1999
DOI: 10.1055/s-2007-1013205 View full text |Buy / Rent full text
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Abstract: Concomitant microwave ablation for curative treatment of atrial fibrillation (AF) was performed in 18 patients with history of chronic atrial fibrillation and indication for open heart surgery, 11 patients with mitral valve replacement and 7 patients with coronary artery bypass grafting. There were no perioperative complications. During the postoperative period most of the patients had intermittent AF, they received low dose Sotalol therapy and electric cardioversions. Up to now seven patients have reached fol… Show more

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“…[11][12][13][14][15][16][17] Although variable success has been reported, insight into the mechanism of benefit has been sparse. This study demonstrated that the surgically isolated …”
Section: Main Findingsmentioning
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“…[11][12][13][14][15][16][17] Although variable success has been reported, insight into the mechanism of benefit has been sparse. This study demonstrated that the surgically isolated …”
Section: Main Findingsmentioning
“…A number of surgical procedures have been proposed. Linear lesions are placed in the LA to eliminate "anchors" of reentry [11][12][13] or electrically isolate the pulmonary veins together or as pairs. 14 -17 The rationale for each lesion set is not clear.…”
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“…Over the past decade, alternative energy sources have been used to replace the incisions of the CMP. These have included radiofrequency energy, laser, cryoablation, microwave, and high frequency ultrasound 2-5 . While simpler and less invasive than the CMP, these ablation-based procedures often still involved cardiopulmonary bypass.…”
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“…Still, the time consumed is much less than it would take with the cut and sew technique (21, 28). Positive studies using microwave by a completely epicardial approach have shown success rates similar to those achieved with cryoablation (21, 22, 32). Although the endocardial approach is theoretically more effective, the disadvantages of this approach can include the necessitation of cross clamping and the inability to allow electrophysiological conduction block confirmation prior to aortic cross-clamp release and to CPB weaning.…”
Section: Discussionmentioning