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dc.contributor.authorGüden, Mustafa
dc.contributor.authorAkpınar, Belhhan
dc.contributor.authorSanisoğlu, İlhan
dc.contributor.authorSağbaş, Ertan
dc.contributor.authorBayındır, Osman
dc.description.abstractBackground. This study was conducted to evaluate the effectiveness of the saline-irrigated radiofrequency modified Maze operation for treatment of chronic atrial fibrillation and to compare the results of the left and biatrial procedures. Methods. During a period of 11 months 62 patients with chronic atrial fibrillation who were having concomitant cardiac surgery underwent the procedure. The mean age of the patients was 52 +/- 14 years. Patients underwent either a biatrial (group Aen_US]
dc.description.abstractn = 39) or left atrial (group Ben_US]
dc.description.abstractn = 23) procedure. Results. Two patients (3.2%) died early in the postoperative period. Three patients (4.8%) required reoperation for bleeding. One patient in group A (1.6%) received a permanent pacemaker. Patients in both groups were free of atrial fibrillation at the end of the procedure (group A: sinus 86.9% pacemaker 13%en_US]
dc.description.abstractgroup B: sinus 90.5% pacemaker 9.5%) (p > 0.05). At 1-month and longer-term follow-up sinus rhythm was maintained in 92% and 95% of cases in group A respectively whereas this rate was 71% and 81% in group B (p > 0.05). Holter monitor surveillance revealed a higher rate of atrial fibrillation atrial arrhythmias and atrial flutter in group B (p < 0.05). Transthoracic echocardiography revealed improvement over time in left atrial transport function in both groups (p < 0.05). Conclusions. The saline-irrigated radiofrequency modified Maze procedure was performed safely and efficiently. Both the left and biatrial procedures were successful in terms of restoring sinus rhythm during short-term follow-up. Long-term follow-up with more cases is needed to show the superiority of one method over the other.en_US]
dc.publisherElsevier Science Incen_US
dc.titleIntraoperative saline-irrigated radiofrequency modified maze procedure for atrial fibrillationen_US
dc.relation.journalThe Annals of Thoracic Surgeryen_US
dc.institutionauthorBayındır, Osmanen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US

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