Surgical treatment of isolated (lone) atrial fibrillation with Gemini-S Ablation and Left Atrial Appendage Excision (GALAXY procedure)

Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery
John R Doty, Stephen E Clayson

Abstract

Surgical ablation with radiofrequency is a safe and effective treatment for atrial fibrillation. Recent advances in instrumentation have allowed for the application of bipolar radiofrequency through a minimally invasive approach using small bilateral thoracotomies for pulmonary vein isolation, destruction of autonomic ganglia, and excision of the left atrial appendage (GALAXY procedure). Thirty-two patients underwent surgical ablation of atrial fibrillation with the GALAXY procedure over a 43-month period. Data were collected in a prospective manner during hospitalization and at 1-, 3-, 6-, and 12-month intervals for rhythm, medications, and subsequent interventions. There were no operative mortality, no myocardial infarction, and no stroke. One patient required reexploration for bleeding. Mean follow-up was 28 months (range, 4-43 months). Freedom from atrial fibrillation at 12 and 24 months, respectively, was 90% and 67% for patients with paroxysmal fibrillation and 80% and 63% for patients with persistent atrial fibrillation. Of the patients who were not in sinus rhythm, four reverted to atrial fibrillation and two reverted to atrial flutter. The GALAXY procedure is a safe and effective, minimally invasive method for treatmen...Continue Reading

References

Aug 1, 1995·The Journal of Thoracic and Cardiovascular Surgery·J L CoxD G Lappas
Apr 4, 2000·Seminars in Thoracic and Cardiovascular Surgery·J M ArcidiR C Millar
Jul 11, 2002·Journal of Cardiovascular Electrophysiology·Tsu-Juey WuPeng-Sheng Chen
Dec 23, 2003·The Journal of Thoracic and Cardiovascular Surgery·Sunil M PrasadRalph J Damiano
Nov 3, 2004·Circulation·Jayakumar SahadevanAlbert L Waldo
Jul 26, 2006·The Annals of Thoracic Surgery·A Marc GillinovAndrea Natale
Jan 30, 2007·The Annals of Thoracic Surgery·John R MehallRandall K Wolf
Mar 27, 2007·The Journal of Thoracic and Cardiovascular Surgery·John R DotyRoger C Millar
Aug 12, 2008·The Journal of Thoracic and Cardiovascular Surgery·A YilmazW J Van Boven
Oct 29, 2008·The Journal of Thoracic and Cardiovascular Surgery·Yosuke IshiiKazuo Shimizu
Nov 22, 2008·The Annals of Thoracic Surgery·John SirakMichael Firstenberg
Dec 4, 2008·The Annals of Thoracic Surgery·Nicolas DollFriedrich-Wilhelm Mohr
Mar 5, 2009·The Journal of Thoracic and Cardiovascular Surgery·Erik BeyerBuu-Khanh Lam
Apr 22, 2009·The Journal of Thoracic and Cardiovascular Surgery·Louise BaggeCarina Blomström-Lundqvist
Jun 13, 2009·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Stefan LönnerholmCarina Blomström-Lundqvist
Jul 7, 2009·The Journal of Thoracic and Cardiovascular Surgery·James R EdgertonMichael J Mack

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Citations

Apr 19, 2013·Herzschrittmachertherapie & Elektrophysiologie·Timo WeimarNicolas Doll
Feb 2, 2016·Journal of the Mechanical Behavior of Biomedical Materials·Claudio A BustosDiego J Celentano
Jul 26, 2014·Journal of Cardiac Surgery·Marek PojarJan Harrer
Jan 9, 2015·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Hyung Gon JeNiv Ad
Sep 25, 2016·Interactive Cardiovascular and Thoracic Surgery·Charlotte van LaarBart P van Putte
Feb 13, 2019·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·Charles M PearmanDhiraj Gupta
Dec 20, 2019·Angiologii︠a︡ i sosudistai︠a︡ khirurgii︠a︡ = Angiology and vascular surgery·S A VachevR I Khabazov

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