Video-assisted minimally invasive surgery for lone atrial fibrillation: A clinical report of 81 cases

Cui, Yongqiang; Li, Yan; Gao, Feng; Xu, Chengcheng; Han, Jie; Zeng, Wen; Zeng, Yaping; Gurbanov, Emin; Xu, Meng

doi:10.1016/j.jtcvs.2009.04.029

Cited by 25 publications

(18 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In a study involving patients who underwent video-assisted pulmonary vein isolation using a bipolar radiofrequency ablation system, 72.5% of the patients were found to have recovered normal sinus rhythm postoperatively [10]. However, in the cited study, only 40% of the patients with long-standing AF had a normal sinus rhythm at discharge.…”

Section: Discussionmentioning

confidence: 99%

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

Park

Lee

Kim

et al. 2012

Korean J Thorac Cardiovasc Surg

View full text Add to dashboard Cite

BackgroundThe 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.Materials and MethodsFrom 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.ResultsAfter 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±6.9% in the sternotomy group (p=0.86).ConclusionBoth the port-access approach and sternotomy showed tolerable clinical outcomes following biatrial AF ablation with mitral valve surgery.

show abstract

Section: Discussionmentioning

confidence: 99%

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

Park

Lee

Kim

et al. 2012

Korean J Thorac Cardiovasc Surg

View full text Add to dashboard Cite

show abstract

“…The development of a minimally invasive, thoracoscopic SA technique renewed interest in SA with encouraging data in non-paroxysmal AF. 5,6 To date there has been no direct comparison between the outcomes of thoracoscopic SA versus CA in de-novo LSPAF patients. We hypothesised that thoracoscopic SA would confer superior outcomes compared with CA in LSPAF.…”

Section: Introductionmentioning

confidence: 99%

Catheter ablation vs electrophysiologically guided thoracoscopic surgical ablation in long-standing persistent atrial fibrillation: The CASA-AF Study

et al. 2017

View full text Add to dashboard Cite

“…The available data, though limited, about LAMF after stand‐alone STAF suggest that preserved LAMF in the majority of cases is due to the reversal of electromechanical remodeling associated with maintained sinus rhythm . In a study of 104 patients undergoing STAF, LAMF was preserved in 99% of patients with persistent sinus rhythm in the form of an “A” wave in echocardiography at the end of follow‐up (17 months) …”

Section: Recovery Of Left Atrial Mechanical Functionmentioning

confidence: 99%

“…The success rate may be lower with CMP III compared to CMPIV procedures, but there are no randomized trials comparing the 2 operations. Different surgical techniques with less extensive lesion sets have evolved into minimally invasive approaches that can be performed off pump through smaller incisions or thoracoscopically in selected cases without the need for concomitant open heart surgery (stand‐alone minimally invasive STAF, mini‐maze) …”

Section: Types Of Surgical Interventions In Afmentioning

confidence: 99%

Surgical Treatment of Atrial Fibrillation

Abo-Salem

Lockwood

Boersma

et al. 2015

Cardiovasc electrophysiol

View full text Add to dashboard Cite

Atrial fibrillation (AF) is the most common chronic arrhythmia in the adult population. Ablation lines have largely replaced the historical and challenging cut and sew techniques. Surgical ablation of AF is commonly performed in cases with other indications for cardiac surgery and less commonly as a stand-alone therapy. Pulmonary vein isolation is the cornerstone of this procedure. Extended left atrial ablation lines may increase efficacy in cases with longstanding persistent or permanent AF. Additional efficacy by adding right atrial ablation is controversial but is often performed in cases undergoing right atrial or atrial septal surgery. Left atrial volume reduction is recommended in cases with large left atria and AF undergoing another cardiac surgery. Arrhythmia recurrence is not uncommon after surgical ablation of AF and varies among studies due to heterogeneity in patient population, lesion set and endpoints. Freedom from AF recurrence was 65-87% at 12 months and 58-70% at 2 years follow-up. Long-term monitoring is recommended due to an increased prevalence of asymptomatic recurrences. The strongest predictors of AF recurrence are longstanding or persistent AF and a large left atrium. The most common mechanisms of recurrence are pulmonary vein reconnection, nonpulmonary vein triggers, and gaps in the ablation lines. About 20% of atrial tachyarrhythmia recurrences are atrial flutter or atrial tachycardia. There are not enough data in the surgical literature to support withdrawal of anticoagulation after surgical AF ablation. Patients selected for stand-alone surgical ablation usually have low risk profiles and low postoperative mortality rates (0.2%).

show abstract

Video-assisted minimally invasive surgery for lone atrial fibrillation: A clinical report of 81 cases

Cited by 25 publications

References 22 publications

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

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

Catheter ablation vs electrophysiologically guided thoracoscopic surgical ablation in long-standing persistent atrial fibrillation: The CASA-AF Study

Surgical Treatment of Atrial Fibrillation

Contact Info

Product

Resources

About