TITLE

Concomitant anti-arrhythmic surgery, using irrigated cooled-tip radiofrequency ablation, to treat permanent atrial fibrillation in CABG patients: expansion of the indication?

AUTHOR(S)
Khargi, Krishna; Lemke, Bernd; Haardt, Helmut; Müller, Klaus-Michael; Mügge, Andreas; Laczkovics, Axel; Deneke, Thomas
PUB. DATE
June 2004
SOURCE
European Journal of Cardio-Thoracic Surgery;Jun2004, Vol. 25 Issue 6, p1018
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Objectives: The effectiveness of a concomitant anti-arrhythmic surgical procedure in coronary artery bypass grafting (CABG) patients with permanent atrial fibrillation (AF) was evaluated. Methods: This prospective study included 36 CABG patients, who had a concomitant anti-arrhythmic procedure using irrigated cooled-tip radiofrequency ablation. Follow-up included a 24 h EKG and ultrasound examination at 3, 6, 12 months. Results: Mean (SD) age was 68.7 years (8.0), left atrial diameter 44.9 mm (6.7), preoperative duration of AF 67 months (73), left ventricular ejection fraction 54% (14), euroscore 5.5 (2.6), number of distal anastomoses 3.3 (1.2), aortic cross-clamp time 90 (19) min, extracorporeal bypass time 156 (38) min. Thirty-day mortality was 2.8% (1/36). Mean (SD) follow-up was 25.3 months (17.9). Cumulative survival rates (SE) at 12 and 24 months were 0.94 (0.04) and 0.90 (0.06). Cumulative postoperative sinus rhythm (SR) rates (SE) at 6 and 12 months were 0.60 (0.08) and 0.75 (0.08). Restored bi-atrial contraction occurred in 73% (19/26) of all SR patients. As a consequence coumadine was stopped, after the 6th postoperative month, in 76% (16/21) in this subset of patients, corresponding with 44% (16/36) of all study group patients. One patient experienced a sick sinus syndrome 12 months postoperatively, for which a DDD pacemaker was implanted. Three out of five patients with a preexistent VVI pacemaker regained a stable postoperative SR with bi-atrial contraction, obviating the need of any pacemaker support.
ACCESSION #
13115585

 

Related Articles

  • Factors excercising an influence on recovery of hibernating myocardium after coronary artery bypass grafting. Hausmann, Harald; Meyer, Rudolf; Siniawski, Henryk; Pregla, Reinhard; Gutberlet, Matthias; Amthauer, Holger; Felix, Roland; Hetzer, Roland // European Journal of Cardio-Thoracic Surgery;Jul2004, Vol. 26 Issue 1, p89 

    Objective: Coronary artery bypass grafting (CABG) in patients with endstage coronary disease (CAD) significantly improves symptoms and prolongs life expectancy. Left ventricular function is also improved in some patients, but not in others. Factors which influence functional recovery of...

  • Coronary artery bypass grafts and MDCT imaging: what to know and what to look for. Marano, Riccardo; Liguori, Carlo; Rinaldi, Pierluigi; Storto, Maria Luigia; Politi, Marco Angelo; Savino, Giancarlo; Bonomo, Lorenzo // European Radiology;Dec2007, Vol. 17 Issue 12, p3166 

    Multi-detector row CT (MDCT) scanners with high spatial and temporal resolutions are now available and are increasingly used for non-invasive assessment of vascular disease, including coronary arteries and coronary artery bypass grafts (CABG). Follow-up of patients who have previously undergone...

  • Aortic arch atheroma: stroke reduction in cardiac surgical patients. Djaiani, George N. // Seminars in Cardiothoracic & Vascular Anesthesia;Jun2006, Vol. 10 Issue 2, p143 

    Cardiac surgery is increasingly performed on elderly patients with extensive coronary artery abnormalities who have impaired left ventricular function, decreased physiologic reserve, and multiple comorbid conditions. Considerable numbers of these patients develop perioperative neurologic...

  • Effects of sevelamer and calcium on coronary artery calcification in patients new to hemodialysis. Block, Geoffrey A.; Spiegel, David M.; Ehrlich, James; Mehta, Ravindra; Lindbergh, Jill; Dreisbach, Albert; Raggi, Paolo // Kidney International;Oct2005, Vol. 68 Issue 4, p1815 

    Background. Hemodialysis patients are at increased risk for progressive coronary artery calcification; however, the development and progression of this disease process in patients new to hemodialysis is unknown. Method. One hundred and twenty-nine patients new to hemodialysis were randomized to...

  • Health-related quality of life after coronary revascularisation surgery. Oelofsen, Natius; Fullard, Josua P.P.; Foxcroft, Cheryl D. // South African Journal of Psychology;Jun98, Vol. 28 Issue 2, p85 

    Presents information on a study which examined the health-related quality of life (HRQOL) of South African coronary artery bypass graft recipients. Description of the research population utilized; Research methodology used in the study; Generic health ratings of coronary surgery recipients.

  • CABG or angioplasty: Making the choice. O'Keefe Jr, JH; Sutton, MB // Patient Care;9/30/1994, Vol. 28 Issue 15, p102 

    Compares the survival rates of patients who have undergone coronary artery bypass graft (CABG) surgery and angioplasty in patients older than 70. Description of the sample; Treatment of CABG patients.

  • Patients shouldn't bypass roommates. Doskoch, Peter // Psychology Today;Mar/Apr97, Vol. 30 Issue 2, p24 

    Provides information on why preoperative coronary bypass patients with a postoperative bypass roommate recover sooner than patients who have private quarters. Factors that affects speed recovery of patients.

  • Coronary Artery Bypass Surgery on a Beating Heart. .  // Journal of the Canadian Dental Association;Oct2000, Vol. 66 Issue 9, p479 

    The article reports in the first case of a coronary artery bypass graft performed on an awake patient in the U.S.

  • Anaortic OPCAB for High-risk Patients. Edelman, J. James B.; Vallely, Michael P. // Heart, Lung & Circulation;Feb2015, Vol. 24 Issue 2, p206 

    No abstract available.

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics