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- W89633378 abstract "Objective: Results of surgical AF ablation in combination with isolated CABG were evaluated with regard to different AF pathologies and applied energy sources. Methods: During 2002–2009 a total of 268 patients received isolated CABG and surgical AF therapy. For endocardial approach cryotechnology and for epicardial approach predominantely bipolar radiofrequency was applied. All patients received 24h Holter before discharge and after 12 months. During yearly telephone follow-up all medication and clinical symptoms were determined accompanied by SF-12 and AF severity score questionnaires. Results: Age was 70.6±6.7y with 20.0% female. Ejection fraction was 54.4±12.5%. Paroxysmal AF was present in 47.3%, 32.5% had preoperatively oral anticoagulation. LA size was 46.8±8.2mm, AF history was 3.7±3.1y. 2.9±0.9 distal anastomoses were performed with 96.2% LIMA and 31.5% BIMA use and 28.0% OPCAB. Endocardial approach was used in 33.8%. Hospital mortality was 4.2% and varied significant between paroxysmal (1.6%) vs. persistent AF (6.6%, p=0.03). SR at discharge was present in 86.2% of paroxysmal and 63.5% of persistent AF (p Conclusions: Concomitant AF ablation for atrial fibrillation in ischemic heart disease is highly effective especially in paroxysmal AF. For patients with persistent AF endocardial cryoablation is more successful but is associated with a higher perioperative adverse event rate." @default.
- W89633378 created "2016-06-24" @default.
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- W89633378 date "2010-11-23" @default.
- W89633378 modified "2023-10-03" @default.
- W89633378 title "Abstract 20995: Early and Mid-term Results of Ablation for Atrial Fibrillation (AF) Concomitant to Isolated CACB Surgery" @default.
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