<abstract xmlns="http://www.w3.org/1999/xhtml"><bold>Objectives</bold>: Termination of atrial fibrillation (AF) during transcatheter ablation has been associated with improved outcomes in some studies. Our aim was to determine if termination of AF during beating-heart surgical ablation affects long-term results.<bold>Design and methods</bold>: This observational, retrospective study included 69 patients who underwent minimally invasive stand-alone surgical epicardial ablation for non-valvular, persistent AF using a bipolar ablation device. Patients with confirmed pulmonary vein isolation were included in the evaluation. Absence of arrhythmia was confirmed at 3, 6, and 12 months and annually thereafter with 24-h Holter monitoring.<bold>Results</bold>: Altogether, 39 (57%) patients were in AF at the beginning of surgical procedure. Among them, 21 (54%) recovered their sinus rhythm (SR) during the ablation: 7 (18%) had AF termination during left atrial ablation, 14 (36%) had AF termination during right atrial (RA) ablation. The remaining 18 (46%) patients required cardioversion to achieve SR. The mean follow-up was 55 ± 24 months. There were no significant differences in the patients’ preoperative and intraoperative data. The percentages of patients without AF termination during ablation who experienced freedom from AF and antiarrhythmic medications at 1, 2, 3, 4, and 5 years postoperatively were 78%, 63%, 50%, 33%, and 43%, respectively. The corresponding percentages in patients with AF termination were 83%, 74%, 67%, 71%, and 75%, respectively.<bold>Conclusions</bold>: There is a trend towards better long-term results if arrhythmia was terminated during surgical epicardial ablation on beating heart. Termination of AF during RA ablation (observed in 36% of patients), suggests that AF is a biatrial disease in patients with persistent AF.</abstract>

Department of Cardiovascular Medicine, Vilnius University, Vilnius,

Vilnius University Hospital Santariškių Klinikos, Vilnius,

Procedural arrhythmia termination during beating-heart, stand-alone surgical ablation and long-term outcome in patients with persistent atrial fibrillation

AHEAD OF PRINT

Volume 29 (2023): Issue 1 (January 2023)

Volume 28 (2022): Issue 1 (January 2022)

Volume 27 (2022): Issue 1 (January 2022)

Volume 26 (2020): Issue 1 (January 2020)

Volume 25 (2019): Issue 1 (January 2019)

Volume 24 (2018): Issue 1 (August 2018)

Volume 23 (2017): Issue 1 (June 2017)

Volume 22 (2016): Issue 1 (June 2016)

Volume 21 (2015): Issue 2 (December 2015)

Volume 21 (2015): Issue 1 (June 2015)

Volume 20 (2014): Issue 2 (December 2014)

Volume 20 (2014): Issue 1 (June 2014)

Volume 19 (2013): Issue 2 (December 2013)

Volume 19 (2013): Issue 1 (June 2013)

Volume 18 (2012): Issue 2 (June 2012)

Volume 18 (2012): Issue 1 (January 2012)

Seminars in Cardiovascular Medicine

 The journal covers all fields of cardiovascular medicine and mostly reflects status of cardiovascular medicine in the Baltic States, but also publishes papers submitted by authors from other countries. Why subscribe and read   The journal reflects status of cardiovascular medicine in the Baltic States and also contains articles from renowned authors.   Why submit   Fast reviewing and publishing.   Rejection Rate   20%   Archiving  Sciendo archives the contents of this journal in Portico - digital long-term preservation service of scholarly books, journals and collections.  Plagiarism Policy  The editorial board is participating in a growing community of Similarity Check System's users in order to ensure that the content published is original and trustworthy. Similarity Check is a medium that allows for comprehensive manuscripts screening, aimed to eliminate plagiarism and provide a high standard and quality peer-review process. 

Seminars in Cardiovascular Medicine

Volume 22 (2016): Issue 1 (June 2016)

Procedural arrhythmia termination during beating-heart, stand-alone surgical ablation and long-term outcome in patients with persistent atrial fibrillation

Chercher

Tous les volumes et éditions dans cette revue