ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Giorgio Arpesella
Roberto Di Bartolomeo
Giuseppe Marinelli
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Chiappini, B.
Right arrow Articles by Marinelli, G.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Chiappini, B.
Right arrow Articles by Marinelli, G.
Related Collections
Right arrow Electrophysiology - arrhythmias

Ann Thorac Surg 2004;77:87-92
© 2004 The Society of Thoracic Surgeons

Original article: cardiovascular

Cox/Maze III operation versus radiofrequency ablation for the surgical treatment of atrial fibrillation: a comparative study

Bruno Chiappini, MDa*, Sofia Martìn-Suàrez, MDa, Antonino LoForte, MDa, Giorgio Arpesella, MDa, Roberto Di Bartolomeo, MDa, Giuseppe Marinelli, MDa

a Department of Cardiovascular Surgery, Policlinico S. Orsola-Malpighi, University of Bologna, Bologna, Italy

Accepted for publication June 13, 2003.

* Address reprint requests to Dr Chiappini, Department of Cardiovascular Surgery, Policlinico S. Orsola-Malpighi, Via Massarenti 9-40138 Bologna, Italy.
e-mail: bruno_chiappini{at}hotmail.com

BACKGROUND: The purpose of this study was to evaluate the efficacy of radiofrequency (RF) ablation in the treatment of atrial fibrillation, by comparatively analyzing the outcomes of the patients who underwent RF ablation with those of patients who underwent Cox/Maze III surgery.

METHODS: Between April 1995 and June 2002, 70 patients underwent surgery for atrial fibrillation and open-heart surgery at the Department of Cardiovascular Surgery of the University of Bologna: 30 patients underwent the surgical Cox/Maze III procedure (group 1), and 40 patients underwent the RF ablation according to the Maze III configuration at least on the left atrium (group 2). There were 14 males and 56 females, with a mean age of 61.5 ± 12.5 years (range 22 to 80 years old).

RESULTS: Groups 1 and 2 did not differ in terms of baseline characteristics. The perioperative mortality rate was not significantly different between the two groups (6.6% in group 1 vs 7.5% in group 2). The overall cumulative rates of sinus rhythm were 68.9% in group 1 and 88.5% in group 2 (not statistically significant). Biatrial contraction was assessed by transthoracic echocardiography in 70.4% of the patients in group 1 and 76.5% of the patients in group 2 (p = 0.65).

CONCLUSIONS: The RF ablation procedure offers as good results as the Cox/Maze III operation, allowing recovery of the sinus rhythm and atrial function in the great majority of patients with atrial fibrillation who underwent open heart surgery; it is a safe and effective means of curing atrial fibrillation with negligible technical and time requirements.




This article has been cited by other articles:


Home page
 J. Thorac. Cardiovasc. Surg.Home page
A. Albrecht, R. A.K. Kalil, L. Schuch, R. Abrahao, J. R. M. Sant'Anna, G. de Lima, and I. A. Nesralla
Randomized study of surgical isolation of the pulmonary veins for correction of permanent atrial fibrillation associated with mitral valve disease.
J. Thorac. Cardiovasc. Surg., August 1, 2009; 138(2): 454 - 459.
[Abstract] [Full Text] [PDF]

Home page
 Eur Heart JHome page
T. Deneke, K. Khargi, B. Lemke, T. Lawo, M. Lindstaedt, A. Germing, T. Brodherr, L. Bosche, A. Mugge, A. Laczkovics, et al.
Intra-operative cooled-tip radiofrequency linear atrial ablation to treat permanent atrial fibrillation
Eur. Heart J., December 1, 2007; 28(23): 2909 - 2914.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
A. M. Gillinov
Choice of Surgical Lesion Set: Answers From the Data
Ann. Thorac. Surg., November 1, 2007; 84(5): 1786 - 1792.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
J. R. Doty, D. B. Doty, K. W. Jones, J. H. Flores, M. Mensah, B. B. Reid, S. E. Clayson, G. Snow, E. Righter, and R. C. Millar
Comparison of standard Maze III and radiofrequency Maze operations for treatment of atrial fibrillation
J. Thorac. Cardiovasc. Surg., April 1, 2007; 133(4): 1037 - 1044.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
S. C. Lall, S. J. Melby, R. K. Voeller, A. Zierer, M. S. Bailey, T. J. Guthrie, M. R. Moon, N. Moazami, J. S. Lawton, and R. J. Damiano Jr
The effect of ablation technology on surgical outcomes after the Cox-maze procedure: A propensity analysis
J. Thorac. Cardiovasc. Surg., February 1, 2007; 133(2): 389 - 396.
[Abstract] [Full Text] [PDF]

Home page
 ICVTSHome page
S. Martin-Suarez, B. Claysset, L. Botta, M. Ferlito, D. Pacini, C. Savini, G. Marinelli, and R. DiBartolomeo
Surgery for atrial fibrillation with radiofrequency ablation: four years experience
Interactive CardioVascular and Thoracic Surgery, February 1, 2007; 6(1): 71 - 76.
[Abstract] [Full Text] [PDF]

Home page
 J Am Coll CardiolHome page
O. M. Wazni, W. Saliba, T. Fahmy, D. Lakkireddy, S. Thal, M. Kanj, D. O. Martin, J. D. Burkhardt, R. Schweikert, and A. Natale
Atrial Arrhythmias After Surgical Maze: Findings During Catheter Ablation
J. Am. Coll. Cardiol., October 3, 2006; 48(7): 1405 - 1409.
[Abstract] [Full Text] [PDF]

Home page
 CirculationHome page
K. Yamanaka, M. Fujita, K. Doi, H. Tsuneyoshi, A. Yamazato, K. Ueno, E. Zen, and M. Komeda
Multislice Computed Tomography Accurately Quantifies Left Atrial Size and Function After the MAZE Procedure
Circulation, July 4, 2006; 114(1_suppl): I-5 - I-9.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
C. A. Rogers, G. D. Angelini, L. A. Culliford, R. Capoun, and R. Ascione
Coronary surgery in patients with preexisting chronic atrial fibrillation: early and midterm clinical outcome.
Ann. Thorac. Surg., May 1, 2006; 81(5): 1676 - 1682.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
S. D. Barnett and N. Ad
Surgical ablation as treatment for the elimination of atrial fibrillation: A meta-analysis
J. Thorac. Cardiovasc. Surg., May 1, 2006; 131(5): 1029 - 1035.
[Abstract] [Full Text] [PDF]

Home page
 Asian Cardiovasc. Thorac. Ann.Home page
S. S Kabbani, G. Murad, H. Jamil, A. Sabbagh, and K. Hamzeh
Ablation of Atrial Fibrillation Using Microwave Energy - Early Experience
Asian Cardiovasc Thorac Ann, September 1, 2005; 13(3): 247 - 250.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
E. Bugge, I. A. Nicholson, and S. P. Thomas
Comparison of bipolar and unipolar radiofrequency ablation in an in vivo experimental model
Eur. J. Cardiothorac. Surg., July 1, 2005; 28(1): 76 - 80.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
M. E. Halkos, J. M. Craver, V. H. Thourani, F. Kerendi, J. D. Puskas, W. A. Cooper, and R. A. Guyton
Intraoperative Radiofrequency Ablation for the Treatment of Atrial Fibrillation During Concomitant Cardiac Surgery
Ann. Thorac. Surg., July 1, 2005; 80(1): 210 - 216.
[Abstract] [Full Text] [PDF]

Home page
 CirculationHome page
S. J. Hazel, H. S. Paterson, J. R.M. Edwards, and G. J. Maddern
Surgical Treatment of Atrial Fibrillation via Energy Ablation
Circulation, March 1, 2005; 111(8): e103 - e106.
[Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2004 by The Society of Thoracic Surgeons.