Cargando…
Minimally Invasive Surgical Versus Catheter Ablation for the Long-Lasting Persistent Atrial Fibrillation
OBJECTIVE: To assess the efficacy of video-assisted minimally invasive surgical vs. catheter ablation for the long-standing persistent AF. METHODS: We performed a retrospective comparative analysis in a series of 166 long-standing persistent AF patients treated between 2006 and 2009 with either vide...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2011
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3135608/ https://www.ncbi.nlm.nih.gov/pubmed/21765943 http://dx.doi.org/10.1371/journal.pone.0022122 |
_version_ | 1782208133768151040 |
---|---|
author | Wang, Jiangang Li, Yan Shi, Jiahai Han, Jie Xu, Chunlei Ma, Changsheng Meng, Xu |
author_facet | Wang, Jiangang Li, Yan Shi, Jiahai Han, Jie Xu, Chunlei Ma, Changsheng Meng, Xu |
author_sort | Wang, Jiangang |
collection | PubMed |
description | OBJECTIVE: To assess the efficacy of video-assisted minimally invasive surgical vs. catheter ablation for the long-standing persistent AF. METHODS: We performed a retrospective comparative analysis in a series of 166 long-standing persistent AF patients treated between 2006 and 2009 with either video-assisted minimally invasive ablation (83 patients), or catheter ablations (83 patients). The catheter group was screened using a ‘pair-matched case-control’ methodology in order to select appropriate statistical comparison candidates out of 169 long-standing persistent AF patients which were potentially suitable for surgery, but have been treated with catheter approaches in order to balance major prognostic factors between the two groups. Follow-up for all patients ranged from 1 to 3.6 years. RESULTS: No patient died postoperatively. One patient suffered from stroke in the surgical group but recovered before discharge. Freedom from AF was obtained in 59.0% and 74.7% during follow-up in the catheter group and the surgical group respectively (P = 0.047). Patients in the catheter group had a significantly higher rate of recurrent arrhythmia (P = 0.011, hazard ratio: 0.555, 95% CI: 0.354 to 0.872) compared with the surgically treated group. The freedom from antiarrhythmic drugs was 44.6% in the catheter group and 61.4% in the surgical group (P = 0.043). CONCLUSIONS: The video-assisted minimally invasive ablation was safe and effective, and had an optimistic success rate for patients with long-standing persistent AF in our retrospective comparative study. Thus, further randomized studies addressing this issue seem to be justified. |
format | Online Article Text |
id | pubmed-3135608 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-31356082011-07-15 Minimally Invasive Surgical Versus Catheter Ablation for the Long-Lasting Persistent Atrial Fibrillation Wang, Jiangang Li, Yan Shi, Jiahai Han, Jie Xu, Chunlei Ma, Changsheng Meng, Xu PLoS One Research Article OBJECTIVE: To assess the efficacy of video-assisted minimally invasive surgical vs. catheter ablation for the long-standing persistent AF. METHODS: We performed a retrospective comparative analysis in a series of 166 long-standing persistent AF patients treated between 2006 and 2009 with either video-assisted minimally invasive ablation (83 patients), or catheter ablations (83 patients). The catheter group was screened using a ‘pair-matched case-control’ methodology in order to select appropriate statistical comparison candidates out of 169 long-standing persistent AF patients which were potentially suitable for surgery, but have been treated with catheter approaches in order to balance major prognostic factors between the two groups. Follow-up for all patients ranged from 1 to 3.6 years. RESULTS: No patient died postoperatively. One patient suffered from stroke in the surgical group but recovered before discharge. Freedom from AF was obtained in 59.0% and 74.7% during follow-up in the catheter group and the surgical group respectively (P = 0.047). Patients in the catheter group had a significantly higher rate of recurrent arrhythmia (P = 0.011, hazard ratio: 0.555, 95% CI: 0.354 to 0.872) compared with the surgically treated group. The freedom from antiarrhythmic drugs was 44.6% in the catheter group and 61.4% in the surgical group (P = 0.043). CONCLUSIONS: The video-assisted minimally invasive ablation was safe and effective, and had an optimistic success rate for patients with long-standing persistent AF in our retrospective comparative study. Thus, further randomized studies addressing this issue seem to be justified. Public Library of Science 2011-07-13 /pmc/articles/PMC3135608/ /pubmed/21765943 http://dx.doi.org/10.1371/journal.pone.0022122 Text en Wang et al. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited. |
spellingShingle | Research Article Wang, Jiangang Li, Yan Shi, Jiahai Han, Jie Xu, Chunlei Ma, Changsheng Meng, Xu Minimally Invasive Surgical Versus Catheter Ablation for the Long-Lasting Persistent Atrial Fibrillation |
title | Minimally Invasive Surgical Versus Catheter Ablation for the Long-Lasting Persistent Atrial Fibrillation |
title_full | Minimally Invasive Surgical Versus Catheter Ablation for the Long-Lasting Persistent Atrial Fibrillation |
title_fullStr | Minimally Invasive Surgical Versus Catheter Ablation for the Long-Lasting Persistent Atrial Fibrillation |
title_full_unstemmed | Minimally Invasive Surgical Versus Catheter Ablation for the Long-Lasting Persistent Atrial Fibrillation |
title_short | Minimally Invasive Surgical Versus Catheter Ablation for the Long-Lasting Persistent Atrial Fibrillation |
title_sort | minimally invasive surgical versus catheter ablation for the long-lasting persistent atrial fibrillation |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3135608/ https://www.ncbi.nlm.nih.gov/pubmed/21765943 http://dx.doi.org/10.1371/journal.pone.0022122 |
work_keys_str_mv | AT wangjiangang minimallyinvasivesurgicalversuscatheterablationforthelonglastingpersistentatrialfibrillation AT liyan minimallyinvasivesurgicalversuscatheterablationforthelonglastingpersistentatrialfibrillation AT shijiahai minimallyinvasivesurgicalversuscatheterablationforthelonglastingpersistentatrialfibrillation AT hanjie minimallyinvasivesurgicalversuscatheterablationforthelonglastingpersistentatrialfibrillation AT xuchunlei minimallyinvasivesurgicalversuscatheterablationforthelonglastingpersistentatrialfibrillation AT machangsheng minimallyinvasivesurgicalversuscatheterablationforthelonglastingpersistentatrialfibrillation AT mengxu minimallyinvasivesurgicalversuscatheterablationforthelonglastingpersistentatrialfibrillation |