Totally Thoracoscopic Surgical Ablation or Catheter Ablation of Atrial Fibrillation: A Systematic Review and Preliminary Meta-Analysis

James R. Edgerton; Lindsey M. Philpot; Brandi Falley; Sunni A. Barnes

doi:10.1016/j.ccep.2012.05.001

Totally Thoracoscopic Surgical Ablation or Catheter Ablation of Atrial Fibrillation: A Systematic Review and Preliminary Meta-Analysis

James R. Edgerton, Lindsey M. Philpot, Brandi Falley, Sunni A. Barnes

Community Internal Medicine Research

Research output: Contribution to journal › Review article › peer-review

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)
Pages (from-to)	413-423
Number of pages	11
Journal	Cardiac Electrophysiology Clinics
Volume	4
Issue number	3
DOIs	https://doi.org/10.1016/j.ccep.2012.05.001
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)

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10.1016/j.ccep.2012.05.001

Cite this

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title = "Totally Thoracoscopic Surgical Ablation or Catheter Ablation of Atrial Fibrillation: A Systematic Review and Preliminary Meta-Analysis",

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.",

keywords = "Atrial fibrillation, Cox Maze, Dallas Lesion Set, Freedom from atrial fibrillation, Lone surgical ablation, Normal sinus rhythm, Pulmonary vein isolation, Systematic review",

author = "Edgerton, {James R.} and Philpot, {Lindsey M.} and Brandi Falley and Barnes, {Sunni A.}",

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AU - Philpot, Lindsey M.

AU - Falley, Brandi

AU - Barnes, Sunni A.

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AB - 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.

KW - Atrial fibrillation

KW - Cox Maze

KW - Dallas Lesion Set

KW - Freedom from atrial fibrillation

KW - Lone surgical ablation

KW - Normal sinus rhythm

KW - Pulmonary vein isolation

KW - Systematic review

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Totally Thoracoscopic Surgical Ablation or Catheter Ablation of Atrial Fibrillation: A Systematic Review and Preliminary Meta-Analysis

Abstract

Keywords

ASJC Scopus subject areas

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