Where does atrial fibrillation surgery fail

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Presentation transcript:

Where does atrial fibrillation surgery fail Where does atrial fibrillation surgery fail? Implications for increasing effectiveness of ablation Patrick M. McCarthy, MD, Jane Kruse, RN, Shanaz Shalli, MD, Leonard Ilkhanoff, MD, Jeffrey J. Goldberger, MD, Alan H. Kadish, MD, Rishi Arora, MD, Richard Lee, MD The Journal of Thoracic and Cardiovascular Surgery Volume 139, Issue 4, Pages 860-867 (April 2010) DOI: 10.1016/j.jtcvs.2009.12.038 Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Maze procedure volume. After publication of a meta-analysis in 2006 showing greater freedom from AF with a biatrial lesion set rather than just a left atrial set, our practice changed, and biatrial procedures predominated. The Journal of Thoracic and Cardiovascular Surgery 2010 139, 860-867DOI: (10.1016/j.jtcvs.2009.12.038) Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Freedom from ablation. Patients undergoing HIFU had early failure with symptomatic recurrence and underwent ablation more commonly (P < .001) than patients in the other groups. AF, Atrial fibrillation; HIFU, high-intensity focused ultrasound; PVI, pulmonary vein isolation. The Journal of Thoracic and Cardiovascular Surgery 2010 139, 860-867DOI: (10.1016/j.jtcvs.2009.12.038) Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions