Convergent Procedure

Posted by allen4501 @allen4501, Oct 12 5:50am

After 2 ablations, 5 cardioversions and a final and failed attempt of using Tikosyn, my EP has asked if I would consider this new hybrid approach towards treating a-fib. It is becoming increasingly accepted at numerous hospitals with very positive results. However, Mayo has been taking a conservative approach towards using, which I understand and appreciate.

The procedure is in two phases and termed "convergent" in doing so. The first is conducted by a cardiothoracic surgeon performing a minimally invasive epicardial ablation using a radiofrequency catheter on the outside of the heart. The second is the traditional internal version conducted by the EP. Plenty of articles and videos are out there for the details on the mechanics of why this is working and how performed. From all my research, it does make sense, especially for my persistent version. Given this, and my comfort level with Mayo, I've elected to proceed. Hopefully, I will have all this completed by the end of the year and will keep you posted.

@allen4501, this is a great discussion to start as I don't think many members have discussed the convergent/hybrid procedure.

That is a lot of surgeries to undergo. When you say Mayo is taking a conservative approach, what all does that entail?

I read this article a while back that includes that.
Did the doctor say that this would be the last surgery you would need if they did this?


Hi Amanda,

When mentioning "conservative": my understanding of how Mayo approaches any procedure or treatment is to take recognized and proven methods. These are constantly being updated or improved upon by Mayo and other institutions, and when realizing they are beneficial, they are finally adopted. While cardiac ablation is well-established, epicardial ablation has evolved from the surgical Maze procedure of making incisions on the exterior of the atrial chamber to now using a radiofrequency catheter to scar the tissue instead. This has been perfected to the stage where Mayo feels it, in combination with the traditional internal version, is a superior method to treating afib, at least for persistent patients like me.

Will it be my last? I can only hope so! But there are no guarantees, as we know these erratic electrical signals can pop up at anytime and from anywhere…


I wish you well on your procedure. Please keep us posted on how it goes. I am sure there are others who would consider this as an option. It is difficult when trying to solve a problem like and nothing seems to work for very long. Will keep you in my thoughts and prayers.

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