Overcoming reporting challenges: How to display, summarize, and model late reintervention outcomes, follow-up, and vital status information after surgery for atrial fibrillation

Andrei, Adin Cristian; McCarthy, Patrick M.; Thomas, James D.; Abicht, Travis; Malaisrie, S. Chris; Li, Zhi; Kruse, Jane; Waldo, Albert L.; Calkins, Hugh; Cox, James L.

doi:10.1016/j.hrthm.2015.03.062

Cited by 6 publications

(4 citation statements)

References 28 publications

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“…Considering the number of cardioversions or repeat catheter ablation in the postblanking period totaled 0.081 per patient per year during year 1, increased to 0.176 per patient per year for year 2, and increasingly decreased to 0.021 per patient per year in year 5, a question arises as to whether the need for subsequent interventions was more due to incomplete isolation of the PVs by catheter ablation connecting epicardial lesions, as described for the repeat catheter ablation cases, or to continued progression of atrial remodeling that produced new substrates. These rates of reintervention compare favorably with those reported for open chest surgical ablation in which year 1 observed 0.17 cardioversions or repeat catheter ablations per patient per year [15].…”

Section: Commentsupporting

confidence: 73%

Long-Term Success for the Convergent Atrial Fibrillation Procedure: 4-Year Outcomes

Geršak

Jan

2016

The Annals of Thoracic Surgery

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Four-year outcomes for the convergent procedure are promising and demonstrate the ability to maintain sinus rhythm in a predominantly persistent and longstanding atrial fibrillation population. Increasing the extent of posterior ablation should be evaluated for patients with enlarged atria to account for the potential increase in fibrosis distribution and other atrial remodeling markers that produce arrhythmogenic substrates.

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Section: Commentsupporting

confidence: 73%

Long-Term Success for the Convergent Atrial Fibrillation Procedure: 4-Year Outcomes

Geršak

Jan

2016

The Annals of Thoracic Surgery

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“…Summarization of AF in follow-up continues to remain challenging, despite several useful recent developments. [11][12][13][14] Patients undergoing mitral surgery typically have atrial myopathy and dilated atria placing them at risk for AF. There are little data regarding how often this occurs in patients without preoperative AF.…”

Section: Discussionmentioning

confidence: 99%

De novo atrial fibrillation after mitral valve surgery

Mehta

McCarthy

Andrei

et al. 2018

The Journal of Thoracic and Cardiovascular Surgery

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“…In general, definitions for perioperative variables such as for morbidity and mortality should be consistent and well formulated. Andrei et al 47 have developed a tool that can aid in comparing variables such as lesion set and energy source. Such a comparison could facilitate the determination of outcome predictors for surgical ablation.…”

Section: Discussionmentioning

confidence: 99%

The Need for Consistent Predictors of Success for Surgical Ablation of Atrial Fibrillation

Holmes

Patel

et al. 2017

Innovations�(Phila)

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Objective As with any medical therapy, identification of consistent and reliable outcome predictors is essential to understanding the efficacy of surgical ablation for atrial fibrillation. We originally intended to conduct a meta-analysis on atrial fibrillation surgical ablation to identify clinical factors that are most often associated with success. However, these studies are greatly heterogeneous. We conducted a systematic review to identify trends in outcome predictors and to provide recommendations for more uniform data analysis and reporting. Methods Relevant studies published between January 2005 and September 2013 were identified. To minimize heterogeneity, data were extracted only from multivariate analyses of outcome predictors. The initial approach for meta-analytic analyses was abandoned for a systematic review approach. Results From 604 initial citations, 19 studies with 5200 patients were included in the review. Systematic review of multivariable atrial fibrillation recurrence rates after surgical ablation revealed that studies were statistically heterogeneous, but atrial fibrillation recurrence after surgical ablation in mid-term follow-up was most often predicted by left atrium size, duration of atrial fibrillation, fine-wave atrial fibrillation, age of patient, and atrial fibrillation type. Conclusions The innate heterogeneity of published data precludes a meta-analysis for predictors of surgical ablation success. Of the few published studies that allow comparison, the most consistent predictors of failure were enlarged left atrium and long atrial fibrillation duration. These results underscore the need for consistent and reliable outcome predictors. We strongly recommend the development of a standardized system of measurement for consistent clinical parameters that can be used in outcome analyses for surgical ablation of atrial fibrillation.

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Overcoming reporting challenges: How to display, summarize, and model late reintervention outcomes, follow-up, and vital status information after surgery for atrial fibrillation

Cited by 6 publications

References 28 publications

Long-Term Success for the Convergent Atrial Fibrillation Procedure: 4-Year Outcomes

Long-Term Success for the Convergent Atrial Fibrillation Procedure: 4-Year Outcomes

De novo atrial fibrillation after mitral valve surgery

The Need for Consistent Predictors of Success for Surgical Ablation of Atrial Fibrillation

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