Early and Late Results of Permanent Atrial Fibrillation Ablation Surgery in Aortic Valve and CABG Patients
| العنوان: | Early and Late Results of Permanent Atrial Fibrillation Ablation Surgery in Aortic Valve and CABG Patients |
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| المؤلفون: | S. Boczor, S Geidel, KH Kuck, H. Aslan, M. Lass, J. Ostermeyer, Korff Krause, M. Betzold |
| المصدر: | The Thoracic and Cardiovascular Surgeon. 56:386-390 |
| بيانات النشر: | Georg Thieme Verlag KG, 2008. |
| سنة النشر: | 2008 |
| مصطلحات موضوعية: | Male, Pulmonary and Respiratory Medicine, Aortic valve, medicine.medical_specialty, Time Factors, Radiofrequency ablation, medicine.medical_treatment, Heart Valve Diseases, Coronary Artery Disease, law.invention, Recurrence, law, Internal medicine, Atrial Fibrillation, medicine, Humans, Sinus rhythm, Prospective Studies, Coronary Artery Bypass, Aged, Aged, 80 and over, business.industry, Atrial fibrillation, Recovery of Function, Middle Aged, medicine.disease, Ablation, Late results, Surgery, Treatment Outcome, medicine.anatomical_structure, Aortic Valve, Concomitant, Catheter Ablation, Cardiology, Female, Cardiology and Cardiovascular Medicine, business, Artery |
| الوصف: | OBJECTIVE: The study investigates the early and late results of permanent atrial fibrillation (AF) ablation surgery concomitant to coronary artery bypass grafting (CABG) and/or aortic valve (AV) surgery. METHODS: Between February 2001 and April 2006, a selective group of 80 patients with permanent AF (median: 48 months [Perc 25/75 24/110; range: 6 - 360 months]) underwent either bipolar (n = 60) or monopolar (n = 20) radiofrequency (RF) ablation procedures concomitant to CABG and/or AV surgery (CABG: n = 39; AV: n = 30; AV + CABG: n = 11). All patients were restudied to assess survival, conversion rate to stable sinus rhythm (SR) and New York Heart Association (NYHA) class early (3 ± 1 months) and late after surgery (30 ± 15 months). Data were analyzed exploratively. RESULTS: Survival at 3 and 30 months was 98 % and 96 %, respectively. Stable SR could be documented in 73 % and 77 % of patients. Long-term AF before surgery and larger LA size were predictive for AF return after surgery ( P = 0.004 and P = 0.032, respectively). Neither age, gender, the application modus of the RF energy nor the underlying cardiac disease influenced the postoperative cardiac rhythm significantly. NYHA class improved significantly after surgery ( P < 0.0005), particularly when stable SR was achieved ( P = 0.049). CONCLUSION: Preoperative permanent AF duration time and larger LA size are useful variables to predict the success rate of concomitant ablation surgery in CABG and/or AV patients. Further it could be demonstrated that established SR remained stable over time. |
| تدمد: | 1439-1902 0171-6425 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::abbba9e818c3e9ec7645d3b614d0d33c https://doi.org/10.1055/s-2008-1038783 |
| رقم الأكسشن: | edsair.doi.dedup.....abbba9e818c3e9ec7645d3b614d0d33c |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14391902 01716425 |
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