SAFkv58v_LekXucwQWOW78gpx3m118DbCoc28yx_8GhFwR3g priority: 102 providerName: ProQuest – databaseName: Scholars Portal Open Access Journals dbid: M48 link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwjV1Lj9MwELZgkRAXxJvAgozEgUtK_IidnBAgViukcqLS3iI7tttKXWdJU4n-C34yM0kaKOqBU6SM41ieGfsbex6EvM1Lw5hxWVrzIFLppU2L0hZpweui9CEwZzAaef5NXS7k16v86k85oHECtydNO6wntWg3s58_9h9A4QG_zgAuyPemucbE2yyf5QIA-W1yh0shUdzncrpSkEz3xQnhIVOANXzI83Oqg6Mtqs_kfwp-_utF-de2dPGA3B_xJP04CMBDcsvHR-TufLwxf0x-AZpcekdXewzNosYOvm8UsCq9wbMy4HLsqImObpq4PIS5HNH6yh40YHDAZvx8cAOBlXKzp21fnMZv6XYdd1varvbd6pquY99hiks_bex0-PuELC6-fP98mY5VGNIajJkuFcpnygKu0RxUVAdRWIAgzDChncpLn5UhIMrhVpuidiVsi1xZLEmUK8GNEk_JWWyif06o00CoA2cuQ0MpWGM8AzwkaiVc8GVC3h0mvroZkm1UYKQgjyrkUYU8qnoeJeQTMmZqhlmy-xdNu6xGpatcXhdC1FpaW8tSmdLC_4XLjAzOFJwl5PzA1uogeRUmx9ISzDKdkDcTGZQOb1JM9M0O2yisg1hK6OLZIAXTSHgBNipXPCH6SD6OhnpMietVn9g75wAYc_ni_6fhJbnHEWf0buTn5Kxrd_4VoKTOvu6l_zfVhxT0 priority: 102 providerName: Scholars Portal |
Title | Staged hybrid ablation for persistent and longstanding persistent atrial fibrillation effectively restores sinus rhythm in long-term observation |
URI | https://www.ncbi.nlm.nih.gov/pubmed/28144262 https://www.proquest.com/docview/1857746427/abstract/ https://search.proquest.com/docview/1863696941 https://pubmed.ncbi.nlm.nih.gov/PMC5206354 https://doaj.org/article/d5c833c74bbc496a9b6be3d0a4fda821 |
Volume | 13 |
hasFullText | 1 |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1Li9swEBa7Wyi9lL7rdhtU6KEXJ7YkS_axu-yyFLIspQu5GT2TQCKHPA75F_3JHcl2qEtPvdjgkWzhmZG-keaB0JeiknkuTZZq4mjKLFNpWakyLYkuK-tcbmSIRp7e87tH9n1WzM5Q0cfCRKd9rZZjv1qP_XIRfSs3az3p_cQmD9PrgsDCWrDJOToXlPYmejv9slzEIoRwYynAF9Lm8wFcwSayWYcM3XkxLigg95AIuASDgnAyWJVi8v5_Ic6_HSf_WIluX6DnHYTE39qhvkRn1r9CT6fdIflr9AsA5NwavDiGaCwsVevuhgGe4k3YHgPG-j2W3uBV4-d9ZMuAFot5YBfiAVZd99bzAybH1RFvYz0au8O7pT_s8HZx3C_WeOnjC9Mw2-NGnfZ736DH25uf13dpV3gh1WC_7FPKbcYVQBlBQCuFo6UC1JHLnArDi8pmlXMB2BAlZKlNBSsh4SpUISo4JZLTt-jCN96-R9gIIGhHcpMF28gpKW0OEIhqTo2zVYK-9j--3rT5NWqwSwK76sCuOrCrjuxK0FVgzKlZSIwdHzTbed2JR20KXVKqBVNKs4rLSsH3qckkc0aWJE_QZc_WutPWXR3yYQkGlphI0OcTGfQsHJ5Ib5tDaMND6cOKwSvetVJwGkkvRQkSA_kYDHVIAdGOubw7Uf7w3z0_omckII3oSH6JLvbbg_0EOGmvRqAdMzFCT65u7h9-jOJuA1ynrBxFjfkNj68bSg |
link.rule.ids | 230,315,733,786,790,870,891,2115,2236,12083,21416,24346,27957,27958,31754,31755,33779,33780,43345,43840,53827,53829,74102,74659 |
linkProvider | National Library of Medicine |
linkToHtml | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV1Lj9MwELZgkYAL4rkEFjASBy5hG9ux4xMCxKrAdk-7Um-RHdttpW5SmvTQf8FPZsZJuxQhTpFiJ7EyD38zngch73Jtssy4UVqxwFPhhU0LbYu0YFWhfQiZM5iNPLmQ4yvxfZpPB4dbO4RV7nRiVNSuqdBHfoo1i5QAtKw-rn6m2DUKT1eHFhq3yR3BucCQPjXdG1wiU7EfIVxECkiG9aV9AGKIU9NcY7HuLP-Qcx3rU97sSrF4_78Q59-Bk3_sRGcPyYMBQtJPPc0fkVu-fkzuToZD8ifkFwDImXd0vsVsLGpsH-5GAZ7SFbrHgLB1R03t6LKpZ7vMloOx2MyDBswHWA6P95EfoByXW7qO_Wh8S9tFvWnper7t5td0UccXpqjtaWP3_t6n5Ors6-WXcTo0XkgrsF-6lEs_khagjGIglSrwwgLqyEzGlZO59iMdAgIbZpUpKqdhJ2TSYheiXHJmJH9Gjuqm9s8JdQoGqsAyN0LbKFhjfAYQiFeSu-B1Qt7vfny56utrlGCXII1KpFGJNCojjRLyGQmzn4aFseONZj0rBzkrXV4VnFdKWFsJLY228H3uRkYEZwqWJeRkR9ZykNa2vOGthLzdD4Oc4eGJqX2zwTkSWx9qAa847rlgvxJWgFnKJEuIOuCPg6UejtSLeazlnTPAiLl48f9lvSH3xpeT8_L828WPl-Q-Q2gRI8dPyFG33vhXAIw6-zpy_2-1ahER |
linkToPdf | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV1Jj9MwFLZgRhpxQewEBjASBy6h9ZLthBiYalimGiFGmltkx3ZbqZOUJj30X_CTec9xOhQhTpFix7H8Fn_Pfgshb5JCMabMOK64E7G0Usd5ofM451VeWOeYURiNfD5Nzy7ll6vkKvg_tcGtctCJXlGbpsIz8hHmLMokoOVs5IJbxMWnyfvVzxgrSOFNayincZscQr8EOPzw5HR68X3Qy5JlvjohPGQMuIb3iX4AcMiRaq4xdTdL3iWi8Nkqb_Yon8r_X_jzbzfKP_alyT1yNwBK-qHngPvklq0fkKPzcGX-kPwCODmzhs63GJtFle6d3yiAVbrCwzIgc91RVRu6bOrZEOey1-ZLe1CH0QHL8HnvBwKqcrmla1-dxra0XdSblq7n225-TRe1HzBG3U8bvTv9fUQuJ6c_Pp7FoQxDXIE108UiteNUA7DJOMho5kSuAYMwxURmYJ3tuHAOYQ7XmcorU8C-yFONNYmSVHCVisfkoG5q-5RQk0FD5TgzY7SUnFbKMgBEokqFcbaIyNth4ctVn22jBCsFaVQijUqkUelpFJETJMyuG6bJ9i-a9awMUleapMqFqDKpdSWLVBUa_i_MWElnVM5ZRI4HspZBdtvyhtMi8nrXDFKHVymqts0G-6RYCLGQMMSTngt2M-E5GKk85RHJ9vhjb6r7LfVi7jN7JxwQYyKf_X9ar8gRsH757fP063NyhyPO8G7kx-SgW2_sC0BJnX4Z2P83_PQWtA |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Staged+hybrid+ablation+for+persistent+and+longstanding+persistent+atrial+fibrillation+effectively+restores+sinus+rhythm+in+long-term+observation&rft.jtitle=Archives+of+medical+science&rft.au=Zembala%2C+Michal&rft.au=Filipiak%2C+Krzysztof&rft.au=Kowalski%2C+Oskar&rft.au=Buchta%2C+Piotr&rft.date=2017-02-01&rft.issn=1734-1922&rft.volume=1&rft.spage=109&rft.epage=117&rft_id=info:doi/10.5114%2Faoms.2015.53960&rft.externalDBID=n%2Fa&rft.externalDocID=10_5114_aoms_2015_53960 |
thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1734-1922&client=summon |
thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1734-1922&client=summon |
thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1734-1922&client=summon |