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. Author manuscript; available in PMC: 2015 Feb 16.
Published in final edited form as: Circ J. 2013 Jul 3;77(8):1941–1951. doi: 10.1253/circj.cj-13-0721

Table 1.

Operative Approach and Lesion Sets for Published PVI Series Reporting Results According to HRS/EHRA/ECAS Consensus Guidelines

Author n Method and access Surgical ablation technology Lesion set performed*
LAA exclusion/excision PVI Box GP LOM ALAL
McClelland33 20 Bilateral thoracotomy/VATS Bipolar RF clamp N Y N Y Y N
Bagge29 42 Bilateral VATS Bipolar RF clamp Y (32) Y N Y Y (40) N
Han32 43 Bilateral VATS Bipolar RF clamp/pen Y Y N Y Y N
Edgerton31 52 Bilateral thoracotomy/VATS Bipolar RF clamp Y (44) Y N Y Y N
Wang34 81 Bilateral VATS Bipolar RF clamp Y Y N Y N N
Boersma30 61 Bilateral VATS Bipolar RF clamp/pen Y (60) Y Y(10)** NS NS Y**
*

(n) is specified when not all patients received a particular ablation line.

**

Additional lines could be made to the aortic trigone (10 patients), or a roof line (17 patients) could be created, all at the discretion of the surgeon.

This varied by center. At 1 hospital, only right-sided GP were ablated and the LOM was cut. At another center, bilateral GP were ablated but the LOM was left alone. ALAL, additional left atrial lesions; Box, box lesion set; GP, ganglionated plexus; LAA, left atrial appendage; LOM, ligament of Marshall; PVI, pulmonary vein isolation; VATS, video-assisted thoracoscopic surgery; N, no; Y, yes; NS, specific number not specified.