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Sergio Canovas
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Interactive Cardiovascular and Thoracic Surgery 1:72-77(2002)
© 2002 European Association of Cardio-Thoracic Surgery


Institutional review

Biatrial radiofrequency ablation for atrial fibrillation: epicardial and endocardial surgical approach

Fernando Hornero*, Jose A. Montero, Sergio Canovas and Maria Bueno

Cardiac Surgery Department of the University General Hospital, Valencia, Spain

* Corresponding author. Tel.: +34-96-386-2900 ext. 52396; fax: +34-96-386-2982
hornero_fer{at}gva.es

Radiofrequency energy applied by means of surgical probes permits the ablation of atrial fibrillation (AF). This study presents our initial experience on 55 consecutive cardiac patients with permanent AF with radiofrequency ablation through biatrial epicardial and endocardial surgical approach. At discharge, 8.1% of the patients had persistent AF-atrial flutter. Hospital incidence of arrhythmias were, 9% of paroxysmal atrial fibrillation, 10.9% of atrial flutter, and 34.5% of persistent atrial fibrillation. After a mean follow-up of 7 months, 83.6% patients have recovered sinus rhythm, and echocardiographic biatrial contraction was re-established in 73%. Biatrial radiofrequency ablation applied from the endocardium and the epicardium has achieved satisfactory results, without increasing the surgical risk.

Key Words: Atrial fibrillation; Surgery; Radiofrequency




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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]




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