ROK Procedure for the Treatment of Atrial Fibrillation

This clinical video provides a detailed, step-by-step overview of the robotic-assisted convergent (ROK AF) procedure for the treatment of atrial fibrillation. The technique combines minimally invasive epicardial ablation with endocardial catheter-based ablation to achieve durable rhythm control, particularly in patients with persistent or long-standing persistent atrial fibrillation. This how-to video is designed to serve as a practical guide for cardiothoracic surgeons and trainees seeking to incorporate robotic techniques into hybrid atrial fibrillation management. Tips, pitfalls, and workflow optimizations are included to enhance procedural efficiency and reproducibility. 

This video is the second-place winner of the CTSNet Instructional Video Competition. Stay tuned to CTSNet.org and the CTSNet YouTube channel in the coming weeks to watch all entries from the competition, including the first and third place winners. 


References

  1. Khalpey Z, Kumar U, Aslam U, Krauthammer Y, Doshi R. Revolutionizing Atrial Fibrillation Treatment: The Robotic Convergent Plus Procedure. Cureus. 2024 Apr 8;16(4):e57835. 

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CITATION

Khalpey Z. ROK Procedure for the Treatment of Atrial Fibrillation. May 2026. doi:10.25373/ctsnet.32337291

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