The Journal of Thoracic and Cardiovascular Surgery
Volume 128, Issue 4 , Pages 535-542 , October 2004

A prospective, single-center clinical trial of a modified Cox maze procedure with bipolar radiofrequency ablation

Read at the Twenty-ninth Annual Meeting of The Western Thoracic Surgical Association, Carlsbad, Calif, June 18-21, 2003.

  • Sydney L. Gaynor, MD

      Affiliations

    • Division of Cardiothoracic Surgery, Washington University School of Medicine, St Louis, Mo, USA
    • ,
  • Michael D. Diodato

      Affiliations

    • Division of Cardiothoracic Surgery, Washington University School of Medicine, St Louis, Mo, USA
    • ,
  • Sunil M. Prasad, MD

      Affiliations

    • Division of Cardiothoracic Surgery, Washington University School of Medicine, St Louis, Mo, USA
    • ,
  • Yosuke Ishii, MD

      Affiliations

    • Division of Cardiothoracic Surgery, Washington University School of Medicine, St Louis, Mo, USA
    • ,
  • Richard B. Schuessler, PhD

      Affiliations

    • Division of Cardiothoracic Surgery, Washington University School of Medicine, St Louis, Mo, USA
    • ,
  • Marci S. Bailey, RN

      Affiliations

    • Division of Cardiothoracic Surgery, Washington University School of Medicine, St Louis, Mo, USA
    • ,
  • Nicholas R. Damiano

      Affiliations

    • Division of Cardiothoracic Surgery, Washington University School of Medicine, St Louis, Mo, USA
    • ,
  • Jeffrey B. Bloch, BA

      Affiliations

    • Division of Cardiothoracic Surgery, Washington University School of Medicine, St Louis, Mo, USA
    • ,
  • Marc R. Moon, MD

      Affiliations

    • Division of Cardiothoracic Surgery, Washington University School of Medicine, St Louis, Mo, USA
    • ,
  • Ralph J. Damiano Jr, MD

      Affiliations

    • Division of Cardiothoracic Surgery, Washington University School of Medicine, St Louis, Mo, USA
    • Corresponding Author InformationAddress for reprints: Ralph J. Damiano, Jr, MD, Suite 3108 Queeny Tower, 1 Barnes-Jewish Hospital Plaza, St Louis, MO 63110, USA

Received 12 December 2003 ,Revised 12 February 2004 ,Accepted 26 February 2004.

References 

  1. Furberg CD, Psaty BM, Manilo TA, Gardin JM, Smith VE, Rautaharju PM. Prevalence of atrial fibrillation in elderly subjects (the Cardiovascular Health Study). Am J Cardiol. 1994;74:236–241
  2. National Center for Health Statistics . Public use data tape documentation: 1995 National Ambulatory Medical Care Survey. Hyattsville (MD): National Center for Health Statistics, US Public Health Service; 1997;
  3. Cox JL, Ad N, Palazzo T, Fitzpatrick S, Suyderhoud JP, DeGroot KW, et al.  Current status of the maze procedure for the treatment of atrial fibrillation. Semin Thorac Cardiovasc Surg. 2000;12:15–19
  4. Lonnerholm S, Blomstrom P, Nilsson L, Blomstrom-Lundqvist C. Atrial size and transport function after the maze III procedure for paroxysmal atrial fibrillation. Ann Thorac Surg. 2002;71:107–111
  5. Schaff HV, Dearani JA, Daly RC, Orszula TA, Danielson GK. Cox-maze procedure for atrial fibrillation (Mayo Clinic experience). Semin Thorac Cardiovasc Surg. 2000;12:30–37
  6. Jazayeri MR, Hempe SL, Sra JS, Dhala AA, Blanck Z, Deshpande SS, et al.  Selective transcatheter ablation of the fast and slow pathways using radiofrequency energy in patients with atrioventricular nodal reentrant tachycardia. Circulation. 1992;85:1318–1328
  7. Jais P, Shah DC, Haissaguerre M, Takahashi A, Lavergne T, Hocini M, et al.  Efficacy and safety of septal and left-atrial linear ablation for atrial fibrillation. Am J Cardiol. 1999;84(9A):139R–146R
  8. Dagres N, Clague JR, Lottkamp H, Hindricks G, Breithardt G, Borggrefe M. Impact of radiofrequency ablation of accessory pathways on the frequency of atrial fibrillation during long-term follow-up (high recurrence rate of atrial fibrillation in patients older than 50 years of age). Eur Heart J. 2001;22:423–427
  9. Thomas SP, Guy DJ, Boyd AC, Eipper VE, Ross DL, Chard RB. Comparison of epicardial and endocardial linear ablation using handheld probes. Ann Thorac Surg. 2003;75:543–548
  10. Damiano RJ. Alternative energy sources for atrial ablation (judging the new technology). Ann Thorac Surg. 2003;75:329–330
  11. Fayad G, Le Tourneau T, Modine T, Azzaoui R, Larrue B, Koussa D, et al.  One-year clinical and echocardiographic follow-up after endocardial radiofrequency ablation for atrial fibrillation. J Am Coll Cardiol. 2003;41(6 Suppl B):499
  12. Gillinov AM, Petterson G, Rice TW. Esophageal injury during radiofrequency ablation for atrial fibrillation. J Thorac Cardiovasc Surg. 2001;122:1239–1240
  13. Prasad SM, Maniar HS, Schuessler RB, Damiano RJ. Chronic transmural atrial ablation by using bipolar radiofrequency energy on the beating heart. J Thorac Cardiovasc Surg. 2002;124:708–713
  14. Prasad SM, Maniar HS, Moustakidis P, Schuessler RB, Damiano RJ. Epicardial ablation on the beating heart (progress towards an off-pump maze procedure). Heart Surg Forum. 2002;5:100–104
  15. Prasad SM, Maniar HS, Diodato MD, Schuessler RB, Damiano RJ. Physiological consequences of bipolar radiofrequency energy on the atria and pulmonary veins (a chronic animal study). Ann Thorac Surg. 2003;76:836–842
  16. Naylor GL, Firmin DN, Longmore DB. Blood flow imaging by cine magnetic resonance. J Comput Assist Tomogr. 1986;10:715–722
  17. Cox JL, Schuessler RB, D'Agostino HJ, Stone CM, Chang BC, Cain ME, et al.  The surgical treatment of atrial fibrillation (development of a definitive surgical procedure). J Thorac Cardiovasc Surg. 1991;101:569–583
  18. Cox JL, Sundt TM. The surgical management of atrial fibrillation. Annu Rev Med. 1997;48:511–523
  19. Prasad SM, Maniar HS, Camillo CJ, Schuessler RB, Boineau JP, Sundt TM, et al.  The Cox maze III procedure for atrial fibrillation (long-term efficacy in patients undergoing lone versus concomitant procedures). J Thorac Cardiovasc Surg. 2003;126:1822–1828
  20. Ishii Y, Takashi N, Masahiro F, Ogasawara H, Iwaki H, Ohkubo N, et al.  Serial change in the atrial transport function after the radial incision approach. Ann Thorac Surg. 2001;71:572–576
  21. Yashima N, Nasu M, Kawazoe K, Hiramori K. Serial evaluation of atrial function by Doppler echocardiography after the maze procedure for chronic atrial fibrillation. Eur Heart J. 1997;18:496–502
  22. Hindricks G, Mohr FW, Autschbach R, Kottkamp H. Antiarrhythmic surgery for treatment of atrial fibrillation—new concepts. Thorac Cardiovasc Surg. 1999;47(Suppl 3):365–369
  23. Knaut M, Tugtekin SM, Spitzer S, Gulielmos V. Combined atrial fibrillation and mitral valve surgery using microwave technology. Semin Thorac Cardiovasc Surg. 2002;14:226–231
  24. Knaut M, Spitzer SG, Karolyi L, Ebert H, Richter P, Tugtekin SM, et al.  Intraoperative microwave ablation for curative treatment of atrial fibrillation in open heart surgery (the MICRO-STAF and MICRO-PASS pilot trial. MICROwave Application in Surgical treatment of Atrial Fibrillation. MICROwave Application for the Treatment of Atrial Fibrillation in Bypass-Surgery). Thorac Cardiovasc Surg. 1999;47(Suppl 3):379–384
  25. Gillinov AM, Smedira NG, Cosgrove DM. Microwave ablation of atrial fibrillation during mitral valve operations. Ann Thorac Surg. 2002;74:1259–1261
  26. Yu WC, Hsu TL, Tai CT, Tsai CF, Hsieh MH, Lin WS, et al.  Acquired pulmonary vein stenosis after radiofrequency catheter ablation of paroxysmal atrial fibrillation. J Cardiovasc Electrophysiol. 2001;12:887–892
  27. Arentz T, Jander N, von Rosenthal J, Blum T, Furmaier R, Gornandt L. Incidence of pulmonary vein stenosis 2 years after radiofrequency catheter ablation of refractory atrial fibrillation. Eur Heart J. 2003;24:963–969
  28. Haissaguerre M, Jais P, Shah DC, Takahashi A, Hocini M, Quiniou G, et al.  Spontaneous initiation of atrial fibrillation by ectopic beats originating in the pulmonary veins. N Engl J Med. 1998;339:659–666

PII: S0022-5223(04)00720-2

doi: 10.1016/j.jtcvs.2004.02.044

The Journal of Thoracic and Cardiovascular Surgery
Volume 128, Issue 4 , Pages 535-542 , October 2004

Article Tools

* Image Usage & Resolution