Efficacy analysis of radiofrequency ablation for atrial fibrillation in patients with cardiac valve disease
10.11659/jjssx.05E017080
- VernacularTitle:心脏瓣膜病手术同期射频消融治疗房颤的疗效分析
- Author:
dong Ye MI
1
;
fei Lin ZHANG
;
mei Li SHAN
;
xiang Xiang ZHENG
;
Zhi LI
;
jun Chen HUANG
;
wei Jian QIN
Author Information
1. 南京医科大学第一附属医院心脏大血管外科
- Keywords:
atrial fibrillation;
radiofrequency ablation;
surgery;
Maze procedure
- From:
Journal of Regional Anatomy and Operative Surgery
2017;26(10):738-741
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical efficacy and prognosis of bipolar radiofrequency ablation for atrial fibrillation in patients with cardiac valve disease.Methods Sixty patients with atrial fibrillation and valvular heart diseases who merely underwent cardiac valve surgery were selected as the control group,and seventy-five patients who underwent bipolar radiofrequency ablation modified Maze procedure along with concomitant cardiac valve surgery were selected as the observation group.The perioperative technological characteristics and postoperative restoration of sinus rhythm in different time-points of the two groups were retrospectively analyzed.Results There was no significant differences in terms of the surgical pathway and types of replaced cardiac valves (P ＞ 0.05),but the cardiopulmonary bypass time and aortic-cross clamping time of the observation group were significantly longer than those in the control group(P ＞ 0.05).Successful restoration of sinus rhythm in the observation group was significantly higher than that of the control group 3 months,6 months,and 1 year after operation respectively.Conclusion Bipolar radiofrequency ablation modified Maze procedure along with concomitant cardiac valve surgery is clinically effective during the short term for the patients with atrial fibrillation and valvular heart diseases.
