Minimally invasive surgical ablation of atrial fibrillation: the thoracoscopic box lesion approach

Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing
J Crayton PruittGeorge Ebra

Abstract

Atrial fibrillation is the most common cardiac rhythm disturbance and is associated with increased morbidity and mortality. It is often found in association with structural heart disease; however, lone atrial fibrillation is not uncommon. Potentially, these patients are ideal candidates for a minimally invasive thoracoscopic approach for the surgical treatment of atrial fibrillation. From August 2003 through February 2006, 100 drug-resistant symptomatic patients with lone atrial fibrillation underwent thoracoscopic off-pump closed-chest epicardial ablation using the FLEX 10 AFx Microwave Ablation System (Guidant, Indianapolis, IN, USA). There were 66 men (66.0%) and 34 women (34.0%), with a mean age of 60.9 +/- 9.8 (range 37-81) years. Mean duration of atrial fibrillation was 72.4 +/- 79.5 (range 6-480) months. Sixty-four patients (64.0% had paroxysmal, 11 (11.0%) had persistent and 25 (25.0%) had permanent atrial fibrillation. There were no hospital deaths. Postoperative in-hospital complications were minimal. Mean postoperative length of stay was 3.4 +/- 1.7 days. Cumulative follow-up was 2,106.3 (mean 23.1) patient months, with a maximum follow-up of 39.8 months. There were three late deaths (3.0%). In nine patients (9.0%), ...Continue Reading

References

Dec 1, 1996·Journal of Cardiovascular Electrophysiology·Michel HaïssaguerreJacques Clémenty
Mar 28, 2006·The Annals of Thoracic Surgery·J Crayton PruittGeorge Ebra
Jul 26, 2006·The Annals of Thoracic Surgery·A Marc GillinovAndrea Natale
Feb 20, 2007·The Annals of Thoracic Surgery·Richard J SheminWorkforce on Evidence-Based Surgery of the Society of Thoracic Surgeons

Citations

Feb 9, 2010·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·Ralph J Damiano
Jul 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·Mark La MeirJos G Maessen
Jan 1, 2009·Multimedia Manual of Cardiothoracic Surgery : MMCTS·Matthias Bauer, Roland Hetzer
Aug 24, 2010·Vascular Health and Risk Management·Carlo Nicola De CeccoStefano Fedeli
Mar 20, 2010·The Open Biomedical Engineering Journal·Ana González SuárezEnrique J Berjano
Jun 2, 2011·Future Cardiology·Alexander IribarneMichael Argenziano
Aug 31, 2011·Cardiology Research and Practice·Sonia RasoliAntonios Kourliouros
Jan 22, 2014·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Ana C Pinho-GomesAdelino F Leite-Moreira
Aug 10, 2011·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Jonathan P Piccini, James P Daubert
Dec 6, 2008·Surgical Endoscopy·Francisco M Sánchez-MargalloJesús Usón
Dec 23, 2015·Netherlands Heart Journal : Monthly Journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation·M G CompierA Tjon
Mar 13, 2013·The Journal of Thoracic and Cardiovascular Surgery·Leonid SternikEhud Raanani
Feb 19, 2011·The Canadian Journal of Cardiology·Pierre Pagé, CCS Atrial Fibrillation Guidelines Committee
Dec 1, 2009·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Zachary J Edgerton, James R Edgerton
Mar 5, 2009·The Journal of Thoracic and Cardiovascular Surgery·Erik BeyerBuu-Khanh Lam
Dec 30, 2008·Cardiology Clinics·Adam E Saltman, A Marc Gillinov
Aug 5, 2008·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Saman NazarianHenry R Halperin
Aug 19, 2014·Cardiovascular Therapeutics·Iñaki RomeroCharalampos Kriatselis
Mar 3, 2015·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Mohammad MoslemiFarid Gharagozloo
Jul 26, 2014·Journal of Cardiac Surgery·Marek PojarJan Harrer
Jun 16, 2015·Journal of Cardiovascular Electrophysiology·Elsayed Abo-SalemKenneth M Nugent
May 6, 2014·The Canadian Journal of Cardiology·Hadi Daood ToegBuu-Khanh Lam
Feb 18, 2015·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Maurice OudemanShirin Lalezari
Jun 6, 2012·ISRN Cardiology·Yoshitsugu NakamuraMichael W A Chu
Nov 26, 2011·The Annals of Thoracic Surgery·Berhane WorkuMichael Argenziano
Jan 9, 2015·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Hyung Gon JeN Ad
Nov 14, 2014·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Kevin PhanTristan D Yan
Jul 4, 2015·Multimedia Manual of Cardiothoracic Surgery : MMCTS·Vinay Badhwar
Oct 23, 2014·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·Kevin PhanTristan D Yan
Jul 13, 2011·Cardiology Research and Practice·Leanne HarlingAntonios Kourliouros
Jul 28, 2009·Nature Reviews. Cardiology·Richard LeePatrick M McCarthy
Dec 24, 2011·Journal of Cardiovascular Medicine·James R Edgerton
Jan 1, 2015·The Korean Journal of Thoracic and Cardiovascular Surgery·Kyung-Hwan Kim
May 22, 2008·Journal of Surgical Oncology·Shamly V Dhiman, William B Inabnet
Jul 28, 2011·The Laryngoscope·Peter D RadfordGhassan Alusi
Jul 4, 2012·Proceedings·Zachary J Edgerton, James R Edgerton
Feb 11, 2011·São Paulo Medical Journal = Revista Paulista De Medicina·Shi-Min YuanLeonid Sternik
Apr 25, 2021·The Journal of Thoracic and Cardiovascular Surgery·Leonid Sternik
Jun 3, 2021·Circulation Journal : Official Journal of the Japanese Circulation Society·Akihiko NogamiJCS/JHRS Joint Working Group

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