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Churyla A, Desai A, Kruse J, Cox J, McCarthy P. Concomitant atrial fibrillation ablation in patients undergoing coronary artery bypass and cardiac valve surgery. J Cardiovasc Electrophysiol 2020; 31:2172-2178. [DOI: 10.1111/jce.14408] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/14/2020] [Revised: 01/14/2020] [Accepted: 02/19/2020] [Indexed: 11/30/2022]
Affiliation(s)
- Andrei Churyla
- Division of Cardiac Surgery, Department of SurgeryNorthwestern Medicine Bluhm Cardiovascular Institute, Northwestern Memorial HospitalChicago Illinois
| | - Anand Desai
- Division of Cardiac Surgery, Department of SurgeryNorthwestern Medicine Bluhm Cardiovascular Institute, Northwestern Memorial HospitalChicago Illinois
| | - Jane Kruse
- Division of Cardiac Surgery, Department of SurgeryNorthwestern Medicine Bluhm Cardiovascular Institute, Northwestern Memorial HospitalChicago Illinois
| | - James Cox
- Division of Cardiac Surgery, Department of SurgeryNorthwestern Medicine Bluhm Cardiovascular Institute, Northwestern Memorial HospitalChicago Illinois
| | - Patrick McCarthy
- Division of Cardiac Surgery, Department of SurgeryNorthwestern Medicine Bluhm Cardiovascular Institute, Northwestern Memorial HospitalChicago Illinois
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De novo atrial fibrillation after mitral valve surgery. J Thorac Cardiovasc Surg 2018; 156:1515-1525.e11. [DOI: 10.1016/j.jtcvs.2018.04.050] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/21/2017] [Revised: 02/23/2018] [Accepted: 04/10/2018] [Indexed: 11/21/2022]
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Ad N, Holmes SD, Patel J, Je HG, Shuman DJ. The Need for Consistent Predictors of Success for Surgical Ablation of Atrial Fibrillation. INNOVATIONS-TECHNOLOGY AND TECHNIQUES IN CARDIOTHORACIC AND VASCULAR SURGERY 2017. [DOI: 10.1177/155698451701200609] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- Niv Ad
- Department of Cardiovascular & Thoracic Surgery, West Virginia University, Morgantown, WV USA
- Washington Adventist Hospital, Adventist HealthCare, Takoma Park, MD USA
| | - Sari Diana Holmes
- Heart and Vascular Institute, West Virginia University Medicine, Morgantown, WV USA
| | - Jay Patel
- Inova Fairfax Hospital, Falls Church, VA USA
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The Need for Consistent Predictors of Success for Surgical Ablation of Atrial Fibrillation. INNOVATIONS-TECHNOLOGY AND TECHNIQUES IN CARDIOTHORACIC AND VASCULAR SURGERY 2017; 12:421-429. [PMID: 29232294 DOI: 10.1097/imi.0000000000000426] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
Objective As with any medical therapy, identification of consistent and reliable outcome predictors is essential to understanding the efficacy of surgical ablation for atrial fibrillation. We originally intended to conduct a meta-analysis on atrial fibrillation surgical ablation to identify clinical factors that are most often associated with success. However, these studies are greatly heterogeneous. We conducted a systematic review to identify trends in outcome predictors and to provide recommendations for more uniform data analysis and reporting. Methods Relevant studies published between January 2005 and September 2013 were identified. To minimize heterogeneity, data were extracted only from multivariate analyses of outcome predictors. The initial approach for meta-analytic analyses was abandoned for a systematic review approach. Results From 604 initial citations, 19 studies with 5200 patients were included in the review. Systematic review of multivariable atrial fibrillation recurrence rates after surgical ablation revealed that studies were statistically heterogeneous, but atrial fibrillation recurrence after surgical ablation in mid-term follow-up was most often predicted by left atrium size, duration of atrial fibrillation, fine-wave atrial fibrillation, age of patient, and atrial fibrillation type. Conclusions The innate heterogeneity of published data precludes a meta-analysis for predictors of surgical ablation success. Of the few published studies that allow comparison, the most consistent predictors of failure were enlarged left atrium and long atrial fibrillation duration. These results underscore the need for consistent and reliable outcome predictors. We strongly recommend the development of a standardized system of measurement for consistent clinical parameters that can be used in outcome analyses for surgical ablation of atrial fibrillation.
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Churyla A, Iddriss A, Andrei AC, Kruse J, Malaisrie SC, Passman R, Li Z, Lee R, McCarthy PM. Biatrial or Left Atrial Lesion Set for Ablation During Mitral Surgery: Risks and Benefits. Ann Thorac Surg 2017; 103:1858-1865. [DOI: 10.1016/j.athoracsur.2016.10.017] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/11/2016] [Revised: 09/03/2016] [Accepted: 10/07/2016] [Indexed: 11/28/2022]
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Geršak B, Jan M. Long-Term Success for the Convergent Atrial Fibrillation Procedure: 4-Year Outcomes. Ann Thorac Surg 2016; 102:1550-1557. [DOI: 10.1016/j.athoracsur.2016.04.018] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/11/2015] [Revised: 03/30/2016] [Accepted: 04/06/2016] [Indexed: 10/21/2022]
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