Impact of lesion sets on mid-term results of surgical ablation procedure for atrial fibrillation
Open accessAbstract
Objectives The objective of this study was to evaluate the effects of different lesion sets of ablation in patients undergoing mitral surgery plus maze.Background The role of lesion sets on outcome after maze is poorly defined.Methods A total of 141 patients were prospectively followed up. Two different lesion sets were prepared: 32 patients underwent a radiofrequency left atrial lesion set of maze ("limited"), and 109 had combined left and right atrial lesion sets of maze ± ganglionic plexi isolation ("extensive"). A longitudinal observational study assessed the role of "extensive" versus "limited" ablation on atrial fibrillation (AF), New York Heart Association (NYHA) functional class II/III, treatment with antiarrhythmic drugs, follow-up recovery of the ratio of E- to A-wave (E/A), and survival and time to hospitalization (overall and for heart failure).Results The prevalence of AF over time was lower in the "extensive" arm (adjusted relative risk [RR]: 0.10; 95% confidence interval [CI]: 0.03 to 0.31; p < 0.001), with significantly lower prevalence at discharge, 3 months, and 18 months. The prevalence of patients in NYHA functional class II/III over time was lower in the "extensive" arm (adjusted RR: 0.11; 95% CI: 0.03 to 0.34; p < 0.001), with significant differences at any assessment (except the third month). The differences in E/A recovery and use of antiarrhythmic drugs were less marked, with an RR of 1.55 (95% CI: 0.99 to 2.42; p = 0.05) and RR of 0.76 (95% CI: 0.54 to 1.06; p = 0.11), respectively, with a significantly lower prevalence of antiarrhythmic drugs in the "extensive" ablation arm at 12, 18, and 24 months. Rates of hospitalization for heart failure, overall hospitalization, and the combined event death/hospitalization were lower in the "extensive" arm (p = 0.11, p = 0.003, and p = 0.002, respectively).Conclusions The addition of right-sided ablation improves clinical and electrophysiologic results after maze procedure.
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Biatrial lesion patterns may be more effective in persistent and long-standing persistent atrial fibrillation.
“Biatrial lesion patterns may be more effective in persistent and long-standing persistent AF. 797,803,806”
From 2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS (2016) · cites this paper as [806]
Cites
Calkins, H. G., Brugada, J., Packer, D. L., Cappato, R., Chen, S., Crijns, H. J. G. M., Damiano, R. J., Davies, D. W., Haines, D. E., Haı̈ssaguerre, M., et al. (2007) · Heart Rhythm · doi:10.1016/j.hrthm.2007.04.005 · Cited by 1,690 · see citing works
Calkins, H. G., Brugada, J., Packer, D. L., Cappato, R., Chen, S.-A., Crijns, H. J. G. M., Damiano, R. J., Davies, D. W., Haines, D. E., Haïssaguerre, M., et al. (2007) · EP Europace · doi:10.1093/europace/eum120 · Cited by 1,289 · see citing works
Chauvin, M., Shah, D. C., Haı̈ssaguerre, M., Marcellin, L., & Brechenmacher, C. (2000) · Circulation · doi:10.1161/01.cir.101.6.647 · Cited by 396 · see citing works
Left Atrial Radiofrequency Ablation During Mitral Valve Surgery for Continuous Atrial Fibrillation
Doukas, G., Samani, N. J., Alexiou, C., Öç, M., Chin, D. T., Stafford, P. G., Ng, L. L., & Spyt, T. J. (2005) · JAMA · doi:10.1001/jama.294.18.2323 · Cited by 191 · see citing works
Lall, S. C., Melby, S. J., Voeller, R. K., Zierer, A. F., Bailey, M. S., Guthrie, T. J., Moon, M. R., Moazami, N., Lawton, J. S., & Damiano, R. J. (2007) · Journal of Thoracic and Cardiovascular Surgery · doi:10.1016/j.jtcvs.2006.10.009 · Cited by 174 · see citing works
Quantification of spatial inhomogeneity in conduction and initiation of reentrant atrial arrhythmias
Lammers, W. J. E. P., Schalij, M. J., Kirchhof, C. J. H. J., & Allessie, M. A. (1990) · American Journal of Physiology-Heart and Circulatory Physiology · doi:10.1152/ajpheart.1990.259.4.h1254 · Cited by 165 · see citing works
Deneke, T., Khargi, K., Grewe, P., von Dryander, S., Kuschkowitz, F., Lawo, T., Müller, K., Laczkovics, A. M., & Lemke, B. (2002) · Journal of the American College of Cardiology · doi:10.1016/s0735-1097(02)01836-3 · Cited by 113 · see citing works
Lin, Y., TAI, C., Kao, T., et al. (2005) · Circulation · doi:10.1161/circulationaha.104.512731 · Cited by 100 · see citing works
Stulak, J. M., Dearani, J. A., Daly, R. C., Zehr, K. J., Sundt, T. M., & Schaff, H. V. (2006) · The Annals of Thoracic Surgery · doi:10.1016/j.athoracsur.2006.03.075 · Cited by 86 · see citing works
The Importance of Cryoablation of the Coronary Sinus During the Maze Procedure
Cox, J. L., & Ad, N. (2000) · Seminars in Thoracic and Cardiovascular Surgery · doi:10.1016/s1043-0679(00)70012-8 · Cited by 83 · see citing works
Melo, J., Santiago, T., Aguíar, C., Berglin, E., Knaut, M., Alfieri, O., Benussi, S., Sie, H., Williams, M. R., Hornero, F., et al. (2008) · Journal of Thoracic and Cardiovascular Surgery · doi:10.1016/j.jtcvs.2007.08.069 · Cited by 70 · see citing works
Yuda, S., Nakatani, S., Kosakai, Y., Yamagishi, M., & Miyatake, K. (2001) · Journal of the American College of Cardiology · doi:10.1016/s0735-1097(01)01193-7 · Cited by 60 · see citing works
Albrecht, Á., Kalil, R. A. K., Schuch, L. E. H., Abrahão, R., Sant'Anna, J. R. M., de Lima, G., & Nesralla, I. A. (2009) · Journal of Thoracic and Cardiovascular Surgery · doi:10.1016/j.jtcvs.2009.04.023 · Cited by 60 · see citing works
Onorati, F., Curcio, A., Santarpino, G., Torella, D., Mastroroberto, P., Tucci, L., Indolfi, C., & Renzulli, A. (2008) · Journal of Thoracic and Cardiovascular Surgery · doi:10.1016/j.jtcvs.2008.03.022 · Cited by 54 · see citing works
Self-citationNitta, T., Lee, R., Watanabe, H., Harris, K. M., Erikson, J. M., Schuessler, R. B., Boineau, J. P., & Cox, J. L. (1999) · The Annals of Thoracic Surgery · doi:10.1016/s0003-4975(98)01365-4 · Cited by 53 · see citing works
The longstanding, persistent confusion surrounding surgery for atrial fibrillation
Cox, J. L. (2010) · Journal of Thoracic and Cardiovascular Surgery · doi:10.1016/j.jtcvs.2010.02.027 · Cited by 42 · see citing works
Current Strategies in the Management of Atrial Fibrillation
Jahangiri, M., Weir, G., Mandal, K., Savelieva, I., & Camm, A. J. (2006) · The Annals of Thoracic Surgery · doi:10.1016/j.athoracsur.2005.11.035 · Cited by 37 · see citing works
Complete left atrial ablation with bipolar radiofrequency☆☆☆
Benussi, S., Nascimbene, S., Galanti, A., Fumero, R., Dorigo, E., Zerbi, V., Cioni, M., & Alfieri, O. (2008) · European Journal of Cardio-Thoracic Surgery · doi:10.1016/j.ejcts.2008.01.005 · Cited by 37 · see citing works
Long-Term Effects of the Maze Procedure on Atrial Size and Mechanical Function
Lönnerholm, S., Blomström, P., Nilsson, L., et al. (2008) · The Annals of Thoracic Surgery · doi:10.1016/j.athoracsur.2007.10.090 · Cited by 24 · see citing works
The effect of residual gaps in ablation lines for the treatment of atrial fibrillation
Melby, S. J., Lee, A. M., Schuessler, R. B., et al. (2005) · Heart Rhythm · doi:10.1016/j.hrthm.2005.02.058 · Cited by 9 · see citing works
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2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS
Kirchhof, P., Benussi, S., Kotecha, D., Ahlsson, A., Atar, D., Casadei, B., Castella, M., Diener, H.-C., Heidbuchel, H., Hendriks, J., et al. (2016) · European Heart Journal · doi:10.1093/eurheartj/ehw210 · Cited by 6,418 · see citing works
2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS
Kirchhof, P., Benussi, S., Kotecha, D., Ahlsson, A., Atar, D., Casadei, B., Castella, M., Diener, H.-C., Heidbuchel, H., Hendriks, J., et al. (2016) · European Journal of Cardio-Thoracic Surgery · doi:10.1093/ejcts/ezw313 · Cited by 1,403 · see citing works
Khairy, P., Van Hare, G. F., Balaji, S., Berul, C. I., Cecchin, F., Cohen, M. I., Daniels, C. J., Deal, B. J., Dearani, J. A., Groot, N. D., et al. (2014) · Heart Rhythm · doi:10.1016/j.hrthm.2014.05.009 · Cited by 709 · see citing works
- Authors
- Onorati, F., Mariscalco, G., Rubino, A. S., Serraino, F., Santini, F., Musazzi, A., Klersy, C., Sala, A., & Renzulli, A.
- Affiliations
- University of Verona (IT)
- University of Insubria (IT)
- Magna Graecia University (IT)
- Policlinico San Matteo Fondazione (IT)
- ORCID
- Venue
- Journal of the American College of Cardiology
- Publisher
- Elsevier BV
- Published
- 2011-02
- Volume
- 57
- Issue
- 8
- Pages
- 931-940
- ISSN
- 0735-1097 (ISSN-L)
- OpenAlex
- W2054921489
- Cited by
- 43
- References
- 20
- Citations by year
- 2024: 2 · 2023: 2 · 2022: 2 · 2021: 4 · 2020: 1 · 2019: 3 · 2018: 5 · 2017: 2 · 2016: 3 · 2015: 4 · 2014: 5 · 2013: 5 · 2012: 3
- FWCI
- 3.29
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Journal of the American College of Cardiology (publishedVersion)
- PubMed (publishedVersion)
- IrInSubria (University of Insubria) (submittedVersion)
- Archivio Istituzionale della Ricerca - Università degli Studi della Campania "Luigi Vanvitelli" (submittedVersion)
- CINECA IRIS Institutial Research Information System (University of Genoa) (submittedVersion)
- Iris (University of Trento) (submittedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Atrial Fibrillation Management and Outcomes
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Arrhythmias and Treatments
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac pacing and defibrillation studies
- Keywords
- atrial fibrillation, catheter ablation, mitral valve surgery, radiofrequency ablation, heart failure hospitalization, antiarrhythmic drug use, NYHA functional class, E/A ratio, survival, long-term outcomes
- MeSH terms
- Aged, Atrial Fibrillation, Electrocardiography, Female, Humans, Longitudinal Studies, Male, Middle Aged, Postoperative Complications, Prognosis, Recurrence, Severity of Illness Index, Time Factors, Cohort Studies, Incidence, Survival Rate, Confidence Intervals, Odds Ratio, Treatment Outcome, Catheter Ablation, Age Distribution, Sex Distribution, Perioperative Care, Kaplan-Meier Estimate
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