PMID- 16943874
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20070423
LR  - 20200929
IS  - 0972-6292 (Electronic)
IS  - 0972-6292 (Linking)
VI  - 5
IP  - 4
DP  - 2005 Oct 1
TI  - Permanent atrial fibrillation ablation surgery in patients with advanced age.
PG  - 254-62
AB  - BACKGROUND: Even if permanent atrial fibrillation (pAF) is a frequent concomitant 
      problem in patients undergoing open heart surgery and particularly in those with 
      advanced age, data of pAF ablation surgery in older aged patients are scarce. 
      This study was performed to assess early and late results of combined open heart 
      surgery and pAF ablation procedures in patients with advanced aged, compared to 
      young patients. MATERIAL AND METHODS: A selective group of 126 patients (Group A: 
      age =70 [76.4+/-4.8] years, n=70; Group B: age <70 [62.0+/-6.2] years: n=56) with 
      pAF (=6 months) underwent either monopolar (Group A, B: n=51 vs. n=44) or bipolar 
      (Group A, B: n=19 vs. n=12) radiofrequency (RF) ablation procedures concomitant 
      to open heart surgery. Regular follow-up was performed 3 to 36 months after 
      surgery to assess survival, New York Heart Association (NYHA) class and 
      conversion rate to stable sinus rhythm (SR). RESULTS: Early mortality (<30 days) 
      was 2.9% in Group A (Group B: 0%), cumulative survival at long-term follow up was 
      0.78 vs. 0.98 (p=0.03) and NYHA-class improved significantly in both groups, 
      particularly in cases with stable SR. At 12-months follow-up 73% of Group A 
      patients were in stable SR (Group B 78%). CONCLUSION: Concomitant mono- and 
      bipolar RF ablation surgery represents a safe option to cure pAF during open 
      heart surgery with a very low risk, even in patients with advanced age.
FAU - Geidel, Stephan
AU  - Geidel S
AD  - Dept. Cardiac Surgery, AK St. Georg Hamburg, Lohmuehlenstrasse 5, 20099 Hamburg, 
      Germany. StGeidel@aol.com
FAU - Lass, Michael
AU  - Lass M
FAU - Ostermeyer, Jorg
AU  - Ostermeyer J
LA  - eng
PT  - Journal Article
DEP - 20051001
PL  - Netherlands
TA  - Indian Pacing Electrophysiol J
JT  - Indian pacing and electrophysiology journal
JID - 101157207
PMC - PMC1431599
EDAT- 2006/09/01 09:00
MHDA- 2006/09/01 09:01
PMCR- 2005/10/01
CRDT- 2006/09/01 09:00
PHST- 2006/09/01 09:00 [pubmed]
PHST- 2006/09/01 09:01 [medline]
PHST- 2006/09/01 09:00 [entrez]
PHST- 2005/10/01 00:00 [pmc-release]
AID - ipej050254-00 [pii]
PST - epublish
SO  - Indian Pacing Electrophysiol J. 2005 Oct 1;5(4):254-62.