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Less Invasive Surgical Treatment of Atrial Fibrillation

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Minimally Invasive Cardiac Surgery

Part of the book series: Contemporary Cardiology ((CONCARD))

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Abstract

Atrial fibrillation (AF) remains the most prevalent arrhythmia, with as many as 2.2 million cases in the United States alone (1), and it accounts for over 3.1 million office visits a year (2). Despite often being labeled as a benign rhythm, AF plays a role in as many as 15% of all strokes (3) and is associated with an increased odds ratio for death (1.5 in men and 1.9 in women) (4). In general, AF is rarely treated successfully by the medical community, with the mainstay of therapy being aimed at ventricular rate control and anticoagulation. New understanding of AF mechanisms combined with technological advances have led to a resurgence of anatomically based curative treatment of AF in both the catheter-based and the surgical arenas.

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References

  1. Feinberg WM, Blackshear JL, Laupacis A, Kronmal R, Hart RG. Prevalence, age distribution, and gender of patients with atrial fibrillation; analysis and implications. Arch Intern Med 1995; 155: 469–473.

    Article  PubMed  CAS  Google Scholar 

  2. Stafford RS, Singer DE. National patterns of warfarin use in atrial fibrillation. Arch Intern Med 1996; 156: 2537–2541.

    Article  PubMed  CAS  Google Scholar 

  3. American Heart Association. 1998 Heart and Stroke Statistical Update. American Heart Association, 1997.

    Google Scholar 

  4. Gasjewski J, Singer RB. Mortality in an insured population with atrial fibrillation. JAMA 1981; 245: 1540–1544.

    Article  Google Scholar 

  5. Williams JM, Ungerleider RM, Logland GK, et al. Left atrial isolation: new technique for the treatment of supraventricular arrhythmias. J Thorac Cardiovasc Surg 1980; 80: 373–380.

    PubMed  CAS  Google Scholar 

  6. Guiradon GM, Campbell CS, Jones DL, et al. Combined sino-atrial node atrio-ventircular node isolation: a surgical alternative to His bundle ablation in patients with atrial fibrillation. Circulation 1985;72:í1I-220.

    Google Scholar 

  7. Cox JL, Schuessler RB, Boineau JP. The development of the maze procedure for the treatment of atrial fibrillation. Sem Thorac Cardiovasc Surg 2000; 12: 2–14.

    Article  CAS  Google Scholar 

  8. Cox JL, Canavan TE, Schuessler RB, et al. The surgical tretment of atrial fibrillation: II. Intraoperative electrophysiologic mapping and description of the electrophysiologic basis of atrial flutter and atrial fibrillation. J Thorac Cardiovasc Surg 1991; 101: 406–426.

    PubMed  CAS  Google Scholar 

  9. Cox JL. The surgical treatment of atrial fibrillation: IV. Surgical Technique. J Thorac Cardiovasc Surg 1991; 101: 584–592.

    PubMed  CAS  Google Scholar 

  10. Cox JL, Jaquiss RD, Schuessler RB, et al. Modification of the maze procedure for atrial flutter and fibrillation. II. Surgical technique of the Maze III procedure. J Thorac Cardiovasc Surg 1995; 110: 485–495.

    Article  PubMed  CAS  Google Scholar 

  11. Cox JL, Schuessler RB, Lappas, DG, et al. An 8–1/2 year clinical experience with surgery for atrial fibrillation. Ann Surg 1996; 224: 267–275.

    Article  PubMed  CAS  Google Scholar 

  12. McCarthy PM, Gillinov AM, Castle L, Chung M, Cosgrove D. The Cox-Maze Procedure: the Cleveland Clinic experience. Semin Thorac Cardiovasc Surg 2000; 12: 25–29.

    PubMed  CAS  Google Scholar 

  13. Kosakai Y. Treatment of atrial fibrillation using the Maze Procedure: the Japanese experience. Semin Thorac Cardiovasc Surg 2000; 12: 44–52.

    PubMed  CAS  Google Scholar 

  14. Lustgarten DL, Keane D, Ruskin J. Cryothermal ablation: mechanism of tissue injury and current experience in the treatment of tachyarrhythmias. Prog Cardiovasc Dis 1999; 41: 481–498.

    Article  PubMed  CAS  Google Scholar 

  15. Cox JL, Ad N, Palazzzo T, et al. Current status of the Maze Procedure for the treatment of atrial fibrillation. Semin Thorac Cardiovasc Surg 2000; 12: 15–19.

    Article  PubMed  CAS  Google Scholar 

  16. Holman WL, Ikeshita M, Ungerleider RM, Smith PK, Ideker RE, Cox JL. Cryosurgery for cardiac arrhythmias: acute and chronic effects on coronary arteries. Am J Cardiol 1983; 51: 149–155.

    Article  PubMed  CAS  Google Scholar 

  17. Nath S, Lynch C, Whayne JG, Haines DE. Cellular electrophysiological effects of hyperthermia on isolated guinea pig papillary muscle. Implications for catheter ablation. Circulation 1993; 88: 1826–1831.

    Article  PubMed  CAS  Google Scholar 

  18. Williams MR, Knaut M, Berube D, Oz MC. Application of microwave energy in cardiac tissue ablation: from in vitro analyses to clinical use. Ann Thorac Surg 2002; 74: 1500–1505.

    Article  PubMed  Google Scholar 

  19. Williams MR, Casher J, Klein KA, et al. Linear atrial ablation using laser energy. Submitted.

    Google Scholar 

  20. Williams MR, Kourpanidis S, Casher J, et al. Epicardial atrial ablation with high intensity focused ultrasound on the beating heart. Circulation 2001; 104 (17): II - 409.

    Google Scholar 

  21. Weismuller P, Mayer U, Richter P, et al. Chemical ablation by subendocardial injection of ethanol via catheter-preliminary results in the pig heart. Eur Heart J 1991; 12 (11): 1234–1239.

    Article  PubMed  CAS  Google Scholar 

  22. Khargi K, Deneke T, Haardt H, et al. Saline-irrigated, cooled-tip radiofrequency ablation is an effective technique to perform the maze procedure. Ann Thorac Surg 2001; 72: S1090 - S1095.

    Article  PubMed  CAS  Google Scholar 

  23. Sie HT, Beukema WP, Misier AR, et al. Radiofrequency modified Maze in patients with atrial fibrillation undergoing concomitant cardiac surgery. J Thorac Cardiovasc Surg 2001; 122: 249–256.

    Article  PubMed  CAS  Google Scholar 

  24. Haissaguerre M, Jais P, Shah DC, et al. Spontaneous initiation of atrial fibrillation by ectopic beats originating in the pulmonary veins. N Engl J Med 1998; 339: 659–666.

    Article  PubMed  CAS  Google Scholar 

  25. Jalife J, Berenfeld O, Skanes A, Mandapati R. Mechanisms of atrial fibrillation: mother rotors or multiple daughter wavelets, or both? J Cardiovasc Electrophysiol I998; 9: S2 - S12.

    Google Scholar 

  26. Sueda T, Nagata H, Shikata H, et al. Simple left atrial procedure for chronic atrial fibrillation associated with mitral valve disease. Ann Thorac Surg 1996; 62: 1796–1800.

    Article  PubMed  CAS  Google Scholar 

  27. Graffigna A, Pagani F, Minzioni G, Salerno J, Vigano M. Left atrial isolation associated with mitral valve operations. Ann Thorac Surg 1992; 54: 1093–1097.

    Article  PubMed  CAS  Google Scholar 

  28. Kottkamp H, Kindricks G, Hammel D, et al. Intraoperative radiofrequency ablation of chronic atrial fibrillation: a left atrial curative approach by elimination of anatomic “anchor” reentrant circuits. J Cardiovasc Electrophysiol 1999; 10: 772–780.

    Article  PubMed  CAS  Google Scholar 

  29. Williams MR, Stewart JR, Bolling SF, et al. Surgical treatment of atrial fibrillation using radiofrequency energy. Ann Thorac Surg 2001; 71: 1939–1944.

    Article  PubMed  CAS  Google Scholar 

  30. Knaut M, Spitzer SG, Karolyi L, et al. Intraoperative microwave ablation for curative treatment of atrial fibrillation in open heart surgery-the MICRO-STAF and MICRO-PASS pilot trial. Microwave application in surgical treatment of atrial fibrillation. Microwave application for the treatment of atrial fibrillation in bypass-surgery. Thorac Cardiovasc Surg 1999; 47 (S3): 379–384.

    Article  PubMed  Google Scholar 

  31. Kosakai Y. Treatment of atrial fibrillation using the Maze Procedure: the Japanese experience. Semin Thorac Cardiovasc Surg 2000; 12: 44–52.

    PubMed  CAS  Google Scholar 

  32. Benussi S, Pappone C, Nascimbene S, et al. A simple way to treat chronic atrial fibrillation during mitral vavle surgery: the epicardial radiofrequency approach. Eur J Cardiothorac Surg 2000; 17: 524–529.

    Article  PubMed  CAS  Google Scholar 

  33. Raman JS, Seevanayagam S, Storer M, Power JM. Combined endocardial and epicardial radiofrequency ablation of right and left atria in the treatment of atrial fibrillation. Ann Thorac Surg 2001; 72: S1096 - S1099.

    Article  PubMed  CAS  Google Scholar 

  34. Williams MR, Garrido M, Casher JM, et al. A minimally invasive beating heart approach to pulmonary vein isolation for the treatment of atrial fibrillation. Proceedings of the Cardiovascular Therapeutics and Technologies Meeting, Miami Beach, FL, 2001.

    Google Scholar 

  35. Taylor GW, Walcott GP, Hall JA, et al. High-resolution and histologic examination of long radiofrequency lesions in canine atria. J Cardiovasc Electrophysiol 1999; 10: 1467–1477.

    Article  PubMed  CAS  Google Scholar 

  36. Williams MR, JA Sanchez, Barbone A, et al. Simultaneous endocardial contact activation mapping and beating heart epicardial radiofrequency pulmonary vein isolation. Circulation 2000;102(18): II-443-II-444.

    Article  Google Scholar 

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Authors
  1. Mathew R. Williams MD
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  2. Michael Argenziano MD
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Editor information

Editors and Affiliations

  1. Newark Beth Israel Medical Center, Newark, NJ, USA

    Daniel J. Goldstein MD

  2. New York Presbyterian Hospital, New York, NY, USA

    Mehmet C. Oz MD

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Williams, M.R., Argenziano, M. (2004). Less Invasive Surgical Treatment of Atrial Fibrillation. In: Goldstein, D.J., Oz, M.C. (eds) Minimally Invasive Cardiac Surgery. Contemporary Cardiology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-59259-416-0_24

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  • DOI: https://doi.org/10.1007/978-1-59259-416-0_24

  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-61737-400-5

  • Online ISBN: 978-1-59259-416-0

  • eBook Packages: Springer Book Archive

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