[The CryoMaze procedure for non-paroxysmal atrial fibrillation in patients undergoing heart valve surgery].

Q4 Medicine
A Yu Bagdasaryan, D V Bendov, T S Shcherbinin, M L Gordeev
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引用次数: 0

Abstract

Objective: To evaluate the results of CryoMaze procedure for non-paroxysmal atrial fibrillation in patients undergoing heart valve surgery.

Material and methods: Cryoablation was performed in 22 patients with paroxysmal AF undergoing heart valve surgery in 2022-2023. All patients underwent biatrial ablation procedure.

Results: In-hospital postoperative period was characterized by frequent paroxysms AF and atrial flutter (50%), AF persistence in 8 patients (36%), stable sinus rhythm in 3 patients (14%) and temporary pacing in more than 50% of cases. Implantation of permanent pacemaker was necessary in two patients (9%). Mean follow-up period was 10.2±3.7 months. Considering additional therapy (drug therapy, electrical cardioversion, catheter ablation), we can emphasize high percentage of sinus rhythm recovery outside the «blind period» after biatrial CryoMaze procedure (16 (73%) patients). At the same time, catheter ablation can increase the effectiveness of CryoMaze procedure.

[CryoMaze程序治疗心脏瓣膜手术患者的非阵发性心房颤动]。
目的:评价CryoMaze治疗心脏瓣膜手术患者非阵发性心房颤动的效果。材料与方法:对22例于2022-2023年行心脏瓣膜手术的阵发性房颤患者进行冷冻消融。所有患者均行双房消融术。结果:术后住院期间房颤和心房扑动频繁发作(50%),房颤持续8例(36%),窦性心律稳定3例(14%),暂时性起搏超过50%。2例(9%)患者需要植入永久性起搏器。平均随访时间为10.2±3.7个月。考虑到其他治疗(药物治疗、电转复、导管消融),我们可以强调双房CryoMaze手术后“盲期”外窦性心律恢复的高比例(16例(73%)患者)。同时,导管消融可提高CryoMaze手术的有效性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Khirurgiya
Khirurgiya Medicine-Medicine (all)
CiteScore
0.70
自引率
0.00%
发文量
161
期刊介绍: Хирургия отдельных областей сердце, сосуды легкие пищевод молочная железа желудок и двенадцатиперстная кишка кишечник желчевыводящие пути печень
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