Intraoperative endocardial microwave ablation for treatment of permanent atrial fibrillation during coronary artery bypass surgery: 1-year follow-up

Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology
Michael KnautKlaus Matschke

Abstract

Operative treatment of atrial fibrillation was initially performed as a maze operation in combination with mitral valve surgery or as a stand-alone procedure. The introduction of simplified ablation procedures led to the extension of operative atrial fibrillation treatment. In 102 consecutive patients, endocardial microwave ablation was performed during coronary artery bypass surgery alone (n = 42) or in combination with valve surgery (n = 60). Patients were divided according to lesion line concept (the initial single lesion line concept connecting the pulmonary veins with the mitral valve annulus was replaced by a box lesion line concept including the left atrial appendage) and the complexity of the procedure. Patients were followed prospectively at 1, 3, 6, and 12 months post-operatively. Survival rate was 95.8% at 30 days and 88.5% after 1 year. There were no device-related complications. At all follow-ups, approximately 10% more of the patients with the first lesion line concept and coronary bypass operation alone showed stable sinus rhythm in contrast to the combination procedures. With the new lesion line concept, patients were significantly more often in sinus rhythm at 1-year follow-up (74% vs. 52%; P = 0.0026). Our res...Continue Reading

References

Apr 29, 1982·The New England Journal of Medicine·W B KannelP M McNamara
Aug 1, 1995·The Journal of Thoracic and Cardiovascular Surgery·J L CoxD G Lappas
Feb 24, 1998·Archives of Internal Medicine·P A WolfR B D'Agostino
Aug 4, 1999·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·J MeloT Ramos
Oct 3, 1999·The Journal of Thoracic and Cardiovascular Surgery·N HandaM Enriquez-Sarano
Oct 16, 1999·The Thoracic and Cardiovascular Surgeon·S G SpitzerS Schüler
Aug 2, 2001·The Journal of Thoracic and Cardiovascular Surgery·H T SieH J Wellens
May 23, 2002·The Journal of Thoracic and Cardiovascular Surgery·Friedrich W MohrGerd Hindricks
Mar 14, 2003·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·S LévyUNKNOWN Working Group on Arrhythmias, Working Group on Cardiac Pacing of the European Society of Cardiology, North American Society
Sep 23, 2003·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·A SchuetzS M Wildhirt
Dec 23, 2003·The Journal of Thoracic and Cardiovascular Surgery·Ralph J DamianoRichard P Schuessler
Apr 28, 2004·The Annals of Thoracic Surgery·Mohammed A QuaderEugene H Blackstone
May 13, 2004·The Heart Surgery Forum·A Marc GillinovDelos M Cosgrove
Jun 3, 2004·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Andrew R J Mitchell, Neil Sulke
Sep 29, 2004·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Michael KnautKlaus Matschke

❮ Previous
Next ❯

Citations

Feb 5, 2008·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Ralph J Damiano, Rochus K Voeller
Aug 21, 2013·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Joel DunningUNKNOWN EACTS Clinical Guidelines Committee
Apr 12, 2012·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Nikolaos FragakisDemosthenes G Katritsis
Apr 19, 2012·Interactive Cardiovascular and Thoracic Surgery·David Robert Walker MacDonaldMyura Nagendran
Aug 31, 2011·Cardiology Research and Practice·Sonia RasoliAntonios Kourliouros
Jun 24, 2008·Scandinavian Cardiovascular Journal : SCJ·Anders AhlssonAnders Englund
Jul 31, 2007·Journal of Cardiac Surgery·Herko GrubitzschWolfgang Konertz
Jul 13, 2011·Cardiology Research and Practice·Leanne HarlingAntonios Kourliouros
Dec 6, 2018·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Ali J KhiabaniRalph J Damiano

❮ Previous
Next ❯

Related Concepts

Related Feeds

Atrial Filbrillation

Atrial fibrillation refers to the abnormal heart rhythm characterized by rapid and irregular beating of the atria. Here is the latest research.

Atrial Fibrillation

Atrial fibrillation is a common arrhythmia that is associated with substantial morbidity and mortality, particularly due to stroke and thromboembolism. Here is the latest research.

Arrhythmia

Arrhythmias are abnormalities in heart rhythms, which can be either too fast or too slow. They can result from abnormalities of the initiation of an impulse or impulse conduction or a combination of both. Here is the latest research on arrhythmias.