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Early Stable Sinus Rhythm Associated With Greater Success 5 Years After Surgical Ablation
| Content Provider | Scilit |
|---|---|
| Author | Ad, Niv Holmes, Sari D. |
| Copyright Year | 2018 |
| Description | Journal: The Annals of Thoracic Surgery An important challenge in surgical ablation for atrial fibrillation (AF) is the scarcity of publications on credible predictors of long-term success in procedures performed with ablation tools that produce consistently reliable transmural lesions. We examined factors associated with 1-year success and no atrial arrhythmia (AA) recurrence during 1 to 5 years after surgical ablation for AF. The study prospectively monitored 743 surgical ablation patients with complete rhythm follow-up at 12 months after the operation. No detected AA was defined as no known recurrence of AA, no cardioversions, and no catheter ablations at all available follow-up assessments. Patients were a mean age of 64.7 years, and 32% were women. Patients with no detected AA during the first year after surgical ablation were more likely to maintain sinus rhythm without recurrence during 1 to 5 years (74% vs 28%, p < 0.001) and to be in sinus rhythm off medication at 5 years (80% vs 53%, p < 0.001). Mixed-model logistic regression revealed that lower risk for AA recurrence during 1 to 5 years was associated with no detected AA during the first 12 months (odds ratio [OR], 0.11; p < 0.001) and surgeon experience with 50 or more cases (OR, 0.63; p = 0.043), whereas older age (OR, 1.03; p < 0.001) and longer preoperative AF duration (OR, 1.04; p = 0.043) were associated with greater risk for AA recurrence. Most patients with no detected AA throughout the first 12 months after surgical ablation continued to be recurrence free for 5 years. Younger age, shorter preoperative AF duration, and greater surgeon experience may be associated with more persistent surgical correction of AF. |
| Related Links | http://www.annalsthoracicsurgery.org/article/S0003497518300079/pdf https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5929131/pdf |
| Ending Page | 1376 |
| Page Count | 7 |
| Starting Page | 1370 |
| ISSN | 00034975 |
| e-ISSN | 15526259 |
| DOI | 10.1016/j.athoracsur.2017.11.075 |
| Journal | The Annals of Thoracic Surgery |
| Issue Number | 5 |
| Volume Number | 105 |
| Language | English |
| Publisher | Elsevier BV |
| Publisher Date | 2018-05-01 |
| Access Restriction | Open |
| Subject Keyword | Journal: The Annals of Thoracic Surgery Cardiology and Cardiovascular Diseases Arrhythmia Therapy Atrial Fibrillation |
| Content Type | Text |
| Resource Type | Article |
| Subject | Pulmonary and Respiratory Medicine Surgery Cardiology and Cardiovascular Medicine |
