{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T18:02:30Z","timestamp":1780596150053,"version":"3.54.1"},"reference-count":0,"publisher":"Radcliffe Medical Media Ltd","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2013]]},"abstract":"<jats:p>The closed chest convergent procedure is a multidisciplinary approach to atrial fibrillation (AF) treatment. Epicardial posterior left atrial (PLA) ablation is performed by a cardiac surgeon using a transdiaphragmatic endoscope, immediately followed by percutaneous pulmonary vein (PV) isolation performed by a cardiac electrophysiologist. Interim outcomes for the treatment of non-paroxysmal AF (NPAF) were evaluated based on peri-procedural safety and complications, freedom from recurrent AF, and need for cardioversion or repeat catheter ablation at three, six and 12 months post-procedure. A total of 43 patients (86 % NPAF) underwent the convergent procedure. Patients were 84 % male, with mean age 58.6 \u00b1 8.7 years. Mean AF duration was 45.4 \u00b1 40.3 months. Pre-procedure left atrium (LA) volumetric data using cardiac magnetic resonance imaging (MRI) or computed tomography (CT) was available for 30 patients (70 %). Average LA volume was 155.5 \u00b1 48.4 millilitres (ml); two-thirds of patients had a LA volume &gt;130 ml. There was no operative or peri-operative mortality. Sinus rhythm (SR) was recorded at three months in 31 of 39 (79 %) patients, at six months in 24 of 27 (89 %) patients and at 12 months in nine patients. The convergent procedure is a safe and effective option for both PV isolation and PLA substrate ablation in NPAF patients. Long-term follow-up is required and randomised clinical trials warranted.<\/jats:p>","DOI":"10.15420\/aer.2013.2.1.65","type":"journal-article","created":{"date-parts":[[2014,8,4]],"date-time":"2014-08-04T12:36:41Z","timestamp":1407155801000},"page":"65","source":"Crossref","is-referenced-by-count":17,"title":["Closed Chest Convergent Epicardial\u2013Endocardial Ablation of Non-paroxysmal Atrial Fibrillation \u2013 A Case Series and Literature Review"],"prefix":"10.15420","volume":"2","author":[{"given":"Amit J","family":"Thosani","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Gerczuk","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emerson","family":"Liu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William","family":"Belden","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Moraca","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Assistant Professor, Temple University School of Medicine, Division of Cardiac Electrophysiology, Allegheny General Hospital, 320 East North Avenue, Pittsburgh, PA 15212, US. E: athosani@wpahs.org","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Division of Cardiac Electrophysiology","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Division of Cardiac Electrophysiology","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Division of Cardiac Electrophysiology","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Division of Cardiothoracic Surgery, Allegheny General Hospital, Pennsylvania, US","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"6096","container-title":["Arrhythmia &amp; Electrophysiology Review"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.aerjournal.com\/articleindex\/aer.2013.2.1.65","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,6,10]],"date-time":"2021-06-10T13:55:35Z","timestamp":1623333335000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.aerjournal.com\/articleindex\/aer.2013.2.1.65"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013]]},"references-count":0,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2013]]}},"alternative-id":["articles\/closed-chest-convergent-epicardial-endocardial-ablation-non-paroxysmal-atrial-fibrillation-"],"URL":"https:\/\/doi.org\/10.15420\/aer.2013.2.1.65","relation":{},"ISSN":["2050-3377"],"issn-type":[{"value":"2050-3377","type":"print"}],"subject":[],"published":{"date-parts":[[2013]]}}}