کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
3025273 | 1182780 | 2013 | 9 صفحه PDF | دانلود رایگان |
Although atrial fibrillation is common in cardiac surgery patients, the Cox maze IV procedure is underutilized; in contemporary practice, most cardiac surgery patients with atrial fibrillation do not receive concomitant surgical ablation. Available evidence suggests that a biatrial, energy-assisted Cox maze IV procedure restores normal sinus rhythm in two-thirds to three-quarters of patients without increasing operative risk. The best results are obtained by adherence to the correct lesion set and careful attention to perioperative management of heart rhythm and anticoagulation. To date, we have no randomized clinical trials confirming that surgical ablation improves clinical outcomes beyond restoration of sinus rhythm; however, available evidence does suggest that concomitant surgical ablation provides clinical benefit, most notably by reducing the long-term risk of stroke.
Journal: Seminars in Thoracic and Cardiovascular Surgery - Volume 25, Issue 3, Autumn 2013, Pages 197–205