Intraoperative Radiomaze for Atrial Fibrillation Patients Undergoing Heart Surgery: Which Acute and Long Term Results?

Venturini, A; Asta, Angiolino; Milardi, Domenico; Moretti, Roberto; Polesel, Elvio; Rigo, F.; Corrado, Andrea; Zussa, Claudio

doi:10.1007/978-88-470-2103-7_74

Cited by 1 publication

(1 citation statement)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…6,15 After the first two iterations of the Cox-Maze procedure, the Cox-Maze III was first performed in 1988 and became the standard surgical treatment of AF for more than a decade. 7,9 Recently, various energy sources have been used to create ablation lines to replace the surgical incisions of the procedure including unipolar radiofrequency, microwave, laser, high frequency ultrasound, and cryoablation [16][17][18][19][20][21][22][23] . At our institution, this technology led to the development of the Cox-Maze IV, which was first performed in 2002.…”

Section: Introductionmentioning

confidence: 99%

Normal Quality of Life after the Cox-Maze Procedure for Atrial Fibrillation

Melby

Zierer

Lubahn

et al. 2008

Innovations�(Phila)

View full text Add to dashboard Cite

Objective Atrial fibrillation (AF) has been shown in numerous studies to significantly decrease patient's quality of life. The Cox-Maze procedure has excellent long-term efficacy in curing AF. However, it is unknown whether this procedure improves long-term quality of life in these patients. The purpose of this study was to examine late quality of life in patients who underwent a lone Cox-Maze procedure. Methods Between 1987 and 2003, 163 patients underwent a Cox-Maze procedure for lone AF at our institution. Of these, 68 patients agreed and completed the Medical Outcomes Study Short Form 36 Health Survey. Scores from the age-matched general U.S. population were normalized to a mean of 50 and standard deviation of 10 to facilitate comparison. Collected data were compared with the norm-based score for each domain using a one-sample t test. Four patients were removed from the analysis because of AF recurrence. Results There were 52 males (81%). Mean age was 52.6 ± 9.5 years. Preoperatively, 37 patients (58%) had paroxysmal and 25 patients (39%) had persistent or permanent AF. The mean duration of AF before surgery was 9.8 ± 8.2 years. There was no statistical difference in norm-based scores between the Cox-Maze procedure group and the age-matched general U.S. population in any of the eight health domains at a mean follow-up of 8.7 ± 3.7 years. Conclusion Our results suggest that the Cox-Maze procedure cures AF in the majority of patients, and that those patients who are cured had a normal quality of life when compared with the general population at late follow-up.

show abstract