7
Table 2e. Indications for Stand-Alone and Hybrid Surgical
Ablation of Atrial Fibrillation
Recommendations COR LOE
Symptomatic
AF refractory or
intolerant to at
least one Class 1 or
3 antiarrhythmic
medication
Paroxysmal: Stand-alone surgical
ablation can be considered for patients
who have failed one or more attempts
at catheter ablation and also for those
who are intolerant or refractory to
antiarrhythmic drug therapy and prefer
a surgical approach, aer review of the
relative safety and efficacy of catheter
ablation versus a stand-alone surgical
approach.
2B B-NR
Persistent: Stand-alone surgical ablation
is reasonable for patients who have
failed one or more attempts at catheter
ablation and also for those patients who
prefer a surgical approach aer review of
the relative safety and efficacy of catheter
ablation versus a stand-alone surgical
approach.
2A B-NR
Long-standing persistent: Stand-alone
surgical ablation is reasonable for
patients who have failed one or more
attempts at catheter ablation and also
for those patients who prefer a surgical
approach aer review of the relative
safety and efficacy of catheter ablation
versus a stand-alone surgical approach.
2A B-NR
It may be reasonable to apply the
indications for stand-alone surgical
ablation described above to patients
being considered for hybrid surgical AF
ablation.
2B C-EO
