transparent gif


Ej inloggad.

Göteborgs universitets publikationer

A Swedish consensus on the surgical treatment of concomitant atrial fibrillation.

Författare och institution:
Anders Ahlsson (-); Lena Jidéus (-); Anders Albåge (-); Göran Källner (-); Anders Holmgren (-); Gabriella Boano (-); Ulf Hermansson (-); Per-Ola Kimblad (-); Henrik Scherstén (Institutionen för medicin, avdelningen för molekylär och klinisk medicin); Johan Sjögren (-); Elisabeth Ståhle (-); Bengt Aberg (-); Eva Berglin (Institutionen för medicin, avdelningen för molekylär och klinisk medicin)
Publicerad i:
Scandinavian cardiovascular journal : SCJ, 46 ( 4 ) s. 212-8
Artikel, refereegranskad vetenskaplig
Sammanfattning (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.
Ämne (baseras på Högskoleverkets indelning av forskningsämnen):
Klinisk medicin
Postens nummer:
Posten skapad:
2012-11-19 15:13
Posten ändrad:
2012-11-30 09:22

Visa i Endnote-format

Göteborgs universitet • Tel. 031-786 0000
© Göteborgs universitet 2007