Abstract
This article provides results of a preliminary meta-analysis of the stand-alone atrial fibrillation (AF) surgical publications from 2009 to 2011. In 6 studies with postoperative freedom from AF as primary end point, the meta-analysis indicated an overall success rate of 84% (95% confidence interval [CI], 80.0-88.0). For the 7 studies with the primary end point of postoperative return to normal sinus rhythm, the success rate was 83% (95% CI, 79.0-87.0). These data are compared with 3 comprehensive meta-analyses of catheter ablation. Based on comparison, it is recommended that initial treatment of long-standing persistent atrial fibrillation be minimal access surgery.
Original language | English (US) |
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Pages (from-to) | 413-423 |
Number of pages | 11 |
Journal | Cardiac Electrophysiology Clinics |
Volume | 4 |
Issue number | 3 |
DOIs | |
State | Published - Sep 2012 |
Keywords
- Atrial fibrillation
- Cox Maze
- Dallas Lesion Set
- Freedom from atrial fibrillation
- Lone surgical ablation
- Normal sinus rhythm
- Pulmonary vein isolation
- Systematic review
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
- Physiology (medical)