The Cox maze III procedure for atrial fibrillation: long-term efficacy in patients undergoing lone versus concomitant procedures

Abstract

The Cox maze III procedure has equivalent operative risk and long-term efficacy in patients undergoing both lone operations and concomitant procedures. The Cox maze III procedure remains the standard against which alternative procedures for atrial fibrillation must be judged.

Avaliação inicial da ablação operatória biatrial por radiofrequência de fibrilação atrial

“…In the present study, in accordance with other previously published articles, the incidence of provisory pacemaker usage with biatrial approach is higher, although there was no need to implant a permanent device in either of the study patient, likewise with our patients [12,13].…”

2012 HRS/EHRA/ECAS Expert Consensus Statement on Catheter and Surgical Ablation of Atrial Fibrillation: Recommendations for Patient Selection, Procedural Techniques, Patient Management and Follow-up, Definitions, Endpoints, and Research Trial Design

“…1289 The mean follow-up was 5.4 ± 2.9 years. Among the 112 patients who underwent surgery only for AF treatment, 96% were in sinus rhythm with or without AAD therapy and 80% were in sinus rhythm and free of AAD therapy at the last follow-up.…”

Surgical Treatment of Atrial Fibrillation via Energy Ablation

“…6 The more extensive the lesion set, the greater the probability of abolition of AF but with the penalty of reduced atrial transport function. Recently, Cox suggested that the essential parts of the Maze III lesion set are lesions encircling the pulmonary veins either in isolation or together, a lesion between an inferior pulmonary vein and the mitral annulus, and a lesion joining the coronary sinus and the inferior vena cava 5 (Figure).…”