PMID- 18596056
OWN - NLM
STAT- MEDLINE
DCOM- 20081202
LR  - 20120627
IS  - 1569-9285 (Electronic)
IS  - 1569-9285 (Linking)
VI  - 7
IP  - 5
DP  - 2008 Oct
TI  - A 5-year clinical experience with bipolar radiofrequency ablation for permanent 
      atrial fibrillation concomitant to coronary artery bypass grafting and aortic 
      valve surgery.
PG  - 777-80
LID - 10.1510/icvts.2008.179622 [doi]
AB  - This study analyses the 5-year results of permanent atrial fibrillation (pAF) 
      bipolar radiofrequency (RF) ablation surgery concomitant to coronary artery 
      bypass grafting (CABG) and/or aortic valve (AV) surgery. Eighty-five patients 
      with pAF (0.5-30 years) underwent bipolar RF ablation procedure concomitant to 
      CABG/AV surgery. All patients were restudied to assess survival, conversion rate 
      to stable sinus rhythm (SR) and New York Heart Association (NYHA) class at 8+/-1 
      days and at 3+/-1 and 32+/-15 months after surgery. Survival at time of 
      re-examination was 100%, 98% and 96%, respectively (three non-cardiac deaths), SR 
      could be documented in 61%, 74% and 78% of patients. Long-term AF before surgery 
      and larger size of the left atrium (LA) were predictive for postoperative AF 
      return (P=0.005, P=0.03); 88% of patients with small preoperative LA-size (<50 
      mm) and 85% with pAF-duration time <5 years had stable SR at late follow-up. 
      Cardiac rhythm at three months was predictive for long-term rhythm-prognosis 
      (P<0.0001). NYHA-class improved significantly after surgery (P<0.0005), 
      particularly when SR was achieved (P=0.046). Permanent AF bipolar RF ablation 
      surgery revealed excellent results in AV/CABG patients. It could be demonstrated 
      that established SR remained stable over time. Preoperative pAF-duration time and 
      LA-size are useful variables to predict the success rate of ablation.
FAU - Geidel, Stephan
AU  - Geidel S
AD  - Hanseatisches Herzzentrum, Abteilung fur Herzchirurgie, Asklepios Klinik St 
      Georg, Lohmuhlenstrasse 5, 20099 Hamburg, Germany.
FAU - Lass, Michael
AU  - Lass M
FAU - Ostermeyer, Jorg
AU  - Ostermeyer J
LA  - eng
PT  - Journal Article
PT  - Retracted Publication
DEP - 20080702
PL  - England
TA  - Interact Cardiovasc Thorac Surg
JT  - Interactive cardiovascular and thoracic surgery
JID - 101158399
SB  - IM
RIN - Interact Cardiovasc Thorac Surg. 2012 Jun;14(6):915. PMID: 22589357
MH  - Aged
MH  - Aged, 80 and over
MH  - Aortic Valve/*surgery
MH  - Atrial Fibrillation/complications/*surgery
MH  - *Catheter Ablation
MH  - *Coronary Artery Bypass
MH  - Coronary Artery Disease/complications/*surgery
MH  - Female
MH  - Heart Valve Diseases/complications/*surgery
MH  - *Heart Valve Prosthesis Implantation
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Time Factors
MH  - Treatment Outcome
EDAT- 2008/07/04 09:00
MHDA- 2008/12/17 09:00
CRDT- 2008/07/04 09:00
PHST- 2008/07/04 09:00 [pubmed]
PHST- 2008/12/17 09:00 [medline]
PHST- 2008/07/04 09:00 [entrez]
AID - icvts.2008.179622 [pii]
AID - 10.1510/icvts.2008.179622 [doi]
PST - ppublish
SO  - Interact Cardiovasc Thorac Surg. 2008 Oct;7(5):777-80. doi: 
      10.1510/icvts.2008.179622. Epub 2008 Jul 2.