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Valve surgery in combination with cryoablation in the treatment of atrial fibrillation

OBJECTIVE: To investigate the effectiveness and safety of valve surgery in combination with cryoablation in the treatment of atrial fibrillation. METHODS: Fifty patients who needed to undergo valve surgery because of heart valve disease and sixty-five patients who needed to undergo valve surgery in...

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Autores principales: Cai, Weiwei, Hu, Jie, Wang, Hua, Chen, Song, Zhu, Guijun, Chen, Xingpeng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Professional Medical Publications 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6290212/
https://www.ncbi.nlm.nih.gov/pubmed/30559793
http://dx.doi.org/10.12669/pjms.346.15537
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author Cai, Weiwei
Hu, Jie
Wang, Hua
Chen, Song
Zhu, Guijun
Chen, Xingpeng
author_facet Cai, Weiwei
Hu, Jie
Wang, Hua
Chen, Song
Zhu, Guijun
Chen, Xingpeng
author_sort Cai, Weiwei
collection PubMed
description OBJECTIVE: To investigate the effectiveness and safety of valve surgery in combination with cryoablation in the treatment of atrial fibrillation. METHODS: Fifty patients who needed to undergo valve surgery because of heart valve disease and sixty-five patients who needed to undergo valve surgery in combination with cryoablation were selected as the research subjects. The perioperative technical characteristics, postoperative curative effect and complications were compared between the two different treatment modalities in our hospital between October 2013 and November 2015. RESULTS: No significant differences were observed between the two groups in valve surgery mode, valve type and postoperative length of hospital stay (P>0.05), but the duration of extracorporeal bypass and aorta occlusion of the observation group was longer than that of the control group (P<0.05). The 3-month, 6-month and one-year atrial fibrillation cardioversion rates of patients in the observation group were superior to those of the control group, and the differences were notable (P<0.05). The improvement of left atrial diameter of the observation group was also superior to that of the control group (P<0.05). The incidence of postoperative complications of the two groups had no significant difference (P>0.05). CONCLUSION: Valve surgery in combination with cryoablation has favorable short-term clinical effect in the treatment of heart valve disease in combination with atrial fibrillation, which is worth promotion.
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spelling pubmed-62902122018-12-17 Valve surgery in combination with cryoablation in the treatment of atrial fibrillation Cai, Weiwei Hu, Jie Wang, Hua Chen, Song Zhu, Guijun Chen, Xingpeng Pak J Med Sci Original Article OBJECTIVE: To investigate the effectiveness and safety of valve surgery in combination with cryoablation in the treatment of atrial fibrillation. METHODS: Fifty patients who needed to undergo valve surgery because of heart valve disease and sixty-five patients who needed to undergo valve surgery in combination with cryoablation were selected as the research subjects. The perioperative technical characteristics, postoperative curative effect and complications were compared between the two different treatment modalities in our hospital between October 2013 and November 2015. RESULTS: No significant differences were observed between the two groups in valve surgery mode, valve type and postoperative length of hospital stay (P>0.05), but the duration of extracorporeal bypass and aorta occlusion of the observation group was longer than that of the control group (P<0.05). The 3-month, 6-month and one-year atrial fibrillation cardioversion rates of patients in the observation group were superior to those of the control group, and the differences were notable (P<0.05). The improvement of left atrial diameter of the observation group was also superior to that of the control group (P<0.05). The incidence of postoperative complications of the two groups had no significant difference (P>0.05). CONCLUSION: Valve surgery in combination with cryoablation has favorable short-term clinical effect in the treatment of heart valve disease in combination with atrial fibrillation, which is worth promotion. Professional Medical Publications 2018 /pmc/articles/PMC6290212/ /pubmed/30559793 http://dx.doi.org/10.12669/pjms.346.15537 Text en Copyright: © Pakistan Journal of Medical Sciences http://creativecommons.org/licenses/by/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Cai, Weiwei
Hu, Jie
Wang, Hua
Chen, Song
Zhu, Guijun
Chen, Xingpeng
Valve surgery in combination with cryoablation in the treatment of atrial fibrillation
title Valve surgery in combination with cryoablation in the treatment of atrial fibrillation
title_full Valve surgery in combination with cryoablation in the treatment of atrial fibrillation
title_fullStr Valve surgery in combination with cryoablation in the treatment of atrial fibrillation
title_full_unstemmed Valve surgery in combination with cryoablation in the treatment of atrial fibrillation
title_short Valve surgery in combination with cryoablation in the treatment of atrial fibrillation
title_sort valve surgery in combination with cryoablation in the treatment of atrial fibrillation
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6290212/
https://www.ncbi.nlm.nih.gov/pubmed/30559793
http://dx.doi.org/10.12669/pjms.346.15537
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