A Yu Bagdasaryan, D V Bendov, T S Shcherbinin, M L Gordeev
{"title":"[CryoMaze程序治疗心脏瓣膜手术患者的非阵发性心房颤动]。","authors":"A Yu Bagdasaryan, D V Bendov, T S Shcherbinin, M L Gordeev","doi":"10.17116/hirurgia202505165","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the results of CryoMaze procedure for non-paroxysmal atrial fibrillation in patients undergoing heart valve surgery.</p><p><strong>Material and methods: </strong>Cryoablation was performed in 22 patients with paroxysmal AF undergoing heart valve surgery in 2022-2023. All patients underwent biatrial ablation procedure.</p><p><strong>Results: </strong>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.</p>","PeriodicalId":35986,"journal":{"name":"Khirurgiya","volume":" 5","pages":"65-71"},"PeriodicalIF":0.0000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"[The CryoMaze procedure for non-paroxysmal atrial fibrillation in patients undergoing heart valve surgery].\",\"authors\":\"A Yu Bagdasaryan, D V Bendov, T S Shcherbinin, M L Gordeev\",\"doi\":\"10.17116/hirurgia202505165\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To evaluate the results of CryoMaze procedure for non-paroxysmal atrial fibrillation in patients undergoing heart valve surgery.</p><p><strong>Material and methods: </strong>Cryoablation was performed in 22 patients with paroxysmal AF undergoing heart valve surgery in 2022-2023. All patients underwent biatrial ablation procedure.</p><p><strong>Results: </strong>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.</p>\",\"PeriodicalId\":35986,\"journal\":{\"name\":\"Khirurgiya\",\"volume\":\" 5\",\"pages\":\"65-71\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Khirurgiya\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.17116/hirurgia202505165\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Khirurgiya","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.17116/hirurgia202505165","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
[The CryoMaze procedure for non-paroxysmal atrial fibrillation in patients undergoing heart valve surgery].
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.
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