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2015 Atrial Fibrillation Patient Conference: Surgery Panel w/ Drs. Philpott & Damiano

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http://www.StopAfib.org To be notified when new conference videos are posted, or for the latest afib news, sign up at http://www.StopAfib.org. 2015 Get in Rhythm. Stay in Rhythm.™ Atrial Fibrillation Patient Conference The Surgery Panel at the 2015 Get in Rhythm. Stay in Rhythm.™ Atrial Fibrillation Patient Conference included the following presentations: Ralph J. Damiano, Jr., MD spoke about surgical ablation, including: • History of the Cox maze procedure [10:51] • Cox-Maze Procedure for Lone AF: The Cut and Sew Experience [11:52] • Cox Maze III procedure for AF: long-term efficacy in patients undergoing lone vs. concomitant procedures [12:33] • Most common indication for atrial fibrillation surgical ablation in the US is for patients undergoing “concomitant” cardiac surgery (for valve repair or coronary artery bypass surgery) [14:14] • Advances in the last decade include ablation technology and less invasive surgical approaches [14:36] • Technologies for surgical ablation [15:20] • Minimally invasive Cox maze procedure is as effective as sternotomy while decreasing major morbidity and hospital stay [19:33] • Bad news: the majority of patients are still not treated [21:23] • Ablation procedure most commonly performed [23:15] • Questions to ask your surgeon [28:25] Jonathan M. Philpott, MD spoke about hybrid ablation and the Heart Team approach, including: • Hybrid procedure was learned from Holland [36:45] • Clinical trials of the hybrid procedure [41:20] • DEEP 1 year success [41:42] • DEEP II [42:41] • DEEP Hybrid II [42:56] • DEEP Hybrid III [43:31] • DEEP III sites [43:52] • Comparison of the hybrid to the classic maze [45:28] • 5 Box Totally Thorascopic Maze (TTM) [46:59] • Right chest minimally invasive maze [47:19] • Heart team model and getting patients to expert centers [48:18] • What he would personally want as a patient [54:34] • Prime directive – getting patients connected to the right center [56:40] • National Alliance of Integrated AF Centers (NAIAC), with the goal of providing patients with real outcomes data and patient specific outcomes [56:57] • Your AF and your profile [1:00:32] James R. Edgerton, MD, FACS, FACC, FHRS was unable to attend, so his interactive case presentation on the five AF treatments and which patient receives which treatment was presented by Dr. Philpott, including: • Risks associated with atrial fibrillation [1:03:14] • Classification of AF [1:03:28] • Problems associated with AF [1:06:43] • The five treatment options for AF - cardioversion; rate control and anticoagulation; Cox III open chest maze; catheter ablation; closed chest maze [1:07:31] • Electrophysiology of AF [1:08:36] • Pulmonary vein triggers – paroxysmal AF [1:09:39] • Recurrence following catheter ablation of AF [1:10:56] • Evolution of AF surgery [1:11:31] • The Dallas Connection (Trigone Connection) [1:12:00] • Closed chest minimal access maze [1:12:16] • Totally thorascopic positioning [1:12:42] • Interactive cases of four patients and which treatments each should receive [1:29:16] Video watching time is approximately 95 minutes. Transcript http://www.stopafib.org/newsitem.cfm/NEWSID/563/
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Text Comments (3)
Ms. V (2 years ago)
Do you have any videos on patients perspective that have had the cox maze procedure?
greg ooch (2 years ago)
the volume is not great on this video.
StopAfib (2 years ago)
+greg ooch The video was done by the world's largest conference company and they set it the first time around for the normal volume for YouTube. Even at that, I had them increase the volume some. It's set for using earphones, and also most players will allow changing the volume to a level you are comfortable with, so hopefully you can find a way to optimize it for you.

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