Hybrid Surgical-Catheter Ablation for Atrial Fibrillation
Overview of Hybrid Ablation for AFib
Hybrid surgical-catheter ablation is an advanced, minimally-invasive procedure designed to treat persistent or long-standing persistent atrial fibrillation (AFib). This dual approach combines the expertise of a cardiac surgeon and an electrophysiologist to target the electrical signals both inside and outside the heart that cause arrhythmias. Unlike traditional ablation or surgery alone, the hybrid procedure increases the chances of long-term freedom from AFib by treating the heart’s rhythm issues from multiple angles.
The procedure is most beneficial for patients with persistent AFib who haven’t responded to medication or catheter ablation alone. Loyola Medicine is a recognized leader in AFib treatment in the Chicagoland area.
Why Choose Hybrid Ablation Over Traditional AFib Treatments?
Hybrid ablation combines the strengths of both surgical and catheter-based approaches to treat atrial fibrillation, offering a comprehensive solution for patients with persistent or difficult-to-treat AFib. This procedure targets both the inside and outside of the heart, which can increase the chances of maintaining a normal heart rhythm long term.
Key Benefits of Hybrid Ablation:
- Minimally invasive approach
- Reduced risk of complications
- Faster recovery time
- Improved long-term outcomes
This dual approach makes hybrid ablation a promising option for patients who have not responded well to medication or catheter ablation alone.
What to Expect with Hybrid Ablation
Hybrid surgical-catheter ablation is typically performed in two stages:
- Catheter ablation: An electrophysiologist uses a catheter inserted through a vein to complete ablation on the inside of the heart. This complementary step helps ensure all sources of AFib are treated.
- Surgical ablation: A cardiac surgeon makes small incisions in the chest to access the outside of the heart. Using advanced tools, the surgeon creates precise lesions that block the abnormal electrical signals.
In addition to ablation of the back wall of the left atrium, the surgeon also closes off the left atrial appendage (LAA), a structure where blood clots can form in patients with atrial fibrillation. This structure is responsible for atrial fibrillation in about a third of the patients with persistent atrial fibrillation. Since the LAA is closed off from the circulation, this procedure can allow most patients to discontinue their blood thinners.
The combined procedure is done under general anesthesia and typically requires a short hospital stay. Most patients recover quickly and notice a significant reduction, or complete resolution, of AFib symptoms.
Side Effects of Hybrid AFib Treatment
Like any cardiac procedure, hybrid ablation carries some potential side effects. These may include:
- Fatigue
- Inflammation around the heart (pericarditis)
- Temporary chest discomfort
- Temporary irregular heart rhythms post-procedure
These effects are usually short-lived and manageable with medication. Our team closely monitors all patients during and after the procedure to ensure a smooth recovery.
Risks of Hybrid Surgical-Catheter Ablation
While hybrid ablation is considered safe, especially in experienced hands, potential risks include:
- Bleeding
- Blood clots
- Complications from anesthesia
- Infection
- Stroke
Loyola’s cardiac team takes every precaution to minimize these risks, using the latest technology and surgical techniques. We are committed to delivering high-quality care tailored to each patient’s unique needs.
Meet the Team
Schedule an appointment with a Loyola cardiac specialist below to discuss atrial fibrillation treatment options.
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