Video-assisted pulmonary veins isolation versus box-lesion for the lone atrial fibrillation in the mid-term follow-up
10.3760/cma.j.issn.1001-4497.2015.05.006
- VernacularTitle:胸腔镜下单纯肺静脉隔离与左心房盒式消融治疗孤立性房颤的早中期疗效对比
- Author:
Chunlei XU
;
Qiuming HU
;
Yan LI
;
Jie HAN
;
Wen ZENG
;
Yixin JIA
;
Xu MENG
- Publication Type:Journal Article
- Keywords:
Atrial fibrillation;
Cardiac surgical procedures;
Minimally invasive
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2015;31(5):274-277
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the mid-term results of video-assisted pulmonary veins isolation and box-lesion for lone atrial fibrillation.Methods Between June 2010 to November 2012,80 lone atrial fibrillation(LAF) patients underwent minimally invasive surgical ablation in Beijing Anzhen Hospital,and all of them received left atrial appendage excision and Marshall ligament break in the surgery.Among them,37 cases were performed two epicardial ablation lines in order to created box-lesion based on PVI(14 paroxysmal AF and 23 persistent AF).Follow-up was finished after discharge.Results Mean follow-up was(18.8 ± 7.4) months,and 2 patients were died with non-cardiac disease.The success rate is 78.8％ (Paroxysmal AF 87.9％;Persistent AF 72.3％).In the paroxysmal AF patients,the success rate for PVI and Box lesion treatment was 84.6％ (11/13) and 92.9％ (13/14),P =0.45;in the persistent AF patients,the success rate for PVI and Box-lesion was 58.3％ (14/24) and 87.5％ (14/16),P =0.04.Conclusion Addition of epicedial ablation lines might increase the cure rate for lone AF therapy,especially for persistent AF.
