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• W1777776093 abstract "Background and Aim Ganglionated plexi (GP) ablation has been become an important strategy for treating atrial fibrillation (AF). We hypothesize that active GP is a predictor of AF recurrence after minimally invasive surgical AF ablation. Methods Eighty-nine patients with symptomatic lone AF undergoing minimally invasive surgical pulmonary vein isolation combined with GP testing and ablations were followed for a median of 50 months. Success was defined as freedom from any atrial tachyarrhythmia lasting >30 seconds duration. Results The single-procedure success rate is 56.3% for paroxysmal AF, 27.3% for persistent AF, and 25% for long-term persistent AF. A mean of 4.1 active GPs were identified in each patient. There were more active GP on the right side than on the left side (2.8 ± 2.2 vs. 1.4 ± 1.2, p < 0.001). The number of active GP independently predicted recurrence of AF at 12 months (hazard ratios [95% CI]: 0.67 [0.48, 0.95]; p = 0.022), 24 months (0.71 [0.53, 0.95]; p = 0.019), and 60 months (0.69 [0.54, 0.89]; p = 0.004). Patients with active GP above 5 were associated with higher long-term success rates in comparison to patients with less active GP (p = 0.014). Duration of AF >24 months, early recurrence of AF, and left atrial diameter also predicted long-term recurrences of AF. Conclusions The number of active GP is a predictor of AF recurrence after minimally invasive surgical AF ablation. Patients with more active GP were associated with markedly higher single-procedure success rates. doi: 10.1111/jocs.12299 (J Card Surg 2014;29:279–285)" @default.
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• W1777776093 date "2014-02-11" @default.
• W1777776093 modified "2023-10-16" @default.
• W1777776093 title "Active Ganglionated Plexi Is a Predictor of Atrial Fibrillation Recurrence After Minimally Invasive Surgical Ablation" @default.
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• W1777776093 doi "https://doi.org/10.1111/jocs.12299" @default.
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