Active Ganglionated Plexi Is a Predictor of Atrial Fibrillation Recurrence After Minimally Invasive Surgical Ablation
| Autor: | Ya-ping Zeng, Xu Meng, Hai-bo Zhang, Yan Li, Shuai Zheng, Jie Han |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Early Recurrence business.industry medicine.medical_treatment Atrial fibrillation medicine.disease Ablation Surgery Pulmonary vein Left atrial Internal medicine medicine Cardiology Cardiology and Cardiovascular Medicine Af ablation business Paroxysmal AF Surgical ablation |
| Zdroj: | Journal of Cardiac Surgery. 29:279-285 |
| ISSN: | 0886-0440 |
| DOI: | 10.1111/jocs.12299 |
| Popis: | Background and Aim Ganglionated plexi (GP) ablation has been become an important strategy for treating atrial fibrillation (AF). We hypothesize that active GP is a predictor of AF recurrence after minimally invasive surgical AF ablation. Methods Eighty-nine patients with symptomatic lone AF undergoing minimally invasive surgical pulmonary vein isolation combined with GP testing and ablations were followed for a median of 50 months. Success was defined as freedom from any atrial tachyarrhythmia lasting >30 seconds duration. Results The single-procedure success rate is 56.3% for paroxysmal AF, 27.3% for persistent AF, and 25% for long-term persistent AF. A mean of 4.1 active GPs were identified in each patient. There were more active GP on the right side than on the left side (2.8 ± 2.2 vs. 1.4 ± 1.2, p 24 months, early recurrence of AF, and left atrial diameter also predicted long-term recurrences of AF. Conclusions The number of active GP is a predictor of AF recurrence after minimally invasive surgical AF ablation. Patients with more active GP were associated with markedly higher single-procedure success rates. doi: 10.1111/jocs.12299 (J Card Surg 2014;29:279–285) |
| Databáze: | OpenAIRE |
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