Prevalence of atrial fibrillation before cardiac surgery and factors associated with concomitant ablation

McCarthy, Patrick M.; Davidson, Charles J.; Kruse, Jane; Lerner, Daniel J.; Braid-Forbes, Mary Jo; McCrea, Michelle M.; Elmouelhi, Ahmed M.; Ferguson, Michael

doi:10.1016/j.jtcvs.2019.06.062

Cited by 61 publications

(56 citation statements)

References 29 publications

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“…Blant pasienter som skal gjennomgå et hjertekirurgisk inngrep, er forekomsten av atrieflimmer høy (1). Moderne metoder for kirurgisk ablasjonsbehandling, som Cox-maze (labyrint) IV (CMIV), har gjort det enklere å kombinere kirurgisk behandling av atrieflimmer med annen hjertekirurgi (2).…”

Section: Fortolkningunclassified

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Langtidsoppfølging etter atrieflimmeroperasjon og samtidig åpen hjertekirurgi

Andersen¹,

Grong²,

Hoff³

et al. 2021

Tidsskriftet

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Section: Fortolkningunclassified

“…Kirurgisk ablasjonsbehandling av atrieflimmer regnes nå som en klasse I-anbefaling for utvalgte pasienter (1). Det er derfor viktig å ta stilling til om pasienter med atrieflimmer skal tilbys kirurgisk ablasjon i forbindelse med planlagt hjerteoperasjon.…”

Section: Multisenterstudien Concomitant Utilization Of Radio Frequencunclassified

Langtidsoppfølging etter atrieflimmeroperasjon og samtidig åpen hjertekirurgi

Andersen¹,

Grong²,

Hoff³

et al. 2021

Tidsskriftet

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“…Approximately 5%–11% of all patients requiring cardiac surgery and up to 28% of older surgical patients have pre‐existing atrial fibrillation (AF) 1–5 . Preoperative AF contributes significantly to mortality, stroke, length of stay, and readmission after cardiac surgery 1–4 .…”

Section: Introductionmentioning

confidence: 99%

Improved outcomes in CABG patients with atrial fibrillation associated with surgical left atrial appendage exclusion

et al. 2021

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Background We sought to determine the impact of left atrial appendage clip exclusion (LAACE) on coronary artery bypass grafting (CABG) outcomes among patients with pre‐existing atrial fibrillation (AF). Methods From October 1, 2015 to October 1, 2017, 4210 Medicare beneficiaries with pre‐existing AF underwent isolated CABG (i.e., without ablation) with (n = 931) or without (n = 3279) LAACE. Inverse probability of treatment weighting was used to evaluate the effect of concomitant LAACE on short‐ and long‐term outcomes after CABG. Long term risks of thromboembolism and mortality were assessed using competing‐risk regression and Cox proportional hazard models. Results Operative mortality, length of stay, and 30‐day readmission did not differ between groups. Thromboembolism risk was 26% lower for the CABG + LAACE group compared with isolated CABG over a 2‐year time‐to‐event analysis (sub hazard ratio [sHR] 0.74, 95% confidence interval [CI] 0.54–1.00, p = .049). There were no differences in ischemic stroke rates. All‐cause mortality risk was 45% lower for CABG + LAACE during the late follow‐up period (91–730 days; HR 0.55, 95% CI 0.32–0.95, p = .031). The late period annual absolute all‐cause mortality rate was 3.7% for CABG + LAACE and 6.9% for isolated CABG. There were lower readmission rates (31% vs. 43%, p < .001) and total inpatient days (4.0 days vs. 7.2 days, p < .01.) for the CABG + LAACE during follow‐up. Total hospital in and out‐patient treatment costs were similar between groups through one year. Conclusions Concomitant LAA exclusion via an epicardial closure device is associated with reduced CABG mortality, thromboembolic events, and readmissions in patients with pre‐existing atrial fibrillation.

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“…Rates of preoperative AF can reach over 30% in the cardiac surgery population 1 and even higher in elderly patients. 2 Multiple societies recommend the performance of both concomitant (with other procedures) and stand-alone AF ablation. [3][4][5] Success for surgical ablations vary widely but if performed correctly, commonly reach over 90%.…”

mentioning

confidence: 99%

“…Atrial fibrillation (AF) is one of the most common arrhythmias. Rates of preoperative AF can reach over 30% in the cardiac surgery population 1 and even higher in elderly patients 2 . Multiple societies recommend the performance of both concomitant (with other procedures) and stand‐alone AF ablation 3–5 .…”

mentioning

confidence: 99%

When should I worry? When should I be happy?

Churyla

2020

Cardiovasc electrophysiol

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Prevalence of atrial fibrillation before cardiac surgery and factors associated with concomitant ablation

Cited by 61 publications

References 29 publications

Langtidsoppfølging etter atrieflimmeroperasjon og samtidig åpen hjertekirurgi

Langtidsoppfølging etter atrieflimmeroperasjon og samtidig åpen hjertekirurgi

Improved outcomes in CABG patients with atrial fibrillation associated with surgical left atrial appendage exclusion

When should I worry? When should I be happy?

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