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Surgical therapy of atrial fibrillation.

Haensig M, Rastan AJ, Holzhey DM, Mohr FW, Garbade J - Cardiol Res Pract (2012)

Bottom Line: Atrial fibrillation (AF) can be found in an increasing number of cardiac surgical patients due to a higher patient's age and comorbidities.Today, surgeons are more and more able to perform less complex, that is, minimally invasive cardiac surgical procedures.This paper focuses on the variety of incisions, lesion sets, and surgical techniques, as well as energy modalities and results of AF ablation and also summarizes future trends and current devices in use.

View Article: PubMed Central - PubMed

Affiliation: Department of Cardiac Surgery, Heart Center, University of Leipzig, 04289 Leipzig, Germany.

ABSTRACT
Atrial fibrillation (AF) can be found in an increasing number of cardiac surgical patients due to a higher patient's age and comorbidities. Atrial fibrillation is known, however, to be a risk factor for a greater mortality, and one aim of intraoperative AF treatment is to approximate early and long-term survival of AF patients to survival of patients with preoperative sinus rhythm. Today, surgeons are more and more able to perform less complex, that is, minimally invasive cardiac surgical procedures. The evolution of alternative ablation technologies using different energy sources has revolutionized the surgical therapy of atrial fibrillation and allows adding the ablation therapy without adding significant risk. Thus, the surgical treatment of atrial fibrillation in combination with the cardiac surgery procedure allows to improve the postoperative long-term survival and to reduce permanent anticoagulation in these patients. This paper focuses on the variety of incisions, lesion sets, and surgical techniques, as well as energy modalities and results of AF ablation and also summarizes future trends and current devices in use.

No MeSH data available.


Related in: MedlinePlus

AF ablation at the Heart Center Leipzig 2005–2010, n = 2.418.
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fig8: AF ablation at the Heart Center Leipzig 2005–2010, n = 2.418.

Mentions: At the Leipzig Heart Center between the years 2005 are 2010 in total more than 2,400 ablations for the treatment of atrial fibrillation have been carried out (Figure 8). Due to the new minimal-invasive procedures we did not find any serious ablation-associated complication. As the success of therapy depends in particular on the etiology of atrial fibrillation, in recent years an etiology-based analysis of the world's largest ablation collective has been performed. For isolated atrial fibrillation a success rate of more than 90% after one year can be expected, although this was determined in paroxysmal AF patients who underwent no preoperative percutaneous ablation. Due to the current patient selection for percutaneous treatment failures a slightly lower overall success rate may be assumed.


Surgical therapy of atrial fibrillation.

Haensig M, Rastan AJ, Holzhey DM, Mohr FW, Garbade J - Cardiol Res Pract (2012)

AF ablation at the Heart Center Leipzig 2005–2010, n = 2.418.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3318894&req=5

fig8: AF ablation at the Heart Center Leipzig 2005–2010, n = 2.418.
Mentions: At the Leipzig Heart Center between the years 2005 are 2010 in total more than 2,400 ablations for the treatment of atrial fibrillation have been carried out (Figure 8). Due to the new minimal-invasive procedures we did not find any serious ablation-associated complication. As the success of therapy depends in particular on the etiology of atrial fibrillation, in recent years an etiology-based analysis of the world's largest ablation collective has been performed. For isolated atrial fibrillation a success rate of more than 90% after one year can be expected, although this was determined in paroxysmal AF patients who underwent no preoperative percutaneous ablation. Due to the current patient selection for percutaneous treatment failures a slightly lower overall success rate may be assumed.

Bottom Line: Atrial fibrillation (AF) can be found in an increasing number of cardiac surgical patients due to a higher patient's age and comorbidities.Today, surgeons are more and more able to perform less complex, that is, minimally invasive cardiac surgical procedures.This paper focuses on the variety of incisions, lesion sets, and surgical techniques, as well as energy modalities and results of AF ablation and also summarizes future trends and current devices in use.

View Article: PubMed Central - PubMed

Affiliation: Department of Cardiac Surgery, Heart Center, University of Leipzig, 04289 Leipzig, Germany.

ABSTRACT
Atrial fibrillation (AF) can be found in an increasing number of cardiac surgical patients due to a higher patient's age and comorbidities. Atrial fibrillation is known, however, to be a risk factor for a greater mortality, and one aim of intraoperative AF treatment is to approximate early and long-term survival of AF patients to survival of patients with preoperative sinus rhythm. Today, surgeons are more and more able to perform less complex, that is, minimally invasive cardiac surgical procedures. The evolution of alternative ablation technologies using different energy sources has revolutionized the surgical therapy of atrial fibrillation and allows adding the ablation therapy without adding significant risk. Thus, the surgical treatment of atrial fibrillation in combination with the cardiac surgery procedure allows to improve the postoperative long-term survival and to reduce permanent anticoagulation in these patients. This paper focuses on the variety of incisions, lesion sets, and surgical techniques, as well as energy modalities and results of AF ablation and also summarizes future trends and current devices in use.

No MeSH data available.


Related in: MedlinePlus