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A Swedish consensus on the surgical treatment of concomitant atrial fibrillation

Ahlsson, Anders; Jideus, Lena; Albage, Anders; Kallner, Goran; Holmgren, Anders; Boano, Gabriella; Hermansson, Ulf; Kimblad, Per Ola LU ; Schersten, Henrik and Sjögren, Johan LU , et al. (2012) In Scandinavian Cardiovascular Journal 46(4). p.212-218
Abstract
Atrial fibrillation (AF) is a common arrhythmia among patients scheduled for open heart surgery and is associated with increased morbidity and mortality. According to international guidelines, symptomatic and selected asymptomatic patients should be offered concomitant surgical AF ablation in conjunction with valvular or coronary surgery. The gold standard in AF surgery is the Cox Maze III ("cut-and-sew") procedure, with surgical incisions in both atria according to a specified pattern, in order to prevent AF reentry circuits from developing. Over 90% of patients treated with the Cox Maze III procedure are free of AF after 1 year. Recent developments in ablation technology have introduced several energy sources capable of creating... (More)
Atrial fibrillation (AF) is a common arrhythmia among patients scheduled for open heart surgery and is associated with increased morbidity and mortality. According to international guidelines, symptomatic and selected asymptomatic patients should be offered concomitant surgical AF ablation in conjunction with valvular or coronary surgery. The gold standard in AF surgery is the Cox Maze III ("cut-and-sew") procedure, with surgical incisions in both atria according to a specified pattern, in order to prevent AF reentry circuits from developing. Over 90% of patients treated with the Cox Maze III procedure are free of AF after 1 year. Recent developments in ablation technology have introduced several energy sources capable of creating nonconducting atrial wall lesions. In addition, simplified lesion patterns have been suggested, but results with these techniques have been unsatisfactory. There is a clear need for standardization in AF surgery. The Swedish Arrhythmia Surgery Group, represented by surgeons from all Swedish units for cardiothoracic surgery, has therefore reached a consensus on surgical treatment of concomitant AF. This consensus emphasizes adherence to the lesion pattern in the Cox Maze III procedure and the use of biatrial lesions in nonparoxysmal AF. (Less)
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Contribution to journal
publication status
published
subject
keywords
atrial fibrillation, cardiac surgery, consensus
in
Scandinavian Cardiovascular Journal
volume
46
issue
4
pages
212 - 218
publisher
Taylor & Francis
external identifiers
  • wos:000306190700004
  • scopus:84863796628
ISSN
1651-2006
DOI
10.3109/14017431.2012.671489
language
English
LU publication?
yes
id
7206622f-9d41-46aa-9d1b-c0276adac1cb (old id 2994948)
date added to LUP
2012-09-03 07:17:58
date last changed
2017-01-15 03:44:08
@article{7206622f-9d41-46aa-9d1b-c0276adac1cb,
  abstract     = {Atrial fibrillation (AF) is a common arrhythmia among patients scheduled for open heart surgery and is associated with increased morbidity and mortality. According to international guidelines, symptomatic and selected asymptomatic patients should be offered concomitant surgical AF ablation in conjunction with valvular or coronary surgery. The gold standard in AF surgery is the Cox Maze III ("cut-and-sew") procedure, with surgical incisions in both atria according to a specified pattern, in order to prevent AF reentry circuits from developing. Over 90% of patients treated with the Cox Maze III procedure are free of AF after 1 year. Recent developments in ablation technology have introduced several energy sources capable of creating nonconducting atrial wall lesions. In addition, simplified lesion patterns have been suggested, but results with these techniques have been unsatisfactory. There is a clear need for standardization in AF surgery. The Swedish Arrhythmia Surgery Group, represented by surgeons from all Swedish units for cardiothoracic surgery, has therefore reached a consensus on surgical treatment of concomitant AF. This consensus emphasizes adherence to the lesion pattern in the Cox Maze III procedure and the use of biatrial lesions in nonparoxysmal AF.},
  author       = {Ahlsson, Anders and Jideus, Lena and Albage, Anders and Kallner, Goran and Holmgren, Anders and Boano, Gabriella and Hermansson, Ulf and Kimblad, Per Ola and Schersten, Henrik and Sjögren, Johan and Stahle, Elisabeth and Aberg, Bengt and Berglin, Eva},
  issn         = {1651-2006},
  keyword      = {atrial fibrillation,cardiac surgery,consensus},
  language     = {eng},
  number       = {4},
  pages        = {212--218},
  publisher    = {Taylor & Francis},
  series       = {Scandinavian Cardiovascular Journal},
  title        = {A Swedish consensus on the surgical treatment of concomitant atrial fibrillation},
  url          = {http://dx.doi.org/10.3109/14017431.2012.671489},
  volume       = {46},
  year         = {2012},
}