Minimally invasive off-pump video-assisted endoscopic surgical pulmonary vein isolation using bipolar radiofrequency ablation - preliminary report
Atrial fibrillation (AF) is the most common arrhythmia, having a strong impact on long-term stroke and heart failure prevalence and mortality. Nowadays, rapid development in the field of minimising the invasiveness of surgical ablation of AF can be observed. To report on the feasibility and early re...
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| Veröffentlicht in: | Kardiologia polska (1957) 2007-04, Vol.65 (4), p.370-4; discussion 375-6 |
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| container_end_page | 4; discussion 375-6 |
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| container_title | Kardiologia polska (1957) |
| container_volume | 65 |
| creator | Suwalski, Piotr Suwalski, Grzegorz Wilimski, Radosław Kochanowski, Janusz Scisło, Piotr Gaca, Hanna Popiel, Zbigniew Sledź, Mariusz Smolarska-Switaj, Julita Suwalski, Kazimierz |
| description | Atrial fibrillation (AF) is the most common arrhythmia, having a strong impact on long-term stroke and heart failure prevalence and mortality. Nowadays, rapid development in the field of minimising the invasiveness of surgical ablation of AF can be observed.
To report on the feasibility and early results of the first Polish experience with a novel technique of minimally invasive video-assisted beating heart bilateral surgical ablation for lone paroxysmal AF using irrigated bipolar radiofrequency technique.
Between February and December 2006, 6 patients with highly symptomatic paroxysmal AF, resistant to pharmacological treatment, underwent video-assisted beating heart bilateral pulmonary vein isolation using irrigated bipolar radiofrequency combined with vein of Marshall dissection and left atrial appendage closure. In 2 patients at least 2 unsuccessful percutaenous ablations had previously been performed.
There were no complications. Ablation time was on average 88+/-12.1 seconds. At least one recurrence of AF was observed in 4 patients in the early postoperative period; in 3 of them an electrical cardioversion was performed. All patients were discharged home in stable sinus rhythm. Three patients have exceeded 3 months' observation; one has reached 6 months of observation. All are in stable sinus rhythm and the follow-up course is uneventful.
Minimally invasive video-assisted beating heart bilateral surgical ablation for lone paroxysmal AF using irrigated bipolar radiofrequency is effective and safe. These promising results have to be confirmed by larger studies. |
| format | Article |
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To report on the feasibility and early results of the first Polish experience with a novel technique of minimally invasive video-assisted beating heart bilateral surgical ablation for lone paroxysmal AF using irrigated bipolar radiofrequency technique.
Between February and December 2006, 6 patients with highly symptomatic paroxysmal AF, resistant to pharmacological treatment, underwent video-assisted beating heart bilateral pulmonary vein isolation using irrigated bipolar radiofrequency combined with vein of Marshall dissection and left atrial appendage closure. In 2 patients at least 2 unsuccessful percutaenous ablations had previously been performed.
There were no complications. Ablation time was on average 88+/-12.1 seconds. At least one recurrence of AF was observed in 4 patients in the early postoperative period; in 3 of them an electrical cardioversion was performed. All patients were discharged home in stable sinus rhythm. Three patients have exceeded 3 months' observation; one has reached 6 months of observation. All are in stable sinus rhythm and the follow-up course is uneventful.
Minimally invasive video-assisted beating heart bilateral surgical ablation for lone paroxysmal AF using irrigated bipolar radiofrequency is effective and safe. These promising results have to be confirmed by larger studies.</description><identifier>ISSN: 0022-9032</identifier><identifier>PMID: 17530560</identifier><language>eng</language><publisher>Poland</publisher><subject>Aged ; Atrial Fibrillation - surgery ; Catheter Ablation - methods ; Feasibility Studies ; Female ; Follow-Up Studies ; Humans ; Male ; Middle Aged ; Minimally Invasive Surgical Procedures ; Pulmonary Veins - diagnostic imaging ; Pulmonary Veins - surgery ; Thoracic Surgery, Video-Assisted - methods ; Treatment Outcome ; Ultrasonography</subject><ispartof>Kardiologia polska (1957), 2007-04, Vol.65 (4), p.370-4; discussion 375-6</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17530560$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Suwalski, Piotr</creatorcontrib><creatorcontrib>Suwalski, Grzegorz</creatorcontrib><creatorcontrib>Wilimski, Radosław</creatorcontrib><creatorcontrib>Kochanowski, Janusz</creatorcontrib><creatorcontrib>Scisło, Piotr</creatorcontrib><creatorcontrib>Gaca, Hanna</creatorcontrib><creatorcontrib>Popiel, Zbigniew</creatorcontrib><creatorcontrib>Sledź, Mariusz</creatorcontrib><creatorcontrib>Smolarska-Switaj, Julita</creatorcontrib><creatorcontrib>Suwalski, Kazimierz</creatorcontrib><title>Minimally invasive off-pump video-assisted endoscopic surgical pulmonary vein isolation using bipolar radiofrequency ablation - preliminary report</title><title>Kardiologia polska (1957)</title><addtitle>Kardiol Pol</addtitle><description>Atrial fibrillation (AF) is the most common arrhythmia, having a strong impact on long-term stroke and heart failure prevalence and mortality. Nowadays, rapid development in the field of minimising the invasiveness of surgical ablation of AF can be observed.
To report on the feasibility and early results of the first Polish experience with a novel technique of minimally invasive video-assisted beating heart bilateral surgical ablation for lone paroxysmal AF using irrigated bipolar radiofrequency technique.
Between February and December 2006, 6 patients with highly symptomatic paroxysmal AF, resistant to pharmacological treatment, underwent video-assisted beating heart bilateral pulmonary vein isolation using irrigated bipolar radiofrequency combined with vein of Marshall dissection and left atrial appendage closure. In 2 patients at least 2 unsuccessful percutaenous ablations had previously been performed.
There were no complications. Ablation time was on average 88+/-12.1 seconds. At least one recurrence of AF was observed in 4 patients in the early postoperative period; in 3 of them an electrical cardioversion was performed. All patients were discharged home in stable sinus rhythm. Three patients have exceeded 3 months' observation; one has reached 6 months of observation. All are in stable sinus rhythm and the follow-up course is uneventful.
Minimally invasive video-assisted beating heart bilateral surgical ablation for lone paroxysmal AF using irrigated bipolar radiofrequency is effective and safe. These promising results have to be confirmed by larger studies.</description><subject>Aged</subject><subject>Atrial Fibrillation - surgery</subject><subject>Catheter Ablation - methods</subject><subject>Feasibility Studies</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Minimally Invasive Surgical Procedures</subject><subject>Pulmonary Veins - diagnostic imaging</subject><subject>Pulmonary Veins - surgery</subject><subject>Thoracic Surgery, Video-Assisted - methods</subject><subject>Treatment Outcome</subject><subject>Ultrasonography</subject><issn>0022-9032</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1kM9KxDAYxHtQ3HX1FSQnb4Wk6SbtURb_geJFzyVNvi6fpElMmkJfwye26HoaZvgxDHNWbCmtqrKlvNoUlyl9rrYRjF0UGyb3nO4F3Rbfr-hwVNYuBN2sEs5A_DCUIY-BzGjAlyolTBMYAs74pH1ATVKOR9TKkpDt6J2KC5kBHcHkrZrQO5ITuiPpMaxBJFEZ9EOErwxOL0T1J6okIYLFEX8rIgQfp6vifFA2wfVJd8XHw_374al8eXt8Pty9lKGi7VT2ZmDAVVNrZirBhODAlKR9JblWa9C0XNKmbWnDay5qaZiCpmaib6TWLZN8V9z-9Ybo111p6kZMGqxVDnxOnaR73grKVvDmBOZ-BNOFuD4Wl-7_Rf4DKsZw7A</recordid><startdate>20070401</startdate><enddate>20070401</enddate><creator>Suwalski, Piotr</creator><creator>Suwalski, Grzegorz</creator><creator>Wilimski, Radosław</creator><creator>Kochanowski, Janusz</creator><creator>Scisło, Piotr</creator><creator>Gaca, Hanna</creator><creator>Popiel, Zbigniew</creator><creator>Sledź, Mariusz</creator><creator>Smolarska-Switaj, Julita</creator><creator>Suwalski, Kazimierz</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>20070401</creationdate><title>Minimally invasive off-pump video-assisted endoscopic surgical pulmonary vein isolation using bipolar radiofrequency ablation - preliminary report</title><author>Suwalski, Piotr ; Suwalski, Grzegorz ; Wilimski, Radosław ; Kochanowski, Janusz ; Scisło, Piotr ; Gaca, Hanna ; Popiel, Zbigniew ; Sledź, Mariusz ; Smolarska-Switaj, Julita ; Suwalski, Kazimierz</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p209t-bdf1e3a84c1d261663e1a70b273ca2618937089908343647d1ae8416b87cc9173</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Aged</topic><topic>Atrial Fibrillation - surgery</topic><topic>Catheter Ablation - methods</topic><topic>Feasibility Studies</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Minimally Invasive Surgical Procedures</topic><topic>Pulmonary Veins - diagnostic imaging</topic><topic>Pulmonary Veins - surgery</topic><topic>Thoracic Surgery, Video-Assisted - methods</topic><topic>Treatment Outcome</topic><topic>Ultrasonography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Suwalski, Piotr</creatorcontrib><creatorcontrib>Suwalski, Grzegorz</creatorcontrib><creatorcontrib>Wilimski, Radosław</creatorcontrib><creatorcontrib>Kochanowski, Janusz</creatorcontrib><creatorcontrib>Scisło, Piotr</creatorcontrib><creatorcontrib>Gaca, Hanna</creatorcontrib><creatorcontrib>Popiel, Zbigniew</creatorcontrib><creatorcontrib>Sledź, Mariusz</creatorcontrib><creatorcontrib>Smolarska-Switaj, Julita</creatorcontrib><creatorcontrib>Suwalski, Kazimierz</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Kardiologia polska (1957)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Suwalski, Piotr</au><au>Suwalski, Grzegorz</au><au>Wilimski, Radosław</au><au>Kochanowski, Janusz</au><au>Scisło, Piotr</au><au>Gaca, Hanna</au><au>Popiel, Zbigniew</au><au>Sledź, Mariusz</au><au>Smolarska-Switaj, Julita</au><au>Suwalski, Kazimierz</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Minimally invasive off-pump video-assisted endoscopic surgical pulmonary vein isolation using bipolar radiofrequency ablation - preliminary report</atitle><jtitle>Kardiologia polska (1957)</jtitle><addtitle>Kardiol Pol</addtitle><date>2007-04-01</date><risdate>2007</risdate><volume>65</volume><issue>4</issue><spage>370</spage><epage>4; discussion 375-6</epage><pages>370-4; discussion 375-6</pages><issn>0022-9032</issn><abstract>Atrial fibrillation (AF) is the most common arrhythmia, having a strong impact on long-term stroke and heart failure prevalence and mortality. Nowadays, rapid development in the field of minimising the invasiveness of surgical ablation of AF can be observed.
To report on the feasibility and early results of the first Polish experience with a novel technique of minimally invasive video-assisted beating heart bilateral surgical ablation for lone paroxysmal AF using irrigated bipolar radiofrequency technique.
Between February and December 2006, 6 patients with highly symptomatic paroxysmal AF, resistant to pharmacological treatment, underwent video-assisted beating heart bilateral pulmonary vein isolation using irrigated bipolar radiofrequency combined with vein of Marshall dissection and left atrial appendage closure. In 2 patients at least 2 unsuccessful percutaenous ablations had previously been performed.
There were no complications. Ablation time was on average 88+/-12.1 seconds. At least one recurrence of AF was observed in 4 patients in the early postoperative period; in 3 of them an electrical cardioversion was performed. All patients were discharged home in stable sinus rhythm. Three patients have exceeded 3 months' observation; one has reached 6 months of observation. All are in stable sinus rhythm and the follow-up course is uneventful.
Minimally invasive video-assisted beating heart bilateral surgical ablation for lone paroxysmal AF using irrigated bipolar radiofrequency is effective and safe. These promising results have to be confirmed by larger studies.</abstract><cop>Poland</cop><pmid>17530560</pmid></addata></record> |
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| source | MEDLINE; EZB Electronic Journals Library |
| subjects | Aged Atrial Fibrillation - surgery Catheter Ablation - methods Feasibility Studies Female Follow-Up Studies Humans Male Middle Aged Minimally Invasive Surgical Procedures Pulmonary Veins - diagnostic imaging Pulmonary Veins - surgery Thoracic Surgery, Video-Assisted - methods Treatment Outcome Ultrasonography |
| title | Minimally invasive off-pump video-assisted endoscopic surgical pulmonary vein isolation using bipolar radiofrequency ablation - preliminary report |
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