Epicardial Microwave Application in Chronic Atrial Fibrillation Surgery.
10.3346/jkms.2005.20.5.727
- Author:
Sang Kwon LEE
1
;
Suk Jung CHOO
;
Kyung Sun KIM
;
Jae Won LEE
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Pusan National University Hospital, Busan, Korea.
- Publication Type:Original Article ; Controlled Clinical Trial
- Keywords:
Arrhythmia;
Atrial Fibrillation;
Microwaves
- MeSH:
Age Distribution;
Atrial Fibrillation/*epidemiology/*therapy;
Chronic Disease;
Cryosurgery/*statistics and numerical data;
Female;
Humans;
Korea/epidemiology;
Male;
Microwaves/*therapeutic use;
*Pericardium;
Prognosis;
Recurrence/prevention and control;
Risk Assessment/methods;
Risk Factors;
Sex Distribution;
Treatment Outcome
- From:Journal of Korean Medical Science
2005;20(5):727-731
- CountryRepublic of Korea
- Language:English
-
Abstract:
The search for alternative epicardial energy sources in the treatment of nonvalvular atrial fibrillation (AF) is a relatively new aspect of the evolving spectrum of Maze operations. We tested the hypothesis that epicardial microwave ablation produces identical results to those of the standard cryosurgical Maze. Fourteen consecutive patients with chronic AF underwent on-pump epicardial Maze procedures after routine cardiac surgery. The results were compared with those of 14 control patients selected from our Maze database of 280 patients. There were no differences in age, sex, cardiothoracic ratio, duration of AF, pump time, intensive care unit or hospital stays. The aortic cross clamp time with epicardial microwave was, however, shortened from 110 to 65 minutes (p=0.011). The recurrence rate of AF after discharge showed no significant difference between the two groups (14% vs. 15%, p=0.841). Epicardial microwave ablation might be a valuable alternative to the conventional cryosurgical Maze procedure, especially for those patients without associated mitral valve disease.
