Surgical Treatment of Atrial Fibrillation via Energy Ablation

Hazel, Susan J.; Paterson, Hugh S.; Edwards, James; Maddern, Guy

doi:10.1161/01.cir.0000156450.28185.8d

Cited by 11 publications

(5 citation statements)

References 42 publications

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“…In the current study, it was observed a slight increase in the AF recidivation rate after antiarrhythmic withdrawal after 6 months. Maybe it is adequate to establish the sinus rhythm and the atrial contractility before withdrawal the drugs [26]. It could be expected cases of atrial flutter due to not approaching the left atrium, but this arrhythmia was not noticed in the current study.…”

Section: Discussionmentioning

confidence: 68%

Tratamento cirúrgico da fibrilação atrial crônica com eletrocautério convencional em cirurgia valvar mitral

Júnior¹,

Pontes²,

Gomes³

et al. 2008

Rev Bras Cir Cardiovasc

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Results: The mean time of extracorporeal circulation was 52.5 ± 13.3 min; aortic clamping, 35.6 ± 12.9 min; atrial ablation, 3.05 ± 0.16 min. All the patients were free of atrial fibrillation after the procedure; on hospital discharge, 69.5%; at 6 months, 91.3%; at 12 months, 76.4%; at 18 months, and at 24 months, 68.4%. At 12 months, left atrium mean diameter was 42.1 ± 3.5 mm; left ventricular ejection fraction was 59.2 ± 3.48%; In addition, left atrial contractility was present in 68.8% of the patients. 366GOMES JÚNIOR, JF ET AL -Surgical treatment of chronic atrial fibrillation with conventional electrocautery in mitral valve surgery Bras Cir Cardiovasc 2008; 23(3): 365-371 Rev

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Section: Discussionmentioning

confidence: 68%

Tratamento cirúrgico da fibrilação atrial crônica com eletrocautério convencional em cirurgia valvar mitral

Júnior¹,

Pontes²,

Gomes³

et al. 2008

Rev Bras Cir Cardiovasc

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“…The Australian Safety and Efficacy Register of New Interventional Procedures – Surgical (ASERNIP‐S) is the only health technology assessment group in the world that focuses on surgical procedures. During the 10 years since its inception, this group has developed a strong international profile through the production of more than 60 reports on evidence‐based surgery 1–62 , surgical technologies and audit. In addition ASERNIP‐S has pioneered the introduction of national audits into the surgical community.…”

Section: Overviewmentioning

confidence: 99%

Asernip‐s: International Trend Setting

Maddern

Boult

Ahern

et al. 2008

ANZ Journal of Surgery

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The Australian Safety and Efficacy Register of New Interventional Procedures--Surgical (ASERNIP-S) came into being 10 years ago to provide health technology assessments specifically tailored towards new surgical techniques and technologies. It was and remains the only organisation in the world to focus on this area of research. Most funding has been provided by the Australian Government Department of Health, and assessments have helped inform the introduction of new surgical techniques into Australia. ASERNIP-S is a project of the Royal Australasian College of Surgeons. The ASERNIP-S program employs a diverse range of methods including systematic reviews, technology overviews, assessments of new and emerging surgical technologies identified by horizon scanning, and audit. Support and guidance for the program is provided by Fellows of the Royal Australasian College of Surgeons. ASERNIP-S works closely with consumers to produce health technology assessments and audits, as well as consumer information to keep patients fully informed of research. Since its inception, the ASERNIP-S program has developed a strong international profile through the production of over 60 reports on evidence-based surgery, surgical technologies and audit. The work undertaken by ASERNIP-S has evolved from assessments of the safety and efficacy of procedures to include guidance on policies and surgical training programs. ASERNIP-S needs to secure funding so that it can continue to play an integral role in the improvement of quality of care both in Australia and internationally.

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“…Major complications secondary to left atrial RFA have been reported in 2% to 6% of cases, but esophageal injury has been rarely reported. 1,3 Severe esophageal strictures owing to thermal injury may develop, causing significant morbidity and mortality. 1,3 Understanding the variable clinical presentations, endoscopic findings, and the nature of deep tissue injury is crucial in the management of such cases.…”

mentioning

confidence: 99%

“…1,3 Severe esophageal strictures owing to thermal injury may develop, causing significant morbidity and mortality. 1,3 Understanding the variable clinical presentations, endoscopic findings, and the nature of deep tissue injury is crucial in the management of such cases. This case is considered a class III thermal injury based on a previously proposed classification (long ulceration 14 cm with necrosis and vascular involvement compromising tissue blood flow).…”

mentioning

confidence: 99%

“…2 The esophagus is vulnerable to such injury owing to its anatomic location. [1][2][3] Serial chest imaging and early referral to cardiothoracic surgery can prevent devastating consequences, like atrio-esophageal fistula (up to 93%) or esophageal perforation. 2,3 This patient's challenging clinical course exemplifies the need for a high index of suspicion and increased awareness of this elusive diagnosis.…”

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confidence: 99%

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Severe Esophageal Dysphagia, Weight Loss, and Atrial Fibrillation: A Devastating Outcome

2017

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Question: A 63-year-old man with a history of ischemic heart disease and atrial fibrillation presented with new-onset esophageal dysphagia to solids. One week prior he underwent coronary artery bypass surgery and left atrial radiofrequency ablation (RFA) for atrial fibrillation. He was first evaluated by a gastroenterologist from an outside facility. Barium swallow showed smooth tapering elongated stenosis of the mid esophagus with proximal esophageal dilatation (Figure A). He underwent an esophagogastroduodenoscopy (EGD) and was treated for presumed severe Candida esophagitis, even though esophageal brushings and histopathologic assessment were not diagnostic. He had no improvement in his symptoms despite taking omeprazole and fluconazole for 3 weeks. He had debilitating progressive dysphagia and malnutrition due to decreased oral intake. He lost 22 kg during the following 5 months. He was referred for a second opinion and repeat EGD showed severe esophageal stenosis, severe mucosal inflammation, and ulcerations with white exudate (Figure B, C). The stenotic esophageal segment measured 14 cm in length and 6 mm in inner diameter. Biopsies showed necroinflammatory material with granulation tissue (Figures D, E). What is the diagnosis? What is the next step in the management?

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Surgical Treatment of Atrial Fibrillation via Energy Ablation

Cited by 11 publications

References 42 publications

Tratamento cirúrgico da fibrilação atrial crônica com eletrocautério convencional em cirurgia valvar mitral

Tratamento cirúrgico da fibrilação atrial crônica com eletrocautério convencional em cirurgia valvar mitral

Asernip‐s: International Trend Setting

Severe Esophageal Dysphagia, Weight Loss, and Atrial Fibrillation: A Devastating Outcome

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