Position paper of the Polish Society of Cardiothoracic Surgeons and the Heart Rhythm Associationof the Polish Society of Cardiology on atrial fibrillation hybrid management
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.
Authors
- Kazimierz Widenka (ORCID: https://orcid.org/0000-0002-9150-8410)
- Agnieszka Tycińska (ORCID: https://orcid.org/0000-0001-7855-7261)
- Oskar Kowalski (ORCID: https://orcid.org/0000-0002-9421-9278)
- Bohdan Maruszewski (ORCID: https://orcid.org/0000-0003-4144-6677)
- Piotr Suwalski (ORCID: https://orcid.org/0000-0003-2670-4164)
- Michał Zembala
- Sebastian Stec (ORCID: https://orcid.org/0000-0002-9862-318X)
- Grażyna Deja (ORCID: https://orcid.org/0000-0001-6779-4966)
- Rafał Płaksej
- Piotr Buchta (ORCID: https://orcid.org/0000-0001-8725-000X)
- Sleiman Sebastian Aboul‐Hassan (ORCID: https://orcid.org/0000-0003-4544-7466)
- Piotr Kułakowski (ORCID: https://orcid.org/0000-0001-7483-3513)
- Mariusz Kowalewski (ORCID: https://orcid.org/0000-0002-5478-3245)
- Marek Jasiński (ORCID: https://orcid.org/0000-0002-9989-7748)
- Michał M. Farkowski (ORCID: https://orcid.org/0000-0003-1673-7712)
- Agnieszka Wojdyła‐Hordyńska (ORCID: https://orcid.org/0000-0002-6828-2476)
- Tomasz Hrapkowicz (ORCID: https://orcid.org/0000-0002-8945-7351)
- Jakub Batko (ORCID: https://orcid.org/0000-0002-5329-5856)
- Robert Gil (ORCID: https://orcid.org/0000-0002-9041-3313)
- Adam Sokal (ORCID: https://orcid.org/0000-0002-7302-9141)
- Krzysztof Bartuś (ORCID: https://orcid.org/0000-0002-3457-6978)
- Marek Jastrzębski (ORCID: https://orcid.org/0000-0002-3318-6601)
- Janusz Skalski
- Grzegorz Hirnle (ORCID: https://orcid.org/0000-0001-5198-0713)
- Natalia Ogorzelec (ORCID: https://orcid.org/0009-0007-4659-9337)
Institutions
- Opole University of Technology (PL)
- Wrocław University of Science and Technology (PL)
- Jagiellonian University (PL)
- National Academy of Medicine (US)
- Medical University of Białystok (PL)
- Medical University of Silesia (PL)
- University of Opole (PL)
- Maastricht University Medical Centre (NL)
- Nicolaus Copernicus University (PL)
- Wroclaw Medical University (PL)
- John Paul II Hospital (PL)
- Children's Memorial Health Institute (PL)
- Lublin Oncology Center (PL)
- Ministry of Interior and Administration (PL)
- Silesian Center for Heart Disease (PL)
- Institute of Cardiology (PL)
- Foundation of Cardiac Surgery Development (PL)
- Collegium Medicum in Bydgoszcz (PL)
- Krakow Cardiovascular Research Institute (PL)
- Grochowski Hospital (PL)
- University of Zielona Góra (PL)
- Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione (IT)
- AGH University of Krakow (PL)
- University of Silesia in Katowice (PL)
- University of Rzeszów (PL)
Publication Details
- Journal
- Polish Journal of Cardio-Thoracic Surgery
- Published
- 2025-01-01
- DOI
- https://doi.org/10.5114/kitp.2025.155459
- Primary Topic
- Atrial Fibrillation Management and Outcomes
- Type
- article
- Field-Weighted Citation Impact
- 0.00