Outcomes of Surgical Atrial Fibrillation Ablation: The Port Access Approach vs. Median Sternotomy.

The Korean Journal of Thoracic and Cardiovascular Surgery
Won Kyoun ParkCheol Hyun Chung

Abstract

The aim of this study is to evaluate the clinical and rhythm outcomes of atrial fibrillation (AF) ablation through a port access approach compared with sternotomy in patients with AF associated with mitral valve diseases. From February 2006 through December 2009, 135 patients underwent biatrial AF ablation with a mitral operation via either a port-access approach (n=78, minimally invasive cardiac surgery [MICS] group) or a conventional sternotomy (n=57, sternotomy group). To adjust for the differences in the two groups' baseline characteristics, a propensity score analysis was performed. After adjustment, there were no significant differences in the two groups' baseline profiles. The cardiopulmonary bypass time was significantly longer (p=0.045) in the MICS group (176.0±49.5 minutes) than the sternotomy group (150.0±51.9 minutes). There were no significant differences (p=0.31) in the two groups' rate of reoperation for bleeding (MICS=6 vs. sternotomy= 2, p=0.47) or the requirement for permanent pacing (MICS=1 vs. sternotomy=3). The major event-free survival rates at two years were 87.4±8.1% in the MICS group and 89.6±5.8% in the sternotomy group (p=0.92). Freedom from late AF at 2 years was 86.8±6.2% in the MICS group and 85.0±...Continue Reading

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Citations

Jun 9, 2017·The Korean Journal of Thoracic and Cardiovascular Surgery·Ja Hong KuhJong Bum Choi
Jul 7, 2017·Singapore Medical Journal·Theo KofidisChuen Neng Lee
Sep 11, 2014·The Korean Journal of Thoracic and Cardiovascular Surgery·Jong Bum ChoiByong Ki Cha

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Methods Mentioned

BETA
coronary artery bypass

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