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dc.contributor.authorGüden, Mustafa
dc.contributor.authorAkpınar, Belhhan
dc.contributor.authorÇaynak, Barış
dc.contributor.authorTürkoğlu, Çavlan
dc.contributor.authorÖzyedek, Zeki
dc.contributor.authorSanisoğlu, İlhan
dc.contributor.authorSağbaş, Ertan
dc.contributor.authorAytekin, Saide
dc.contributor.authorOztekin, Seher Deniz
dc.description.abstractBackground: This study was conducted to evaluate the effectiveness of the saline-irrigated radiofrequency modified maze operation for the treatment of chronic atrial fibrillation (AF) and compare the results of the left and bi-atrial procedures. Material and method: During a period of two years 105 patients with chronic AF having concomitant cardiac surgery underwent the procedure. Patients underwent either a bi-atrial (n = 48) or left atrial (n = 57) maze procedure. The first twenty patients underwent a bi-atrial maze procedure regardless of the pathology. In the following patients we adopted the bi-atrial approach in patients with a history of atrial flutter and where the right atrium has to be opened. Otherwise the procedure is restricted to the left atrial side. Mean age was 52 ± 11 years in bi-atrial group and 54 ± 9 years in left atrial group. Results: Three patients died early postoperatively (2.9%). There were 4 revisions for bleeding (3.8%). Two patients in bi-atrial group received a permanent pacemaker (4.1%). Patients in both groups were free of AF at the end of the procedure. (Bi-atrial group: sinus: 79.2% pacemaker: 20.8%) (Left atrial group: sinus: 82.5% pacemaker: 17.5%) (p > 0.05). During the last follow-up sinus rhythm was maintained in 79.6% of cases in bi-atrial group while this rate was 75.6% in left atrial group (p > 0.05). Conclusion: Saline irrigated radiofrequency modified maze procedure was performed safely and efficiently. Both the left and bi-atrial procedures were successful in terms of restoring sinus rhythm. Our current policy is to adopt the bi-atrial approach in patients with a history of atrial flutter and where the right atrium has to be opened. Otherwise the procedure is restricted to the left atrial side. © 2003 Kluwer Academic Publishers.en_US]
dc.subjectAtrial fibrillationen_US
dc.subjectModified mazeen_US
dc.subjectSaline-irrigated radiofrequencyen_US
dc.titleLeft versus bi-atrial intraoperative saline-irrigated radiofrequency modified maze procedure for atrial fibrillationen_US
dc.relation.journalCardiac Electrophysiology Reviewen_US
dc.institutionauthorGüden, Mustafaen_US
dc.institutionauthorAkpınar, Belhhanen_US
dc.institutionauthorÇaynak, Barışen_US
dc.institutionauthorTürkoğlu, Çavlanen_US
dc.institutionauthorÖzyedek, Zekien_US
dc.institutionauthorSanisoğlu, İlhanen_US
dc.institutionauthorSağbaş, Ertanen_US
dc.institutionauthorAytekin, Saideen_US
dc.institutionauthorOztekin, Seher Denizen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US

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