The Journal of Thoracic and Cardiovascular Surgery
Volume 137, Issue 5 , Pages 1265-1271 , May 2009

Epicardial off-pump pulmonary vein isolation and vagal denervation improve long-term outcome and quality of life in patients with atrial fibrillation

  • Louise Bagge, MD

      Affiliations

    • Department of Cardiology, Uppsala University Hospital, Uppsala, Sweden
    • Corresponding Author InformationAddress for reprints: Louise Bagge, MD, Department of Cardiology, Uppsala University Hospital, 751 85 Uppsala, Sweden.
    • ,
  • Per Blomström, MD, PhD

      Affiliations

    • Department of Cardiology, Uppsala University Hospital, Uppsala, Sweden
    • ,
  • Leif Nilsson, MD, PhD

      Affiliations

    • Department of Thoracic Surgery, Uppsala University Hospital, Uppsala, Sweden
    • ,
  • Gunnar Myrdal Einarsson, MD, PhD

      Affiliations

    • Department of Thoracic Surgery, Uppsala University Hospital, Uppsala, Sweden
    • ,
  • Lena Jidéus, MD, PhD

      Affiliations

    • Department of Thoracic Surgery, Uppsala University Hospital, Uppsala, Sweden
    • ,
  • Carina Blomström-Lundqvist, MD, PhD

      Affiliations

    • Department of Cardiology, Uppsala University Hospital, Uppsala, Sweden

Received 14 August 2008 ,Revised 19 November 2008 ,Accepted 19 December 2008.

References 

  1. Stabile G, Bertaglia E, Senatore G, De Simone A, Zoppo F, Donnici G, et al. Catheter ablation treatment in patients with drug-refractory atrial fibrillation: a prospective, multi-centre, randomized, controlled study (Catheter Ablation For The Cure Of Atrial Fibrillation Study). Eur Heart J. 2006;27:216–221
  2. Oral H, Pappone C, Chugh A, Good E, Bogun F, Pelosi F, et al. Circumferential pulmonary-vein ablation for chronic atrial fibrillation. N Engl J Med. 2006;354:934–941
  3. Chen ML, Yang B, Xu DJ, Zou JG, Shan QJ, Chen C, et al. [Electrophysiological findings and ablation strategies in patients with atrial tachyarrhythmias after left atrial circumferential ablation in the treatment of atrial fibrillation]. Zhonghua Xin Xue Guan Bing Za Zhi. 2007;35:119–122
  4. Wolf RK, Schneeberger EW, Osterday R, Miller D, Merrill W, Flege JB, et al. Video-assisted bilateral pulmonary vein isolation and left atrial appendage exclusion for atrial fibrillation. J Thorac Cardiovasc Surg. 2005;130:797–802
  5. Sagbas E, Akpinar B, Sanisoglu I, Caynak B, Tamtekin B, Oral K, et al. Video-assisted bilateral epicardial pulmonary vein isolation for the treatment of lone atrial fibrillation. Ann Thorac Surg. 2007;83:1724–1730
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  8. Edgerton JR, Jackman WM, Mack MJ. Minimally invasive pulmonary vein isolation and partial autonomic denervation for surgical treatment of atrial fibrillation. J Interv Card Electrophysiol. 2007;20:89–93
  9. Matsutani N, Takase B, Ozeki Y, Maehara T, Lee R. Minimally invasive cardiothoracic surgery for atrial fibrillation: a combined Japan-US experience. Circ J. 2008;72:434–436
  10. Edgerton JR, Edgerton ZJ, Weaver T, Reed K, Prince S, Herbert MA, et al. Minimally invasive pulmonary vein isolation and partial autonomic denervation for surgical treatment of atrial fibrillation. Ann Thorac Surg. 2008;86:35–38discussion 39
  11. Lonnerholm S, Blomstrom P, Nilsson L, Oxelbark S, Jideus L, Blomstrom-Lundqvist C. Effects of the maze operation on health-related quality of life in patients with atrial fibrillation. Circulation. 2000;101:2607–2611
  12. Pappone C, Santinelli V, Manguso F, Vicedomini G, Gugliotta F, Augello G, et al. Pulmonary vein denervation enhances long-term benefit after circumferential ablation for paroxysmal atrial fibrillation. Circulation. 2004;109:327–334
  13. Scherlag BJ, Nakagawa H, Jackman WM, Yamanashi WS, Patterson E, Po S, et al. Electrical stimulation to identify neural elements on the heart: their role in atrial fibrillation. J Interv Card Electrophysiol. 2005;13(Suppl 1):37–42
  14. Katritsis D, Giazitzoglou E, Sougiannis D, Goumas N, Paxinos G, Camm AJ. Anatomic approach for ganglionic plexi ablation in patients with paroxysmal atrial fibrillation. Am J Cardiol. 2008;102:330–334
  15. Oh S, Zhang Y, Bibevski S, Marrouche NF, Natale A, Mazgalev TN. Vagal denervation and atrial fibrillation inducibility: epicardial fat pad ablation does not have long-term effects. Heart Rhythm. 2006;3:701–708
  16. Bertaglia E, Zoppo F, Tondo C, Colella A, Mantovan R, Senatore G, et al. Early complications of pulmonary vein catheter ablation for atrial fibrillation: a multicenter prospective registry on procedural safety. Heart Rhythm. 2007;4:1265–1271
  17. Pappone C, Oral H, Santinelli V, Vicedomini G, Lang CC, Manguso F, et al. Atrio-esophageal fistula as a complication of percutaneous transcatheter ablation of atrial fibrillation. Circulation. 2004;109:2724–2726
  18. Wudel JH, Chaudhuri P, Hiller JJ. Video-assisted epicardial ablation and left atrial appendage exclusion for atrial fibrillation: extended follow-up. Ann Thorac Surg. 2008;85:34–38

PII: S0022-5223(09)00002-6

doi: 10.1016/j.jtcvs.2008.12.017

The Journal of Thoracic and Cardiovascular Surgery
Volume 137, Issue 5 , Pages 1265-1271 , May 2009

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