Early- and mid-term results of cryoablation of atrial fibrillation concomitant with robotic mitral valve surgery
Atrial fibrillation (AF) is the most common arrhythmia, which is also associated with mitral valve disease. Surgical ablation is still known to be an important procedure in restoring sinus rhythm (SR) concomitant with mitral valve surgery (MVS). In this study, we aimed to pres-ent our early- and mid...
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Published in | Anatolian journal of cardiology Vol. 25; no. 4; pp. 266 - 272 |
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Main Authors | , , , , , , , |
Format | Journal Article |
Language | English |
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Turkey
Turkish Society of Cardiology
01.04.2021
KARE Publishing |
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Abstract | Atrial fibrillation (AF) is the most common arrhythmia, which is also associated with mitral valve disease. Surgical ablation is still known to be an important procedure in restoring sinus rhythm (SR) concomitant with mitral valve surgery (MVS). In this study, we aimed to pres-ent our early- and mid-term result of AF cryoablation during robotic MVS.
Between November 2014 and January 2020, total 34 patients who underwent robotic MVS with concomitant AF ablation were ret-rospectively analyzed. Ten patients had a <1 year AF history, 14 had 1-5 years, and 10 had >5 years. The primary end point of the study was postoperative AF recurrence.
Total 32 and 2 patients underwent mitral valve replacement and mitral valve repair, respectively. Mean aortic cross-clamp and cardio-pulmonary bypass times were 141.8±32.1 min and 196±25.6 min, respectively. The SR was restored with the removal of cross-clamp and cardiac junctional rhythm was observed in 29 (85.3%) and 5 (14.7%) patients, respectively. Two in-hospital deaths secondary to low cardiac output and hepatorenal failure were recorded. Among the rest, 24 (75%) patients were in SR, 6 (18.75%) in AF, and 2 (6.25%) in paced rhythm at discharge.
Robotic cryoablation of AF during MVS is a feasible method with favorable early- and mid-term results. |
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AbstractList | OBJECTIVEAtrial fibrillation (AF) is the most common arrhythmia, which is also associated with mitral valve disease. Surgical ablation is still known to be an important procedure in restoring sinus rhythm (SR) concomitant with mitral valve surgery (MVS). In this study, we aimed to pres-ent our early- and mid-term result of AF cryoablation during robotic MVS. METHODSBetween November 2014 and January 2020, total 34 patients who underwent robotic MVS with concomitant AF ablation were ret-rospectively analyzed. Ten patients had a <1 year AF history, 14 had 1-5 years, and 10 had >5 years. The primary end point of the study was postoperative AF recurrence. RESULTSTotal 32 and 2 patients underwent mitral valve replacement and mitral valve repair, respectively. Mean aortic cross-clamp and cardio-pulmonary bypass times were 141.8±32.1 min and 196±25.6 min, respectively. The SR was restored with the removal of cross-clamp and cardiac junctional rhythm was observed in 29 (85.3%) and 5 (14.7%) patients, respectively. Two in-hospital deaths secondary to low cardiac output and hepatorenal failure were recorded. Among the rest, 24 (75%) patients were in SR, 6 (18.75%) in AF, and 2 (6.25%) in paced rhythm at discharge. CONCLUSIONRobotic cryoablation of AF during MVS is a feasible method with favorable early- and mid-term results. Atrial fibrillation (AF) is the most common arrhythmia, which is also associated with mitral valve disease. Surgical ablation is still known to be an important procedure in restoring sinus rhythm (SR) concomitant with mitral valve surgery (MVS). In this study, we aimed to pres-ent our early- and mid-term result of AF cryoablation during robotic MVS. Between November 2014 and January 2020, total 34 patients who underwent robotic MVS with concomitant AF ablation were ret-rospectively analyzed. Ten patients had a <1 year AF history, 14 had 1-5 years, and 10 had >5 years. The primary end point of the study was postoperative AF recurrence. Total 32 and 2 patients underwent mitral valve replacement and mitral valve repair, respectively. Mean aortic cross-clamp and cardio-pulmonary bypass times were 141.8±32.1 min and 196±25.6 min, respectively. The SR was restored with the removal of cross-clamp and cardiac junctional rhythm was observed in 29 (85.3%) and 5 (14.7%) patients, respectively. Two in-hospital deaths secondary to low cardiac output and hepatorenal failure were recorded. Among the rest, 24 (75%) patients were in SR, 6 (18.75%) in AF, and 2 (6.25%) in paced rhythm at discharge. Robotic cryoablation of AF during MVS is a feasible method with favorable early- and mid-term results. |
Author | Demirkılıç, Ufuk Karabacak, Kubilay Erol, Gökhan Yıldırım, Vedat Bolcal, Cengiz Kubat, Emre Kadan, Murat Akyol, Furkan Burak |
Author_xml | – sequence: 1 givenname: Murat surname: Kadan fullname: Kadan, Murat organization: Department Of Cardiovascular Surgery, Gulhane Training And Research Hospital, Ankara, Turkey – sequence: 2 givenname: Emre surname: Kubat fullname: Kubat, Emre organization: Department Of Cardiovascular Surgery, Gulhane Training And Research Hospital, Ankara, Turkey – sequence: 3 givenname: Gökhan surname: Erol fullname: Erol, Gökhan organization: Department Of Cardiovascular Surgery, Gulhane Training And Research Hospital, Ankara, Turkey – sequence: 4 givenname: Kubilay surname: Karabacak fullname: Karabacak, Kubilay organization: Department Of Cardiovascular Surgery, Gulhane Training And Research Hospital, Ankara, Turkey – sequence: 5 givenname: Furkan Burak surname: Akyol fullname: Akyol, Furkan Burak organization: Department Of Cardiovascular Surgery, Gulhane Training And Research Hospital, Ankara, Turkey – sequence: 6 givenname: Vedat surname: Yıldırım fullname: Yıldırım, Vedat organization: Department Of Anesthesiology, Gulhane Training And Research Hospital, Ankara, Turkey – sequence: 7 givenname: Cengiz surname: Bolcal fullname: Bolcal, Cengiz organization: Department Of Cardiovascular Surgery, Gulhane Training And Research Hospital, Ankara, Turkey – sequence: 8 givenname: Ufuk surname: Demirkılıç fullname: Demirkılıç, Ufuk organization: Department Of Cardiovascular Surgery, Gulhane Training And Research Hospital, Ankara, Turkey |
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SubjectTerms | Atrial Fibrillation - surgery Catheter Ablation Cryosurgery Humans Mitral Valve - surgery Original Investigation Robotic Surgical Procedures Treatment Outcome |
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Title | Early- and mid-term results of cryoablation of atrial fibrillation concomitant with robotic mitral valve surgery |
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