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3/2025
vol. 22
abstract:
Special paper
Position paper of the Polish Society of Cardiothoracic Surgeons and the Heart Rhythm Association
of the Polish Society of Cardiology on atrial fibrillation hybrid management
Mariusz Kowalewski
1, 2, 3, 4
,
Sebastian S. Aboul-Hassan
8, 9
,
Agnieszka Wojdyła-Hordyńska
14, 15
,
Agnieszka Tycińska
24, 25
,
- Department of Cardiac Surgery and Transplantology, National Medical Institute of the Ministry of Interior and Administration, Warsaw, Poland
- Cardio-Thoracic Surgery Department, Heart and Vascular Centre, Maastricht University Medical Centre, and Cardiovascular Research Institute Maastricht (CARIM), Maastricht, the Netherlands
- Department for the Treatment and Study of Cardiothoracic Diseases and Cardiothoracic Transplantation, IRCCS-ISMETT, Palermo, Italy
- Thoracic Research Centre, Collegium Medicum Nicolaus Copernicus University, Innovative Medical Forum, Bydgoszcz, Poland
- Department of Cardiology, National Medical Institute of the Ministry of Interior and Administration, Warsaw, Poland
- Department of Cardiac Surgery, Military Institute of Medicine, National Research Institute, Warsaw, Poland
- Department of Human Nutrition, Department of Dietetics, Faculty of Health Sciences in Bytom, Medical University of Silesia in Katowice, Katowice, Poland
- Department of Cardiac Surgery, Zbigniew Religa Heart Center ”Medinet”, Nowa Sol, Poland
- Department of Cardiac Surgery and Interventional Cardiology, Faculty of Medicine and Medical Sciences, University of Zielona Gora, Poland
- Division of Cardiology at the Copper Health Center Inc. in Lubin, University of Science and Technology in Wroclaw, Poland
- 3rd Department of Cardiology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, Katowice; Silesian Center for Heart Diseases in Zabrze, Poland
- Department of Cardiac, Vascular and Endovascular Surgery and Transplantology, Faculty of Medical Sciences, Medical University of Silesia, Katowice, Silesian Center for Heart Diseases, Zabrze, Poland
- First Department of Cardiology, Interventional Electrocardiology and Hypertension, Jagiellonian University Medical College, Krakow, Poland
- Medical Sciences Institute, University of Opole, Poland
- Department of Cardiology, University Hospital Opole, Poland
- Department of Cardiovascular Surgery and Transplantology, Institute of Cardiology, Jagiellonian University Medical College, St. John Paul II Hospital, Krakow, Poland
- Department of Cardiac Surgery, Medical University of Silesia, Katowice, Poland
- Department of Cardiac Surgery, Medical University of Białystok, Białystok, Poland
- Department and Clinic of Cardiac Surgery, Wroclaw Medical University, Wroclaw, Poland
- Department of Pediatric Cardiothoracic Surgery, The Children’s Memorial Health Institute, Warsaw, Poland
- Department of Pediatric Cardiac Surgery, Collegium Medicum, Jagiellonian University, Krakow, Poland
- Department of Surgery, Faculty of Medicine, Collegium Medicum, University of Rzeszow, Poland
- Department of Cardiology, Centre of Postgraduate Medical Education, Grochowski Hospital, Warsaw, Poland
- Department of Intensive Cardiac Care, Medical University of Bialystok, Poland
- Department of Cardiology, Medical University of Bialystok, Poland
- Department of Cardiology, National Institute of Medicine of the Ministry of Interior and Administration, Warsaw, Poland
- Institute for Cardiovascular Science, CardioMedicum, Krakow, Poland
- Silesian Park of Medical Technology, KardioMed Silesia, Zabrze, Poland, Department of Cardiology and Angiology, Silesian Centre for Heart Diseases, Zabrze, Poland
Kardiochirurgia i Torakochirurgia Polska 2025; 22 (3): 143-157
Online publish date: 2025/10/29
PlumX metrics:
This position paper, jointly authored by the Polish Society of Cardiothoracic Surgeons and the Heart Rhythm Association of the Polish Society of Cardiology, defines the role of hybrid approaches in the treatment of cardiac arrhythmias, particularly atrial fibrillation. We present a rationale for integrating epicardial and endocardial ablation strategies, summarize current evidence, and advocate for multidisciplinary planning, including arrhythmia treatment during cardiac surgery for other indications and atrial fibrillation treatment as a stand-alone procedure. The paper highlights the importance of minimally invasive approaches, the need for heart team-based planning, structured curricula, and postoperative referral pathways for comprehensive management of atrial fibrillation and non-atrial fibrillation arrhythmias.
keywords:
hybrid ablation, atrial fibrillation, arrythmia, arrythmia treatment
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