Atrial Flutter After Surgical Radiofrequency Ablation of the Left Atrium for Atrial Fibrillation

Golovchiner, Gregory; Mazur, Alexander; Kogan, Alex; Strasberg, Boris; Shapira, Yaron; Fridman, Menachem; Kuzniec, Jairo; Vidne, Bernardo A.; Raanani, Ehud

doi:10.1016/j.athoracsur.2004.06.063

Cited by 37 publications

(23 citation statements)

References 38 publications

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“…ablation in a series of 50 patients with 72% success but with a high frequency of postoperative atrial flutter (about 12%) [33]. In our series we had a similar success with a lower rate of atrial flutter.…”

Section: The Use Of Left Atrial Rf Ablation Maybe Questioned In Termssupporting

confidence: 73%

Radiofrequency Ablation for Atrial Fibrillation in Rheumatic Valvular Disease

Mataracı

Polat

Mert

et al. 2010

Heart, Lung and Circulation

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Section: The Use Of Left Atrial Rf Ablation Maybe Questioned In Termssupporting

confidence: 73%

Radiofrequency Ablation for Atrial Fibrillation in Rheumatic Valvular Disease

Mataracı

Polat

Mert

et al. 2010

Heart, Lung and Circulation

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“…With no lesions on the right side, patients would not be protected from typical right atrial flutter in the postoperative period. In a recent study of 50 patients undergoing only a left-sided lesion set, 13% of patients had recurrent atrial flutter at a short follow-up of only 15 ± 7 months [43]. Four of six patients had left atrial flutter, one patient had right atrial flutter, and in one patient the flutter remained undefined [43].…”

Section: Opinion Statementmentioning

confidence: 96%

“…In a recent study of 50 patients undergoing only a left-sided lesion set, 13% of patients had recurrent atrial flutter at a short follow-up of only 15 ± 7 months [43]. Four of six patients had left atrial flutter, one patient had right atrial flutter, and in one patient the flutter remained undefined [43]. Moreover, work from our laboratory and others has demonstrated that the right atrium can be the source of both triggers for paroxysmal atrial fibrillation and the rotors responsible for the maintenance of permanent atrial fibrillation [45,46].…”

Section: Opinion Statementmentioning

confidence: 97%

“…Generally, left-sided procedures alone have had lower success rates, with the freedom from atrial fibrillation ranging between 62% to 95% [37][38][39][40][41][42]. One problem has been a high incidence of atrial flutter [43,44]. With no lesions on the right side, patients would not be protected from typical right atrial flutter in the postoperative period.…”

Section: Opinion Statementmentioning

confidence: 99%

See 1 more Smart Citation

Surgical and minimally invasive ablation for atrial fibrillation

Damiano

Voeller²

2006

Curr Treat Options Cardio Med

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The Cox-Maze procedure, first introduced in 1987, has been the gold standard for the surgical treatment of atrial fibrillation. At 10 years, over 90% of patients remain free from atrial fibrillation. The procedure has been shown to be effective at eliminating the incidence of late stroke in this high-risk population. The development of new ablation technologies has greatly simplified and shortened the Cox-Maze procedure without sacrificing efficacy. These technologies have spurred interest in the development of new, simpler operations for the surgical treatment of atrial fibrillation that can be performed through minimal access and, in some instances, off of cardiopulmonary bypass. The early results with these more limited procedures on the whole have not been as good as with the Cox-Maze procedure, but they are promising. There are many problems with the development of a truly minimally invasive procedure with high efficacy. When patients are referred for surgery, there is no information available regarding the mechanisms of their atrial fibrillation. Thus, it is impossible to tailor the ablation to the individual patient. Future progress will require better understanding of the mechanisms of atrial fibrillation, and the development and refinement of clinical diagnostic technology that will allow for better preoperative diagnosis.

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“…The procedure is usually done in conjunction with coronary artery bypasses or valve surgery . However, incomplete lines can decrease the efficacy of the ablation procedure and can be proarrhythmic . There is no information in the literature about the incidence and location of conduction gaps after CryoMaze surgery.…”

Section: Introductionmentioning

confidence: 99%