{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T18:53:26Z","timestamp":1790967206782,"version":"4.1.0"},"reference-count":0,"publisher":"Aurora Health Care, Inc.","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Patient-Centered Research and Reviews"],"abstract":"<jats:p>Purpose: It is It is widely accepted that atrial fibrillation (AF) accounts for half of arrhythmia recurrences following endocardial catheter ablation of AF. An epicardial-endocardial approach (hybrid) has emerged as an alternative to endocardial ablation alone for the treatment of AF, yet recurrence after a hybrid procedure has not been well characterized. This retrospective study is aimed at characterizing recurrence following hybrid ablation for patients with persistent AF.\nMethods: Patients with persistent AF (N = 108) received both endocardial and epicardial ablation of the posterior left atrial wall using catheter ablation and a small midline surgical approach (hybrid). Presence of atrial flutter or AF was determined with ambulatory monitoring (n = 22) or electrocardiogram analysis (n = 86) at each follow-up visit. Recurrence mode was confirmed by electrophysiology study for those patients undergoing subsequent catheter ablation after hybrid ablation.\nResults: Patients were followed for a mean \u00b1 standard deviation of 25 \u00b1 14 months. Of patients who had a recurrence, 53% (n = 33) were in atrial flutter and 47% (n = 29) were in AF. Of those who had a recurrence with atrial flutter, 14 received repeat ablation for either left (n = 11) or left\/right (n = 3) atrial flutter and 3 received AF ablation. Half of ablations for atrial flutter recurrence following the hybrid procedure involved the mitral isthmus.\nConclusions: Atrial flutter accounts for about half of arrhythmia recurrences post-hybrid ablation. If catheter ablation of the mitral isthmus is considered during the hybrid procedure to prevent subsequent occurrence of perimitral flutter, bidirectional block must be performed to ensure a complete line of block.<\/jats:p>","DOI":"10.17294\/2330-0698.1744","type":"journal-article","created":{"date-parts":[[2020,7,28]],"date-time":"2020-07-28T06:20:06Z","timestamp":1595917206000},"page":"227-238","source":"Crossref","is-referenced-by-count":8,"title":["Characterizing Recurrence Following Hybrid Ablation in Patients With Persistent Atrial Fibrillation"],"prefix":"10.17294","volume":"7","author":[{"given":"David C.","family":"Kress","sequence":"first","affiliation":[{"name":"Aurora Cardiovascular and Thoracic Services, Aurora Sinai\/Aurora St. Luke\u2019s Medical Centers"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lynn","family":"Erickson","sequence":"additional","affiliation":[{"name":"Advocate Aurora Research Institute, Advocate Aurora Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tadele W","family":"Mengesha","sequence":"additional","affiliation":[{"name":"Advocate Aurora Research Institute, Advocate Aurora Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Krum","sequence":"additional","affiliation":[{"name":"Advocate Aurora Research Institute, Advocate Aurora Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jasbir","family":"Sra","sequence":"additional","affiliation":[{"name":"Aurora Cardiovascular and Thoracic Services, Aurora Sinai\/Aurora St. Luke\u2019s Medical Centers, University of Wisconsin School of Medicine and Public Health"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"6854","published-online":{"date-parts":[[2020,7,27]]},"container-title":["Journal of Patient-Centered Research and Reviews"],"original-title":[],"language":"en","deposited":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T17:59:00Z","timestamp":1790963940000},"score":1,"resource":{"primary":{"URL":"https:\/\/institutionalrepository.aah.org\/jpcrr\/vol7\/iss3\/2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,7,27]]},"references-count":0,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2020,7,27]]}},"URL":"https:\/\/doi.org\/10.17294\/2330-0698.1744","relation":{},"ISSN":["2330-0698"],"issn-type":[{"value":"2330-0698","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,7,27]]}}}