Surgical ablation of atrial fibrillation using energy sources

Surgical ablation, concomitant with other operations, is an option for treatment in patients with chronic atrial fibrillation. The aim of this study is to present a literature review on surgical ablation of atrial fibrillation in patients undergoing cardiac surgery, considering energy sources and re...

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Detalles Bibliográficos
Autores: Brick, Alexandre Visconti, Braile, Domingo Marcolino
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2015
País:Brasil
Institución:Universidade de Brasília (UnB)
Repositorio:Repositório Institucional da UnB
Idioma:inglés
OAI Identifier:oai:repositorio.unb.br:10482/29644
Acceso en línea:http://repositorio.unb.br/handle/10482/29644
http://dx.doi.org/10.5935/1678-9741.20150078
Access Level:acceso abierto
Palabra clave:Fibrilação atrial
Arritmia
Energia
Procedimentos cirúrgicos
Descripción
Sumario:Surgical ablation, concomitant with other operations, is an option for treatment in patients with chronic atrial fibrillation. The aim of this study is to present a literature review on surgical ablation of atrial fibrillation in patients undergoing cardiac surgery, considering energy sources and return to sinus rhythm. A comprehensive survey was performed in the literature on surgical ablation of atrial fibrillation considering energy sources, sample size, study type, outcome (early and late), and return to sinus rhythm. Analyzing studies with immediate results (n=5), the percentage of return to sinus rhythm ranged from 73% to 96%, while those with long-term results (n=20) (from 12 months on) ranged from 62% to 97.7%. In both of them, there was subsequent clinical improvement of patients who underwent ablation, regardless of the energy source used. Surgical ablation of atrial fibrillation is essential for the treatment of this arrhythmia. With current technology, it may be minimally invasive, making it mandatory to perform a procedure in an attempt to revert to sinus rhythm in patients requiring heart surgery.