Hybrid Convergent Ablation for AFib: What It Solves… and What It Still Doesn’t скачать в хорошем качестве

Hybrid Convergent Ablation for AFib: What It Solves… and What It Still Doesn’t

Hybrid Convergent Ablation is often marketed as a “more complete” option for Persistent or Long-Standing Persistent AFib — but how much does it really accomplish? And is it truly stronger than a skilled endocardial (inside-the-heart) ablation? In this video I explain exactly what hybrid ablation does, what it doesn’t do, and when it makes sense. Hybrid ablation combines epicardial ablation (outside your heart) performed by a surgeon with endocardial ablation (inside your heart) performed by an electrophysiologist. It is intended to recreate part of the original Cox Maze III surgical lesion set, which historically offered very high success rates — but required open-heart surgery. The hybrid procedure does more than a standard one-wall ablation, but still does not reach all six walls, which is required for many Persistent and Long-Standing Persistent AFib cases. That’s why results often fall into the 50–60% success range, compared to 75–80%+ in centers that perform true multi-wall complex ablations from the inside. In this video, you’ll learn: • What hybrid convergent ablation actually includes • Why it’s not the same as a full Cox Maze III procedure • Why many centers still achieve only modest success in advanced AFib • How to evaluate whether a hybrid procedure is right for your stage • Why your AFib “forest fire size” matters more than the energy source • When a high-skill multi-wall endocardial ablation may outperform hybrid 📌 Continue Your Learning Path: Watch the full playlist here:👉   • AFib Ablation Success Path: RF vs Cryo vs ...   ✨ Want to Know Your AFib Stage? Take the free AFib Stage of Progression Quiz:👉 https://heart.drscottlee.com/quiz 💬 Need Clarity About Your AFib? Request a Second Opinion Clarity Consult (telemedicine available): 👉 https://heart.drscottlee.com/review 👨‍⚕️ About Dr. Scott Lee Dr. Scott Lee is a board-certified cardiac electrophysiologist with over 20 years of experience specializing in the treatment of complex and advanced atrial fibrillation. Stanford-trained and nationally recognized for his high single-procedure success rates in late-stage AFib, Dr. Lee is known for bringing honesty, transparency, and elite technical skill to a field where many patients feel rushed, dismissed, or confused. Through his AFibEducation YouTube channel and his direct-pay consultation practice, Dr. Lee focuses on what most doctors don’t have time to explain: how AFib truly progresses, why treatments succeed or fail, and how patients can make informed, confident decisions about their care. He is committed to ethics, patient advocacy, and clear education—empowering people to take back control of their health instead of getting lost in a broken system. 🌐 More resources at www.drscottlee.com 👍 Like this video if it helped you. 💬 Got questions? Drop them in the comments—Dr. Lee reads them all. 🔔 Subscribe for more expert-level AFib breakdowns every week. Check out more videos on our Channel:    / @afibeducation   🕒 Chapters 00:00 — What Is Hybrid Ablation for AFib? 00:35 — Early AFib Ablation: Why It Was So Difficult 00:56 — The Challenge of Multi-Wall AFib (Advanced Stages) 01:32 — The Cox Maze III: The Original Surgical Lesion Set 02:15 — Modern Surgical Attempts to Replicate Maze 02:41 — Why Most “Maze” Procedures Aren’t Actually Maze 03:08 — Why Stage Matters More Than Technique 03:28 — Limits of Surgical-Only Lesions 03:50 — Force-Sensing & Deep Lesions From the Inside 04:09 — Why Surgeons Rarely Perform Full Cox Maze III 04:40 — Why One-Wall Surgical Ablation Often Fails 05:00 — Can EPs Replicate Maze Internally? 05:30 — Why Hybrid Ablation Was Created 05:47 — What Hybrid Actually Treats (2–3 Walls) 07:07 — Success Rates: Hybrid vs Maze vs Advanced EP Ablation 07:23 — Why Hybrid May Still Be “Not Enough” 07:52 — Why EP Skill Level Determines Outcomes 08:11 — When Hybrid Makes Sense — and When It Doesn’t 08:29 — Why Incomplete Procedures Lead to Recurrence 08:53 — AFib Drugs + Partial Ablation: Why Recurrence Happens 10:16 — The “Blocked Artery” Analogy 11:23 — Why Full Multi-Wall Ablation Matters 11:43 — What Patients Should Ask Before a Hybrid Procedure 12:03 — Knowledge Is Power: How to Choose the Right Approach #afib #hybridablation #drscottlee