The surgical treatment of atrial fibrillation

Jeanne Shen, Marci S. Bailey, Ralph J. Damiano

Research output: Contribution to journalArticle

26 Citations (Scopus)

Abstract

For two decades, the cut-and-sew Cox-maze III procedure was the gold standard for the surgical treatment of atrial fibrillation (AF) and has proven to be effective at eliminating AF. The incidence of late stroke was also very low. However, this procedure was not widely adopted owing to its complexity and technical difficulty. Over the last 5-10 years, the introduction of new ablation technology has led to the development of the Cox-maze IV procedure as well as more limited lesion sets, with the ultimate goal of performing a minimally invasive lesion set on the beating heart without the need for cardiopulmonary bypass. This review summarizes the current state of the art and future directions in the stand-alone surgical treatment of AF. The hope is that as more is learned about the mechanisms of AF and with better preoperative diagnostic technologies capable of precisely locating the areas responsible for AF, it will become possible to tailor specific lesion sets and ablation modalities to individual patients, making the surgical treatment of AF available to a larger population of patients.

Original languageEnglish (US)
JournalHeart Rhythm
Volume6
Issue number8 SUPPL.
DOIs
StatePublished - Aug 1 2009

Fingerprint

Atrial Fibrillation
Therapeutics
Technology
Cardiopulmonary Bypass
Stroke
Incidence
Population

Keywords

  • Ablation
  • Atrial fibrillation
  • Cox-maze procedure

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)

Cite this

The surgical treatment of atrial fibrillation. / Shen, Jeanne; Bailey, Marci S.; Damiano, Ralph J.

In: Heart Rhythm, Vol. 6, No. 8 SUPPL., 01.08.2009.

Research output: Contribution to journalArticle

Shen, Jeanne ; Bailey, Marci S. ; Damiano, Ralph J. / The surgical treatment of atrial fibrillation. In: Heart Rhythm. 2009 ; Vol. 6, No. 8 SUPPL.
@article{5ab50239378543c99f78d4573d0b708e,
title = "The surgical treatment of atrial fibrillation",
abstract = "For two decades, the cut-and-sew Cox-maze III procedure was the gold standard for the surgical treatment of atrial fibrillation (AF) and has proven to be effective at eliminating AF. The incidence of late stroke was also very low. However, this procedure was not widely adopted owing to its complexity and technical difficulty. Over the last 5-10 years, the introduction of new ablation technology has led to the development of the Cox-maze IV procedure as well as more limited lesion sets, with the ultimate goal of performing a minimally invasive lesion set on the beating heart without the need for cardiopulmonary bypass. This review summarizes the current state of the art and future directions in the stand-alone surgical treatment of AF. The hope is that as more is learned about the mechanisms of AF and with better preoperative diagnostic technologies capable of precisely locating the areas responsible for AF, it will become possible to tailor specific lesion sets and ablation modalities to individual patients, making the surgical treatment of AF available to a larger population of patients.",
keywords = "Ablation, Atrial fibrillation, Cox-maze procedure",
author = "Jeanne Shen and Bailey, {Marci S.} and Damiano, {Ralph J.}",
year = "2009",
month = "8",
day = "1",
doi = "10.1016/j.hrthm.2009.05.019",
language = "English (US)",
volume = "6",
journal = "Heart Rhythm",
issn = "1547-5271",
publisher = "Elsevier",
number = "8 SUPPL.",

}

TY - JOUR

T1 - The surgical treatment of atrial fibrillation

AU - Shen, Jeanne

AU - Bailey, Marci S.

AU - Damiano, Ralph J.

PY - 2009/8/1

Y1 - 2009/8/1

N2 - For two decades, the cut-and-sew Cox-maze III procedure was the gold standard for the surgical treatment of atrial fibrillation (AF) and has proven to be effective at eliminating AF. The incidence of late stroke was also very low. However, this procedure was not widely adopted owing to its complexity and technical difficulty. Over the last 5-10 years, the introduction of new ablation technology has led to the development of the Cox-maze IV procedure as well as more limited lesion sets, with the ultimate goal of performing a minimally invasive lesion set on the beating heart without the need for cardiopulmonary bypass. This review summarizes the current state of the art and future directions in the stand-alone surgical treatment of AF. The hope is that as more is learned about the mechanisms of AF and with better preoperative diagnostic technologies capable of precisely locating the areas responsible for AF, it will become possible to tailor specific lesion sets and ablation modalities to individual patients, making the surgical treatment of AF available to a larger population of patients.

AB - For two decades, the cut-and-sew Cox-maze III procedure was the gold standard for the surgical treatment of atrial fibrillation (AF) and has proven to be effective at eliminating AF. The incidence of late stroke was also very low. However, this procedure was not widely adopted owing to its complexity and technical difficulty. Over the last 5-10 years, the introduction of new ablation technology has led to the development of the Cox-maze IV procedure as well as more limited lesion sets, with the ultimate goal of performing a minimally invasive lesion set on the beating heart without the need for cardiopulmonary bypass. This review summarizes the current state of the art and future directions in the stand-alone surgical treatment of AF. The hope is that as more is learned about the mechanisms of AF and with better preoperative diagnostic technologies capable of precisely locating the areas responsible for AF, it will become possible to tailor specific lesion sets and ablation modalities to individual patients, making the surgical treatment of AF available to a larger population of patients.

KW - Ablation

KW - Atrial fibrillation

KW - Cox-maze procedure

UR - http://www.scopus.com/inward/record.url?scp=67651121878&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=67651121878&partnerID=8YFLogxK

U2 - 10.1016/j.hrthm.2009.05.019

DO - 10.1016/j.hrthm.2009.05.019

M3 - Article

VL - 6

JO - Heart Rhythm

JF - Heart Rhythm

SN - 1547-5271

IS - 8 SUPPL.

ER -