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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...
Autores principales: | , , , |
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Formato: | Texto |
Lenguaje: | English |
Publicado: |
Dove Medical Press
2010
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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. |
format | Text |
id | pubmed-2922304 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2010 |
publisher | Dove Medical Press |
record_format | MEDLINE/PubMed |
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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