{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T16:24:09Z","timestamp":1792686249520,"version":"4.5.0"},"reference-count":36,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2021,9,1]],"date-time":"2021-09-01T00:00:00Z","timestamp":1630454400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,9,1]],"date-time":"2021-09-01T00:00:00Z","timestamp":1630454400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2021,7,13]],"date-time":"2021-07-13T00:00:00Z","timestamp":1626134400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001786","name":"University of Adelaide","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001786","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001030","name":"National Heart Foundation of Australia","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001030","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["jtcvsopen.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["JTCVS Open"],"published-print":{"date-parts":[[2021,9]]},"DOI":"10.1016\/j.xjon.2021.07.005","type":"journal-article","created":{"date-parts":[[2021,7,16]],"date-time":"2021-07-16T13:02:28Z","timestamp":1626440548000},"page":"141-154","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":20,"special_numbering":"C","title":["Hybrid ablation for atrial fibrillation: A systematic review and meta-analysis"],"prefix":"10.1016","volume":"7","author":[{"given":"Jason A.","family":"Varzaly","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dennis H.","family":"Lau","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Darius","family":"Chapman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Edwards","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Worthington","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prashanthan","family":"Sanders","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.xjon.2021.07.005_bib1","doi-asserted-by":"crossref","first-page":"1358","DOI":"10.1136\/heartjnl-2018-314471","article-title":"Increasing trends in hospitalisations due to atrial fibrillation in Australia from 1993 to 2013","volume":"105","author":"Gallagher","year":"2019","journal-title":"Heart"},{"key":"10.1016\/j.xjon.2021.07.005_bib2","doi-asserted-by":"crossref","first-page":"417","DOI":"10.1056\/NEJMoa1707855","article-title":"Catheter ablation for atrial fibrillation with heart failure","volume":"378","author":"Marrouche","year":"2018","journal-title":"N Engl J Med"},{"key":"10.1016\/j.xjon.2021.07.005_bib3","doi-asserted-by":"crossref","first-page":"f366","DOI":"10.1093\/europace\/eux297","article-title":"Outcomes of persistent and long-standing persistent atrial fibrillation ablation: a systematic review and meta-analysis","volume":"20","author":"Clarnette","year":"2018","journal-title":"Europace"},{"key":"10.1016\/j.xjon.2021.07.005_bib4","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1016\/j.jtcvs.2010.08.067","article-title":"The Cox maze IV procedure: predictors of late recurrence","volume":"141","author":"Damiano","year":"2011","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.xjon.2021.07.005_bib5","doi-asserted-by":"crossref","first-page":"1822","DOI":"10.1016\/S0022-5223(03)01287-X","article-title":"The Cox maze III procedure for atrial fibrillation: long-term efficacy in patients undergoing lone versus concomitant procedures","volume":"126","author":"Prasad","year":"2003","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.xjon.2021.07.005_bib6","doi-asserted-by":"crossref","first-page":"1460","DOI":"10.1016\/j.jtcvs.2012.08.069","article-title":"Durable staged hybrid ablation with thoracoscopic and percutaneous approach for treatment of long-standing atrial fibrillation: a 30-month assessment with continuous monitoring","volume":"144","author":"Muneretto","year":"2012","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.xjon.2021.07.005_bib7","doi-asserted-by":"crossref","first-page":"e275","DOI":"10.1016\/j.hrthm.2017.05.012","article-title":"2017 HRS\/EHRA\/ECAS\/APHRS\/SOLAECE expert consensus statement on catheter and surgical ablation of atrial fibrillation","volume":"14","author":"Calkins","year":"2017","journal-title":"Heart Rhythm"},{"key":"10.1016\/j.xjon.2021.07.005_bib8","doi-asserted-by":"crossref","first-page":"1059","DOI":"10.1111\/j.1540-8167.2012.02355.x","article-title":"Low rate of atrial fibrillation recurrence verified by implantable loop recorder monitoring following a convergent epicardial and endocardial ablation of atrial fibrillation","volume":"23","author":"Gersak","year":"2012","journal-title":"J Cardiovasc Electrophysiol"},{"key":"10.1016\/j.xjon.2021.07.005_bib9","doi-asserted-by":"crossref","first-page":"919","DOI":"10.1093\/ejcts\/ezt115","article-title":"Hybrid approach for the treatment of long-standing persistent atrial fibrillation: electrophysiological findings and clinical results","volume":"44","author":"Bisleri","year":"2013","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1016\/j.xjon.2021.07.005_bib10","doi-asserted-by":"crossref","first-page":"e001754","DOI":"10.1161\/JAHA.114.001754","article-title":"Sequential hybrid procedure for persistent atrial fibrillation","volume":"4","author":"Bulava","year":"2015","journal-title":"J Am Heart Assoc"},{"key":"10.1016\/j.xjon.2021.07.005_bib11","first-page":"58","article-title":"Midterm clinical outcomes of concomitant thoracoscopic epicardial and transcatheter endocardial ablation for persistent and long-standing persistent atrial fibrillation: a single-centre experience","volume":"19","author":"de Asmundis","year":"2017","journal-title":"Europace"},{"key":"10.1016\/j.xjon.2021.07.005_bib12","doi-asserted-by":"crossref","first-page":"438","DOI":"10.1007\/s12471-015-0729-y","article-title":"The symbiosis of contact force catheter use for hybrid ablation for atrial fibrillation","volume":"23","author":"Kumar","year":"2015","journal-title":"Neth Heart J"},{"key":"10.1016\/j.xjon.2021.07.005_bib13","doi-asserted-by":"crossref","first-page":"451","DOI":"10.1093\/icvts\/ivt538","article-title":"Two-staged hybrid treatment of persistent atrial fibrillation: short-term single-centre results","volume":"18","author":"Kurfirst","year":"2014","journal-title":"Interact Cardiovasc Thorac Surg"},{"key":"10.1016\/j.xjon.2021.07.005_bib14","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1186\/1749-8090-7-71","article-title":"The hybrid approach for the surgical treatment of lone atrial fibrillation: one-year results employing a monopolar radiofrequency source","volume":"7","author":"La Meir","year":"2012","journal-title":"J Cardiothorac Surg"},{"key":"10.1016\/j.xjon.2021.07.005_bib15","doi-asserted-by":"crossref","first-page":"1469","DOI":"10.1016\/j.ijcard.2012.04.044","article-title":"Minimally invasive surgical treatment of lone atrial fibrillation: early results of hybrid versus standard minimally invasive approach employing radiofrequency sources","volume":"167","author":"La Meir","year":"2013","journal-title":"Int J Cardiol"},{"key":"10.1016\/j.xjon.2021.07.005_bib16","doi-asserted-by":"crossref","first-page":"1890","DOI":"10.1016\/j.athoracsur.2011.02.045","article-title":"Initial experience of sequential surgical epicardial-catheter endocardial ablation for persistent and long-standing persistent atrial fibrillation with long-term follow-up","volume":"91","author":"Mahapatra","year":"2011","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.xjon.2021.07.005_bib17","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1016\/j.jacc.2011.12.055","article-title":"Hybrid thoracoscopic surgical and transvenous catheter ablation of atrial fibrillation","volume":"60","author":"Pison","year":"2012","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.xjon.2021.07.005_bib18","doi-asserted-by":"crossref","first-page":"428","DOI":"10.1111\/jce.12906","article-title":"Staged versus simultaneous thoracoscopic hybrid ablation for persistent atrial fibrillation does not affect time to recurrence of atrial arrhythmia","volume":"27","author":"Richardson","year":"2016","journal-title":"J Cardiovasc Electrophysiol"},{"key":"10.1016\/j.xjon.2021.07.005_bib19","doi-asserted-by":"crossref","first-page":"262","DOI":"10.1161\/CIRCEP.111.961862","article-title":"Thoracoscopic video-assisted pulmonary vein antrum isolation, ganglionated plexus ablation, and periprocedural confirmation of ablation lesions: first results of a hybrid surgical-electrophysiological approach for atrial fibrillation","volume":"4","author":"Krul","year":"2011","journal-title":"Circ Arrhythm Electrophysiol"},{"key":"10.1016\/j.xjon.2021.07.005_bib20","doi-asserted-by":"crossref","first-page":"1246","DOI":"10.1016\/j.hrthm.2016.02.007","article-title":"Electrophysiological findings after surgical thoracoscopic atrial fibrillation ablation","volume":"13","author":"Osmancik","year":"2016","journal-title":"Heart Rhythm"},{"key":"10.1016\/j.xjon.2021.07.005_bib21","doi-asserted-by":"crossref","first-page":"524","DOI":"10.1111\/jce.12926","article-title":"Hybrid procedure (endo\/epicardial) versus standard manual ablation in patients undergoing ablation of longstanding persistent atrial fibrillation: results from a single center","volume":"27","author":"Edgerton","year":"2016","journal-title":"J Cardiovasc Electrophysiol"},{"key":"10.1016\/j.xjon.2021.07.005_bib22","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1016\/j.hrthm.2012.08.044","article-title":"Hybrid epicardial-endocardial ablation using a pericardioscopic technique for the treatment of atrial fibrillation","volume":"10","author":"Gehi","year":"2013","journal-title":"Heart Rhythm"},{"key":"10.1016\/j.xjon.2021.07.005_bib23","doi-asserted-by":"crossref","first-page":"E317","DOI":"10.1532\/HSF98.20091112","article-title":"The convergent procedure: a multidisciplinary atrial fibrillation treatment","volume":"13","author":"Kiser","year":"2010","journal-title":"Heart Surg Forum"},{"key":"10.1016\/j.xjon.2021.07.005_bib24","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1111\/pace.12791","article-title":"Improvement of atrial and ventricular remodeling with low atrial fibrillation burden after hybrid ablation of persistent atrial fibrillation","volume":"39","author":"Toplisek","year":"2016","journal-title":"Pacing Clin Electrophysiol"},{"key":"10.1016\/j.xjon.2021.07.005_bib25","doi-asserted-by":"crossref","first-page":"109","DOI":"10.5114\/aoms.2015.53960","article-title":"Staged hybrid ablation for persistent and longstanding persistent atrial fibrillation effectively restores sinus rhythm in long-term observation","volume":"13","author":"Zembala","year":"2017","journal-title":"Arch Med Sci"},{"key":"10.1016\/j.xjon.2021.07.005_bib26","doi-asserted-by":"crossref","first-page":"1273","DOI":"10.1016\/j.athoracsur.2013.05.054","article-title":"Very long-term results of surgical and transcatheter ablation of long-standing persistent atrial fibrillation","volume":"96","author":"Gaita","year":"2013","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.xjon.2021.07.005_bib27","doi-asserted-by":"crossref","first-page":"1379","DOI":"10.1111\/pace.12686","article-title":"Sequential hybrid surgical cryomaze and transvenous catheter ablation of atrial fibrillation","volume":"38","author":"Eisenberger","year":"2015","journal-title":"Pacing Clin Electrophysiol"},{"key":"10.1016\/j.xjon.2021.07.005_bib28","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1097\/imi.0b013e318248f3f4","article-title":"Surgical treatment for isolated atrial fibrillation: minimally invasive vs. classic cut and sew maze","volume":"6","author":"Lee","year":"2011","journal-title":"Innovations (Phila)"},{"key":"10.1016\/j.xjon.2021.07.005_bib29","first-page":"819","article-title":"Minimally invasive hybrid ablation procedure for the treatment of persistent atrial fibrillation: one year results","volume":"70","author":"Zembala","year":"2012","journal-title":"Kardiol Pol"},{"key":"10.1016\/j.xjon.2021.07.005_bib30","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1016\/j.jacep.2016.06.002","article-title":"The impact of first procedure success rate on the economics of atrial fibrillation ablation","volume":"3","author":"Mansour","year":"2017","journal-title":"JACC Clin Electrophysiol"},{"key":"10.1016\/j.xjon.2021.07.005_bib31","doi-asserted-by":"crossref","first-page":"1100","DOI":"10.1161\/01.CIR.0000157153.30978.67","article-title":"Worldwide survey on the methods, efficacy, and safety of catheter ablation for human atrial fibrillation","volume":"111","author":"Cappato","year":"2005","journal-title":"Circulation"},{"key":"10.1016\/j.xjon.2021.07.005_bib32","doi-asserted-by":"crossref","first-page":"1082","DOI":"10.1161\/CIRCEP.113.000768","article-title":"Complications of catheter ablation of atrial fibrillation: a systematic review","volume":"6","author":"Gupta","year":"2013","journal-title":"Circ Arrhythm Electrophysiol"},{"key":"10.1016\/j.xjon.2021.07.005_bib33","doi-asserted-by":"crossref","first-page":"792","DOI":"10.1016\/j.athoracsur.2013.05.007","article-title":"Minimally invasive stand-alone Cox-maze procedure for patients with nonparoxysmal atrial fibrillation","volume":"96","author":"Ad","year":"2013","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.xjon.2021.07.005_bib34","doi-asserted-by":"crossref","first-page":"1880","DOI":"10.1016\/j.athoracsur.2012.06.010","article-title":"Interim results of the 5-box thoracoscopic maze procedure","volume":"94","author":"Sirak","year":"2012","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.xjon.2021.07.005_bib35","doi-asserted-by":"crossref","first-page":"1929","DOI":"10.1016\/j.jacc.2016.07.770","article-title":"Left Atrial appendage isolation in patients with longstanding persistent AF undergoing catheter ablation: BELIEF trial","volume":"68","author":"Di Biase","year":"2016","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.xjon.2021.07.005_bib36","doi-asserted-by":"crossref","first-page":"2222","DOI":"10.1016\/j.jacc.2014.09.028","article-title":"Aggressive risk factor reduction study for atrial fibrillation and implications for the outcome of ablation: the ARREST-AF cohort study","volume":"64","author":"Pathak","year":"2014","journal-title":"J Am Coll Cardiol"}],"container-title":["JTCVS Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2666273621001820?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2666273621001820?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T20:47:06Z","timestamp":1762980426000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2666273621001820"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9]]},"references-count":36,"alternative-id":["S2666273621001820"],"URL":"https:\/\/doi.org\/10.1016\/j.xjon.2021.07.005","relation":{},"ISSN":["2666-2736"],"issn-type":[{"value":"2666-2736","type":"print"}],"subject":[],"published":{"date-parts":[[2021,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Hybrid ablation for atrial fibrillation: A systematic review and meta-analysis","name":"articletitle","label":"Article Title"},{"value":"JTCVS Open","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.xjon.2021.07.005","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Crown Copyright \u00a9 2021 Published by Elsevier Inc. on behalf of The American Association for Thoracic Surgery.","name":"copyright","label":"Copyright"}]}}