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Novel approaches for the surgical treatment of atrial fibrillation: Time for a guideline revision?

Atrial fibrillation is a major health problem in Western countries, and is associated with considerable morbidity and resource consumption. Safe and reliable surgical techniques for the termination of this arrhythmia have been developed since the time of the original Cox “maze I” procedure. Novel eq...

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Detalles Bibliográficos
Autores principales: De Cecco, Carlo Nicola, Buffa, Vitaliano, David, Vincenzo, Fedeli, Stefano
Formato: Texto
Lenguaje:English
Publicado: Dove Medical Press 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2922304/
https://www.ncbi.nlm.nih.gov/pubmed/20730059
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author De Cecco, Carlo Nicola
Buffa, Vitaliano
David, Vincenzo
Fedeli, Stefano
author_facet De Cecco, Carlo Nicola
Buffa, Vitaliano
David, Vincenzo
Fedeli, Stefano
author_sort De Cecco, Carlo Nicola
collection PubMed
description Atrial fibrillation is a major health problem in Western countries, and is associated with considerable morbidity and resource consumption. Safe and reliable surgical techniques for the termination of this arrhythmia have been developed since the time of the original Cox “maze I” procedure. Novel equipment based on radiofrequency and microwave technologies can be employed to create transmural atrial lesions, even in the context of minimally invasive surgery to the atrioventricular valves via right minithoracotomy. The aim of this paper is to review the recent literature on this approach, and the clinical results in terms of arrhythmia termination and postoperative morbidity. With the aim to substantiate the practice of a simple, yet reliable, surgical ablation during minimally invasive heart valve surgery, we discuss the results of different patterns of atrial lesions having different degrees of surgical complexity. Finally, minimally invasive epicardial ablation for lone atrial fibrillation represents an emerging surgical indication. The results of state-of-the-art transcatheter ablation represent now its benchmark of comparison.
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spelling pubmed-29223042010-08-20 Novel approaches for the surgical treatment of atrial fibrillation: Time for a guideline revision? De Cecco, Carlo Nicola Buffa, Vitaliano David, Vincenzo Fedeli, Stefano Vasc Health Risk Manag Review Atrial fibrillation is a major health problem in Western countries, and is associated with considerable morbidity and resource consumption. Safe and reliable surgical techniques for the termination of this arrhythmia have been developed since the time of the original Cox “maze I” procedure. Novel equipment based on radiofrequency and microwave technologies can be employed to create transmural atrial lesions, even in the context of minimally invasive surgery to the atrioventricular valves via right minithoracotomy. The aim of this paper is to review the recent literature on this approach, and the clinical results in terms of arrhythmia termination and postoperative morbidity. With the aim to substantiate the practice of a simple, yet reliable, surgical ablation during minimally invasive heart valve surgery, we discuss the results of different patterns of atrial lesions having different degrees of surgical complexity. Finally, minimally invasive epicardial ablation for lone atrial fibrillation represents an emerging surgical indication. The results of state-of-the-art transcatheter ablation represent now its benchmark of comparison. Dove Medical Press 2010 2010-08-09 /pmc/articles/PMC2922304/ /pubmed/20730059 Text en © 2010 De Cecco et al, publisher and licensee Dove Medical Press Ltd. This is an Open Access article which permits unrestricted noncommercial use, provided the original work is properly cited.
spellingShingle Review
De Cecco, Carlo Nicola
Buffa, Vitaliano
David, Vincenzo
Fedeli, Stefano
Novel approaches for the surgical treatment of atrial fibrillation: Time for a guideline revision?
title Novel approaches for the surgical treatment of atrial fibrillation: Time for a guideline revision?
title_full Novel approaches for the surgical treatment of atrial fibrillation: Time for a guideline revision?
title_fullStr Novel approaches for the surgical treatment of atrial fibrillation: Time for a guideline revision?
title_full_unstemmed Novel approaches for the surgical treatment of atrial fibrillation: Time for a guideline revision?
title_short Novel approaches for the surgical treatment of atrial fibrillation: Time for a guideline revision?
title_sort novel approaches for the surgical treatment of atrial fibrillation: time for a guideline revision?
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2922304/
https://www.ncbi.nlm.nih.gov/pubmed/20730059
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