hybrid ablation
Combined surgical and percutaneous catheter ablation approach for complex arrhythmias requiring both epicardial and endocardial access.
Full Definition
Hybrid ablation is a combined approach that integrates surgical and percutaneous catheter ablation techniques to treat complex arrhythmias requiring both epicardial and endocardial intervention. The procedure typically involves surgical access to the epicardial surface through limited thoracotomy combined with endocardial catheter ablation in the same session or staged procedures. This approach is particularly valuable for complex atrial fibrillation cases and ventricular tachycardia with extensive epicardial substrate that cannot be adequately addressed by either approach alone.
Usage
Usage note: Requires coordination between EP and cardiac surgery teams. Reserved for complex cases at specialized centers.
In Context
- "Hybrid ablation combined thoracoscopic epicardial ablation with endocardial catheter completion." — Complex AF procedure report
- "The hybrid approach allowed complete substrate modification of both epicardial and endocardial surfaces." — VT ablation case summary