Author/Authors :
Didier F. Loulmet، نويسنده , , Nirav C. Patel، نويسنده , , Nilesh U Patel، نويسنده , , William I Frumkin، نويسنده , , Francesco Santoni-Rugiu، نويسنده , , Marie Noelle Langan، نويسنده , , Valavanur A. Subramanian، نويسنده ,
Abstract :
The pulmonary veins have been demonstrated to play an important role in generating atrial fibrillation. We report the first successful endoscopic epicardial isolation of the pulmonary veins in a patient with permanent atrial fibrillation, along with a 1-year follow-up. The procedure consisted of making a conduction block around the pulmonary veins with a flexible microwave energy delivery probe. The probe was placed endoscopically on the left atrial epicardium with the aid of robotic instruments.