![]() ![]() Able to return to active lifestyle/X-sports.Ends AFIB psychological/emotional stress.LAA removal significantly decreases hypertensive systolic BP.Very likely able to stop anticoagulant/antiarrhythmic drugs.LAA excision removes potential AFIB impulse/clot source.Ganglia Plexi stimulated/tested/ablated as appropriate.Micro video camera used for direct view of heart ablations.Precise transmural lesions using bipolar RF ablation clamp.One operation (PVI+LAA excision), no fluoroscopy (radiation).Wolf success rate: paroxysmal (92%), persistent (85%), long-standing persistent (75%).Dr Wolf availability/experience (15+ years, over 2000 cases).If successful, NSR stops further AFIB-related heart damage.OPTION 4 – SURGICAL ABLATION (WOLF MINI-MAZE) PROS Requires two separate operations if able to later add LAA occlusion or ligation.Implanted LAA mechanical occlusion device may leak/LAA impulse source remains.Remain on anticoagulants due to LAA potential for blood clots/stroke.Catheter ablation operation still has small complication/infection/morbidity risks PV isolation alone does not eliminate LAA possible source of electrical impulses.Procedure includes punching hole through heart’s septum from right to left atrium.Multiple dotted catheter burn spots (around PV) scars more heart tissue than straight lesion created using mini-maze radio frequency (RF) ablation clamp.Burn/freeze patterns often require repeat touchup ablations to close gaps. ![]()
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