Langtidsoppfølging etter atrieflimmeroperasjon og samtidig åpen hjertekirurgi

Andersen, Knut-Jan; Grong, Ketil; Hoff, P. I.; Wahba, Alexander

doi:10.4045/tidsskr.20.0279

Cited by 2 publications

(1 citation statement)

References 8 publications

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“…I perioden 2006-19 ble det årlig utført i gjennomsnitt 83 kirurgiske ablasjoner av atrieflimmer ved norske sykehus, og resultatene er i liten grad kjent Tidsskriftet publiserer nå en artikkel om langtidsresultater etter ablasjon av atrieflimmer ved åpen hjertekirurgi i Norge (6). Inngrepet blir utført som en tilleggsoperasjon ved annen hjertekirurgi.…”

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Ablasjonsbehandling av atrieflimmer

Risøe¹

2021

Tidsskriftet

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Cecilie Risøe er dr.med., spesialist i indremedisin og i hjertesykdommer og seksjonsoverlege ved Kardiologisk avdeling, Oslo universitetssykehus. Forfatteren har fylt ut ICMJE-skjemaet og oppgir ingen interessekonflikter. Kateterbasert ablasjon av atrieflimmer er en veletablert behandling. At ablasjon av atrieflimmer også kan gjøres under åpen hjertekirurgi, er mindre kjent. Atrieflimmer er vår vanligste hjerterytmeforstyrrelse. Tilstanden rammer 2-4 % av den voksne befolkningen (1). Forekomsten øker med økende alder, er høyere hos menn enn hos kvinner i aldersgruppene 50-80 år og forventes å øke i årene som kommer grunnet økt levealder i befolkningen og økende forekomst av livsstilssykdommer som disponerer for atrieflimmer.

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Ablasjonsbehandling av atrieflimmer

Risøe¹

2021

Tidsskriftet

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Analysis of the endocardial stage of treatment of tachyarhythmias after open interventions for atrial fibrillation. Experience of one center

Postol,

Antipov,

Ivanchenko

et al. 2024

Cardiac Arrhythmias

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AIM: To study EFI parameters and features of recurrent atrial tachyarrhythmias in patients who underwent surgical correction of AF. MATERIALS AND METHODS: from January 2013 to December 2021, 447 combined interventions were performed to eliminate AF using the labyrinth-3 and left atrial labyrinth techniques with correction of CHD (congenital heart disease) and/or coronary artery disease. Rhythm disturbances were detected in 57 (12.7%) patients at various follow-up periods. Endovascular interventions were performed in 39 patients. The average follow-up period after the endocardial stage was 34.37 (standard deviation 24.32) months. The median age of patients was 64 (58–67) years, 21 (54%) were men. The patients were divided into 2 groups: group 1 — after the classic biatrial (BA) labyrinth-3 — 23 (59%) patients, group 2 — after the left-atrial variant (LA) labyrinth-3 — 16 (41%) patients. At the endocardial stage, electrophysiological studies (EFI) were performed to clarify the mechanism of arrhythmia, and ablation eliminated tachyarrhythmia. EFI protocol: revision of the pulmonary veins, determination of the isolation of the posterior wall of the LA assessment of atrial arrhythmia, elimination of arrhythmia, control induction of arrhythmia after ablation. After repeated intervention, patients were observed in the operating clinic every 3 months. RESULTS: After the endocardial stage, a regular rhythm was determined in 19 (82.6%) patients of the BA group, 13 (92.9%) patients of the LA group (p = 0.914). Relapses in the form of AF were noted in 5 patients (4 — group 1 and 1 — group 2) group (p = 0.306) All relapses of tachyarrhythmia with an irregular cycle (AF) were detected in patients with AF before the endovascular stage In both groups, there were cases of restoration of conduction in the pulmonary veins — 10 (43.5%) patients after BA ablation and 1 (5.3%) patient after LA ablation. There are no recurrences of atrial arrhythmia after ablation of atrial flutter (arrhythmia with a stable cycle). CONCLUSION: The endocardial stage is highly effective and demonstrates subsequent freedom from atrial arrhythmia in patients who have tachycardia with a regular cycle after both methods of surgical ablation of AF. Recurrent tachyarrhythmia in the form of AF (irregular cycle) is associated with a low probability of maintaining a regular atrial rhythm after a repeated endocardial procedure, due to the presence of structural and electrophysiological changes in the atrial myocardium.

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Langtidsoppfølging etter atrieflimmeroperasjon og samtidig åpen hjertekirurgi

Cited by 2 publications

References 8 publications

Ablasjonsbehandling av atrieflimmer

Ablasjonsbehandling av atrieflimmer

Analysis of the endocardial stage of treatment of tachyarhythmias after open interventions for atrial fibrillation. Experience of one center

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