Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Search research articles

Related Experiment Video

Updated: Sep 19, 2025

Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation

Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation

Published on: February 26, 2013

Totally Thoracoscopic Ablation for Atrial Fibrillation: All-Box Clamping.

Nicolas Doll¹, Antonia Doll², Geza Horvath¹

¹Department of Cardiac Surgery, Integrated Heart Center, Schuechtermann-Klinik Bad Rothenfelde, Bad Rothenfelde, Germany.

The Thoracic and Cardiovascular Surgeon

|June 3, 2025

Summary

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Real-world characteristics and management of ventricular tachycardias in ICD patients: Data from the VIDEO registry.

Clinical research in cardiology : official journal of the German Cardiac Society·2026

Same author

Hospitalization profiles and complications across ICD and CRT-D implantations in Germany: data from the VIDEO study.

Clinical research in cardiology : official journal of the German Cardiac Society·2026

Same author

Nationwide Multicentric Analysis Regarding In-Hospital Complications After Catheter Ablation of Cardiac Arrhythmias.

Journal of cardiovascular development and disease·2026

Same author

Real word data with no evidence for additional left atrial substrate modification at first PVI procedure in patients with persistent atrial fibrillation - Results from the German Ablation registry.

Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing·2026

Same author

The role of comorbidities on periprocedural complications and outcomes in patients with defibrillators and cardiac resynchronization therapy: insights from the German device registry.

Clinical research in cardiology : official journal of the German Cardiac Society·2025

Same author

Impact of sex on the utilization of defibrillation-capable cardiac implantable devices and outcome: results from the German device registry.

Clinical research in cardiology : official journal of the German Cardiac Society·2025

Totally thoracoscopic all-box clamping offers a simplified approach to epicardial surgical ablation for atrial fibrillation. This modified technique is safe and effective, achieving high sinus rhythm rates with minimal complications.

Area of Science:

Cardiology
Thoracic Surgery
Medical Devices

Background:

Epicardial surgical ablation is effective for non-paroxysmal atrial fibrillation.
Current thoracoscopic epicardial ablation techniques are complex and often avoided.
A simplified approach is needed to improve accessibility and outcomes.

Purpose of the Study:

To evaluate the safety and efficacy of a modified totally thoracoscopic all-box clamping technique for atrial fibrillation.
To assess the feasibility of this simplified epicardial ablation strategy.

Main Methods:

A cohort of 42 patients underwent thoracoscopic all-box clamping between December 2023 and December 2024.
The procedure involved bipolar radiofrequency clamps for pulmonary vein and posterior left atrial isolation, left atrial appendage occlusion, and ligament of Marshall transection.

More Related Videos

Robotic Ablation of Atrial Fibrillation

Robotic Ablation of Atrial Fibrillation

Published on: May 29, 2015

Non-fluoroscopic Catheter Tracking for Fluoroscopy Reduction in Interventional Electrophysiology

Non-fluoroscopic Catheter Tracking for Fluoroscopy Reduction in Interventional Electrophysiology

Published on: May 26, 2015

Related Experiment Videos

Last Updated: Sep 19, 2025

Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation

Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation

Published on: February 26, 2013

Robotic Ablation of Atrial Fibrillation

Robotic Ablation of Atrial Fibrillation

Published on: May 29, 2015

Non-fluoroscopic Catheter Tracking for Fluoroscopy Reduction in Interventional Electrophysiology

Non-fluoroscopic Catheter Tracking for Fluoroscopy Reduction in Interventional Electrophysiology

Published on: May 26, 2015

Electrical isolation was confirmed, and data were retrospectively analyzed from the CASE-AF registry.

Main Results:

The thoracoscopic all-box clamping procedure was successfully performed in all patients by three surgeons.
No major or minor complications were reported.
Median hospital stay was 6 days, with 92.9% in sinus rhythm at discharge (76.1% off antiarrhythmic drugs).

Conclusions:

Modified thoracoscopic all-box clamping is a safe and feasible surgical ablation technique for atrial fibrillation.
This approach simplifies epicardial ablation, maintaining good efficacy.
The technique shows promise for broader application in treating atrial fibrillation.