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Where does atrial fibrillation surgery fail

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Presentation on theme: "Where does atrial fibrillation surgery fail"— Presentation transcript:

1 Where does atrial fibrillation surgery fail
Where does atrial fibrillation surgery fail? Implications for increasing effectiveness of ablation  Patrick M. McCarthy, MD, Jane Kruse, RN, Shanaz Shalli, MD, Leonard Ilkhanoff, MD, Jeffrey J. Goldberger, MD, Alan H. Kadish, MD, Rishi Arora, MD, Richard Lee, MD  The Journal of Thoracic and Cardiovascular Surgery  Volume 139, Issue 4, Pages (April 2010) DOI: /j.jtcvs Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions

2 Figure 1 Maze procedure volume. After publication of a meta-analysis in 2006 showing greater freedom from AF with a biatrial lesion set rather than just a left atrial set, our practice changed, and biatrial procedures predominated. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions

3 Figure 2 Freedom from ablation. Patients undergoing HIFU had early failure with symptomatic recurrence and underwent ablation more commonly (P < .001) than patients in the other groups. AF, Atrial fibrillation; HIFU, high-intensity focused ultrasound; PVI, pulmonary vein isolation. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions


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