Journal of cardiac surgery · 2013
Stand alone surgical ablation for atrial fibrillation.
Сравнительное исследованиеСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
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История · было → стало
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Abo-Salem Elsayed, Paone Ralph F, Nugent Kenneth, Perez-Verdia Alejandro, Deshpande Alok, Amiri Hoda Mojazi
Аннотация
BACKGROUND: Trials to maintain sinus rhythm in patients with atrial fibrillation (AF) and refractory symptoms have been complicated by lack of success or intolerance of medications. Experience with minimally invasive AF surgery is relatively new, and early results have been promising. However, the study populations and techniques were heterogeneous, and the follow-up periods were short in many series.
METHODS: We present a single center experience through a retrospective review of medical records of patients who had minimally invasive AF surgery.
RESULTS: The surgical techniques addressed several possible mechanisms of AF and causes of recurrence, including pulmonary vein isolation, underlying substrates modification, ligament of Marshall interruption, ganglion plexus ablation, and left atrial appendage exclusion. Thirty-three cases were identified. The mean duration of follow-up was 23.2 months, and 58.6% were maintained in a sinus rhythm and were off antiarrhythmic drugs at the end of the follow-up period. Cases with persistent AF had a lower success rate.
CONCLUSION: Results with minimally invasive surgery are suboptimal at two years of follow-up, particularly for patients with persistent AF.
METHODS: We present a single center experience through a retrospective review of medical records of patients who had minimally invasive AF surgery.
RESULTS: The surgical techniques addressed several possible mechanisms of AF and causes of recurrence, including pulmonary vein isolation, underlying substrates modification, ligament of Marshall interruption, ganglion plexus ablation, and left atrial appendage exclusion. Thirty-three cases were identified. The mean duration of follow-up was 23.2 months, and 58.6% were maintained in a sinus rhythm and were off antiarrhythmic drugs at the end of the follow-up period. Cases with persistent AF had a lower success rate.
CONCLUSION: Results with minimally invasive surgery are suboptimal at two years of follow-up, particularly for patients with persistent AF.
Предметные рубрики MeSH
AgedAtrial AppendageAtrial FibrillationCatheter AblationCohort StudiesCombined Modality TherapyComorbidityElectrocardiographyFemaleFollow-Up StudiesHumansMaleMiddle AgedMinimally Invasive Surgical ProceduresPostoperative ComplicationsPulmonary VeinsRecurrenceReoperationRetrospective StudiesRisk FactorsSurgical StaplingVagus Nerve