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4. A failed catheter ablation of atrial fibrillation is associated with more advanced remodeling and reduced efficacy of further thoracoscopic ablation

Author

Wesselink, Robin, Vroomen, Mindy, Overeinder, Ingrid, Neefs, Jolien, van den Berg, Nicoline W.E., Meulendijks, Eva R., Piersma, Femke R., Al-Shama, Rushd F.M., de Vries, Tim A.C., Verstraelen, Tom E., Luermans, Justin, Maesen, Bart, de Asmundis, Carlo, Chierchia, Gian-Battista, La Meir, Mark, Pison, Laurent, van Boven, Wim Jan P., Driessen, Antoine H.G., and de Groot, Joris R.

Published
2023
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5. El fracaso de la ablación por catéter de la fibrilación auricular se asocia con mayor remodelado y menos eficacia de una posterior ablación toracoscópica

Author

Wesselink, Robin, Vroomen, Mindy, Overeinder, Ingrid, Neefs, Jolien, van den Berg, Nicoline W.E., Meulendijks, Eva R., Piersma, Femke R., Al-Shama, Rushd F.M., de Vries, Tim A.C., Verstraelen, Tom E., Luermans, Justin, Maesen, Bart, de Asmundis, Carlo, Chierchia, Gian-Battista, La Meir, Mark, Pison, Laurent, van Boven, Wim Jan P., Driessen, Antoine H.G., and de Groot, Joris R.

Published
2023
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6. Extracellular matrix remodeling precedes atrial fibrillation: Results of the PREDICT-AF trial

Author

van den Berg, Nicoline W.E., Neefs, Jolien, Kawasaki, Makiri, Nariswari, Fransisca A., Wesselink, Robin, Fabrizi, Benedetta, Jongejan, Aldo, Klaver, Martijn N., Havenaar, Hanna, Hulsman, Elise L., Wintgens, Lisette I.S., Baalman, Sarah W.E., Meulendijks, Eva R., van Boven, Wim Jan, de Jong, Jonas S.S.G., van Putte, Bart P., Driessen, Antoine H.G., Boersma, Lucas V.A., and de Groot, Joris R.

Published
2021
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8. Interventions to prevent postoperative atrial fibrillation in Dutch cardiothoracic centres:a survey study

Author

Emiola, Angelique, Kluin, Jolanda, el Mathari, Sulayman, de Groot, Joris R., van Boven, Wim Jan, Emiola, Angelique, Kluin, Jolanda, el Mathari, Sulayman, de Groot, Joris R., and van Boven, Wim Jan

Abstract

Introduction: Postoperative atrial fibrillation (POAF) is a common phenomenon following cardiac surgery. In this study, we assessed current preventive strategies used by Dutch cardiothoracic centres, identified common views on this matter and related these to international guidelines. Methods: We developed an online questionnaire and sent it to all cardiothoracic surgery centres in the Netherlands. The questionnaire concerned the management of POAF and the use of pharmaceutical therapies (beta-blockers and calcium antagonists) and non-pharmaceutical methods (posterior left pericardiotomy, pericardial flushing and epicardial botulinum toxin type A injections). Usage of electrical cardioversions, anticoagulants and left atrial appendage closure were also enquired. Results: Of the 15 centres, 14 (93%) responded to the survey and 13 reported a POAF incidence, ranging from 20 to 30%. Of these 14 centres, 6 prescribed preoperative AF prophylaxis to their patients, of which non-sotalol beta-blockers were prescribed most commonly (57%). Postoperative medication was administered by all centres and included non-sotalol beta-blockers (38%), sotalol (24%), digoxin (14%), calcium antagonists (13%) and amiodarone (10%). Only 2 centres used posterior left pericardiotomy or pericardial flushing as surgical manoeuvres to prevent POAF. Moreover, respondents expressed the need for guidance on anticoagulant use. Conclusion: Despite the use of various preventive strategies, the reported incidence of POAF was similar in Dutch cardiothoracic centres. This study highlights limited use of prophylactic amiodarone and colchicine, despite recommendations by numerous guidelines, and restricted implementation of surgical strategies to prevent POAF.

Published
2024

12. Women Have More Recurrences of Atrial Fibrillation than Men after Thoracoscopic Ablation and Suffer More from Established Risk Factors

Author

Wesselink, Robin, primary, Mossink, Bente, additional, Meulendijks, Eva R., additional, van den Berg, Nicoline W. E., additional, Neefs, Jolien, additional, Kawasaki, Makiri, additional, Fabrizi, Benedetta, additional, Piersma, Femke R., additional, Al-Shama, Rushd F. M., additional, de Vries, Tim A. C., additional, de Jong, Jonas S. S. G., additional, van Boven, Wim Jan P., additional, Driessen, Antoine H. G., additional, and de Groot, Joris R., additional

Published
2023
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13. Variables associated with in-hospital and postdischarge outcomes after postcardiotomy extracorporeal membrane oxygenation: Netherlands Heart Registration Cohort

Author

Mariani, Silvia, primary, van Bussel, Bas C.T., additional, Ravaux, Justine M., additional, Roefs, Maaike M., additional, De Piero, Maria Elena, additional, Di Mauro, Michele, additional, Willers, Anne, additional, Segers, Patrique, additional, Delnoij, Thijs, additional, van der Horst, Iwan C.C., additional, Maessen, Jos, additional, Lorusso, Roberto, additional, Bekkers, Jos A., additional, Van Boven, Wim Jan P., additional, Van Brakel, Thomas J., additional, Bramer, Sander, additional, Daeter, Edgar J., additional, Hoohenkerk, Gerard J.F., additional, Van der Kaaij, Niels P., additional, Koene, Bart M.J. A., additional, Li, Wilson W.L., additional, Markou, Thanasie A.L. P., additional, Douglas, Yvonne L., additional, Porta, Fabiano, additional, Speekenbrink, Ron G.H., additional, Stooker, Wim, additional, and Vonk, Alexander B.A., additional

Published
2023
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14. Phase II Multicenter Clinical Trial of Pulmonary Metastasectomy and Isolated Lung Perfusion with Melphalan in Patients with Resectable Lung Metastases

Author

den Hengst, Willem A., Hendriks, Jeroen M.H., Balduyck, Bram, Rodrigus, Inez, Vermorken, Jan B., Lardon, Filip, Versteegh, Michel I.M., Braun, Jerry, Gelderblom, Hans, Schramel, Franz M.N.H., Van Boven, Wim-Jan, Van Putte, Bart P., Birim, Özcan, Maat, Alexander P.W.M., and Van Schil, Paul E.Y.

Published
2014
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15. PO-690-01 EPICARDIAL ADIPOSE TISSUE ABUNDANTLY EXPRESSES MYELOPEROXIDASE AND ACTIVATES ATRIAL FIBROBLASTS IN ATRIAL FIBRILLATION PATIENTS

Author

Meulendijks, Eva Rosanne, primary, Al-Shama, Rushd, additional, Kawasaki, Makiri, additional, van den berg, nicoline W.E., additional, Fabrizi, Benedetta, additional, Neefs, J., additional, Wesselink, Robin, additional, Baalman, Sarah W.E., additional, van Boven, Wim Jan, additional, Driessen, Antoine, additional, Jimenez, Connie, additional, Piersma, Sander, additional, Pham, Thang, additional, Niessen, Hans, additional, Krul, Sebastien P., additional, and de Groot, Joris R., additional

Published
2022
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16. El fracaso de la ablación por catéter de la fibrilación auricular se asocia con mayor remodelado y menos eficacia de una posterior ablación toracoscópica

Author

Wesselink, Robin, Vroomen, Mindy, Overeinder, Ingrid, Neefs, Jolien, van den Berg, Nicoline W. E., Meulendijks, Eva R., Piersma, Femke R., Al-Shama, Rushd F. M., de Vries, Tim A. C., Verstraelen, Tom E., Luermans, Justin, Maesen, Bart, de Asmundis, Carlo, Chierchia, Gian-Battista, la Meir, Mark, Pison, Laurent, van Boven, Wim Jan P., Driessen, Antoine H. G., de Groot, Joris R., and Cardio-thoracic surgery

Subjects
Cardiology and Cardiovascular Medicine
Abstract

Introduction and objectives: Recent observations suggest that patients with a previous failed catheter ablation have an increased risk of atrial fibrillation (AF) recurrence after subsequent thoracoscopic AF ablation. We assessed the risk of AF recurrence in patients with a previous failed catheter ablation undergoing thoracoscopic ablation. Methods: We included patients from 3 medical centers. To correct for potential heterogeneity, we performed propensity matching to compare AF freedom (freedom from any atrial tachyarrhythmia > 30 s during 1-year follow-up). Left atrial appendage tissue was analyzed for collagen distribution. Results: A total of 705 patients were included, and 183 had a previous failed catheter ablation. These patients had fewer risk factors for AF recurrence than ablation naïve controls: smaller indexed left atrial volume (40.9 ± 12.5 vs 43.0 ± 12.5 mL/m 2, P = .048), less congestive heart failure (1.5% vs 8.9%, P = .001), and less persistent AF (52.2% vs 60.3%, P = .067). However, AF history duration was longer in patients with a previous failed catheter ablation (6.5 [4-10.5] vs 4 [2-8] years; P < .001). In propensity matched analysis, patients with a failed catheter ablation were at a 68% higher AF recurrence risk (OR, 1.68; 95%CI, 1.20-2.15; P = .034). AF freedom was 61.1% in patients with a previous failed catheter ablation vs 72.5% in ablation naïve matched controls. On histology of the left atrial appendage (n = 198), patients with a failed catheter ablation had a higher density of collagen fibers. Conclusions: Patients with a prior failed catheter ablation had fewer risk factors for AF recurrence but more frequently had AF recurrence after thoracoscopic AF ablation than ablation naïve patients. This may in part be explained by more progressed, subclinical, atrial fibrosis formation.

Published
2022

17. Left atrial strain and recurrence of atrial fibrillation after thoracoscopic surgical ablation:a subanalysis of the AFACT study

Author

Baalman, Sarah W. E., van den Berg, Nicoline W. E., Neefs, Jolien, Berger, Wouter R., Meulendijks, Eva R., de Bruin-Bon, Rianne H. A. C. M., Bouma, Berto J., van Boven, Wim Jan P., Driessen, Antoine H. G., de Groot, Joris R., Cardiology, Graduate School, ACS - Heart failure & arrhythmias, ACS - Pulmonary hypertension & thrombosis, Cardiothoracic Surgery, and Cardio-thoracic surgery

Subjects
Male, Mechanical dispersion, Thoracoscopic surgical abation, Predictive Value of Tests, Pulmonary Veins, Atrial Fibrillation, Left atrial strain, Mini-maze, Humans, Female, Atrial Appendage, Heart Atria
Abstract

To assess transthoracic echocardiographic (TTE) left atrial (LA) strain parameters and their association with atrial fibrillation (AF) recurrence after thoracoscopic surgical ablation (SA) in patients in sinus rhythm (SR) or in AF at baseline. Patients participating in the Atrial Fibrillation Ablation and Autonomic Modulation via Thoracoscopic Surgery trial were included. All patients underwent thoracoscopic pulmonary vein isolation with LA appendage exclusion and were randomized to ganglion plexus (GP) or no GP ablation. In TTEs performed before surgery, LA strain and mechanical dispersion (MD) of the LA reservoir and conduit phase in all patients, and of the contraction phase in patients in SR were obtained. Recurrence of AF was defined as any documented atrial tachyarrhythmia lasting > 30 s during one year of follow-up. Two hundred and four patients (58.6 ± 7.8 years, 73% male, 57% persistent AF) were included. At baseline TTE 121 (59%) were in SR and 83 (41%) had AF. Patients with AF recurrence had lower LA strain of the reservoir phase (13.0% vs. 16.6%; p = p = 0.006), regardless of rhythm. MD of the conduit phase was larger in patients with AF recurrence (79.4 vs. 43.5 ms; p = 0.012). Multivariate cox regression analysis demonstrated solely an association between LA strain of the reservoir phase and AF recurrence in patients in SR (HR 0.95, p = 0.046) or with AF (HR 0.90, p = 0.038). A reduction in LA strain of the reservoir phase prior to SA predicts recurrence of AF in both patients with SR or AF. Left atrial strain assessment may therefore add to a better patient selection for SA.

Published
2022

19. Abstract 11973: Women Have Less Success of Thoracoscopic AF Ablation Than Men and Suffer More From Established Risk Factors

Author

Wesselink, Robin, primary, Mossink, Bente, additional, Meulendijks, Eva, additional, van den Berg, Nicoline, additional, Neefs, Jolien, additional, Kawasaki, Makiri, additional, Piersma, Femke, additional, Al-Shama, Rushd, additional, de Vries, Tim, additional, Fabrizi, Benedetta, additional, Driessen, Antoine, additional, van Boven, Wim Jan, additional, and de Groot, Joris R, additional

Published
2021
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23. Pleuropneumonectomy as Salvage Therapy in Children Suffering from Primary or Metastatic Sarcomas with Pleural Localizations

Author

Hameury, Frédéric, primary, Marec-Berard, Perrine, additional, Eymery, Mathilde, additional, Wijnen, Marc H. W., additional, van der Kaaij, Niels, additional, Mure, Pierre-Yves, additional, Tronc, François, additional, Chotel, Franck, additional, Libbrecht, Clara, additional, van Boven, Wim Jan P., additional, and Haveman, Lianne M., additional

Published
2021
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24. Pleuropneumonectomy as Salvage Therapy in Children Suffering from Primary or Metastatic Sarcomas with Pleural Localizations

Author

Zorgeenheid Kinderchirurgie Medisch, CTC, Circulatory Health, Hameury, Frédéric, Marec-Berard, Perrine, Eymery, Mathilde, Wijnen, Marc H W, van der Kaaij, Niels, Mure, Pierre-Yves, Tronc, François, Chotel, Franck, Libbrecht, Clara, van Boven, Wim Jan P, Haveman, Lianne M, Zorgeenheid Kinderchirurgie Medisch, CTC, Circulatory Health, Hameury, Frédéric, Marec-Berard, Perrine, Eymery, Mathilde, Wijnen, Marc H W, van der Kaaij, Niels, Mure, Pierre-Yves, Tronc, François, Chotel, Franck, Libbrecht, Clara, van Boven, Wim Jan P, and Haveman, Lianne M

Published
2021

25. Capillary Leukocytes, Microaggregates, and the Response to Hypoxemia in the Microcirculation of Coronavirus Disease 2019 Patients

Author

Favaron, Emanuele, primary, Ince, Can, additional, Hilty, Matthias P., additional, Ergin, Bülent, additional, van der Zee, Philip, additional, Uz, Zühre, additional, Wendel Garcia, Pedro D., additional, Hofmaenner, Daniel A., additional, Acevedo, Claudio T., additional, van Boven, Wim Jan, additional, Akin, Sakir, additional, Gommers, Diederik, additional, and Endeman, Henrik, additional

Published
2021
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33. Bringing third and second harmonic generation microscopy into the clinic for the assessment of fresh lung tissue

Author

Van Huizen, Laura M.G., Seinstra, Daniëlle, Dickhoff, Chris, Radonic, Teodora, Bahce, Idris, Van Mourik, Frank, Annema, Jouke T., Daniels, Johannes M.A., Van Boven, Wim Jan P., Groot, Marie Louise, Lilge, Lothar D., Philipp, Carsten M., Pulmonology, AII - Cancer immunology, AII - Inflammatory diseases, CCA - Imaging and biomarkers, Cardiothoracic Surgery, ACS - Heart failure & arrhythmias, Cardio-thoracic surgery, Pathology, Pulmonary medicine, Lilge, Lothar D., Philipp, Carsten M., LaserLaB - Biophotonics and Microscopy, Biophotonics and Medical Imaging, and Amsterdam Neuroscience - Brain Imaging

Subjects
Third harmonic generation microscopy, Frozen section procedure, Microscope, business.industry, Histology, Second Harmonic Generation Microscopy, law.invention, SDG 3 - Good Health and Well-being, law, Validation, Microscopy, Second harmonic generation microscopy, Medicine, Lung tumor, Lung surgery, business, Nuclear medicine, Lung tissue, Clinic
Abstract

Third and second harmonic generation (THG/SHG) microscopy is a novel imaging technique that has been suggested as a promising clinical tool, mainly for cancer diagnosis. Here, we test for the first time a compact, transportable ex-vivo THG/SHG microscope (Tritos Diagnostics B.V.) for clinical use. In lung surgery, immediate feedback on the nature of the excised tissue is important. We will present the first results of an ongoing study in which we image both lung tumor tissue immediately after excision and frozen section biopsies, and compare the images to the golden standard histology. Prior to this study, we performed a set of experiments collecting 3D images of mouse lung tissue to show that the combination of THG and SHG microscopy reveals key lung morphology components.

Published
2019

35. 'AF HeartTeam' guided indication for stand-alone thoracoscopic left atrial ablation and left atrial appendage closure

Author

Salzberg, Sacha P, Zerm, Thomas, Wyss, Christophe, Hürlimann, David, Reho, Ivano, Noll, Georg, Emmert, Maximilian Y, Corti, Roberto, Grünenfelder, Jürg, van Boven, Wim-Jan, Salzberg, Sacha P, Zerm, Thomas, Wyss, Christophe, Hürlimann, David, Reho, Ivano, Noll, Georg, Emmert, Maximilian Y, Corti, Roberto, Grünenfelder, Jürg, and van Boven, Wim-Jan

Abstract

Background:Traditional surgical treatment for patients with atrial fibrillation (AF) is performed via sternotomy and on cardiopulmonary bypass. It is very effective in regard to rhythm control, but remains unpopular due to its invasiveness. Truly endoscopic AF treatments have decreased the threshold for electrophysiologists (and cardiologists) to refer, and the reluctance of patients to accept a standalone surgical approach. Practice guidelines from around the world have recognized this as an acceptable therapeutic approach. Current guidelines recommend the HeartTeam approach in treating these complex AF cases. In this study we report our experience with AF HeartTeam approach for surgical stand-alone AF ablation. Methods: The AF HeartTeam Program began in 2013, patients qualified for inclusion if either of the following was present: failed catheter ablation and/or medication, not suitable for catheter ablation, contraindication to anticoagulation, or patients preferring such an approach. All patients with a complex AF history were assessed by the AF HeartTeam, from which 42 patients were deemed suitable for a totally endoscopic AF procedure (epicardial ablation and LAA closure). Endpoints were intraoperative bidirectional block of the pulmonary veins and closure of left atrial appendage confirmed by transesophageal echocardiography (TEE). Post discharge rhythm follow-up was performed after 3 and 12, 24 and 36 months. Anticoagulation was discontinued 6 weeks after the procedure in patients after documented LAA closure. Results: In total 42 patients underwent the endoscopic procedure (Median CHA2DS2-VASC=3 (1-6), HAS-BLED=2 (1-6)) for paroxysmal (15/42) and non-paroxysmal AF (27/42) respectively. Bidirectional block was obtained in all patients and complete LAA closure was obtained in all but one Patient on TEE (41/42). In one patient the LAA was not addressed due to extensive adhesions. Two patients underwent median sternotomy because of bleeding during the endoscopi

Published
2019

40. Thoracoscopic vs. catheter ablation for atrial fibrillation: long-term follow-up of the FAST randomized trial

Author

Castellá, Manuel, primary, Kotecha, Dipak, additional, van Laar, Charlotte, additional, Wintgens, Lisette, additional, Castillo, Yakir, additional, Kelder, Johannes, additional, Aragon, David, additional, Nuñez, María, additional, Sandoval, Elena, additional, Casellas, Aina, additional, Mont, Lluís, additional, van Boven, Wim Jan, additional, Boersma, Lucas V A, additional, and van Putte, Bart P, additional

Published
2019
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46. UNFRACTIONATED HEPARIN VERSUS LOW-MOLECULAR-WEIGHT HEPARIN ANTICOAGULANT BRIDGING IN LEFT-SIDED MECHANICAL HEART VALVE PATIENTS: THE HI-LOW STUDY

Author

Hart, Einar, primary, Meijs, Timion A., additional, Westerink, Jan, additional, Dessing, Thomas C., additional, Jansen, Rosemarijn, additional, Bouma, Berto, additional, Riezebos, Robert, additional, Tanis, Wilco, additional, van Boven, Wim Jan, additional, Hindori, Vikash, additional, Wiersma, Nynke, additional, and Chamuleau, Steven, additional

Published
2016
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