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Sökning: WFRF:(Koistinen Juhani) > (2012) > Microwave Ablation ...

  • Jönsson, AndersDepartment of Cardiology, Linköping University Hospital, Linköping, Sweden (författare)

Microwave Ablation in Mitral Valve Surgery for Atrial Fibrillation (MAMA)

  • Artikel/kapitelEngelska2012

Förlag, utgivningsår, omfång ...

  • Cardiofront,2012
  • printrdacarrier

Nummerbeteckningar

  • LIBRIS-ID:oai:DiVA.org:oru-58706
  • https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-58706URI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • Objective: Microwave ablation in conjunction with open heart surgery is effective in restoring sinus rhythm (SR) in patients with atrial fibrillation (AF). In patients assigned for isolated mitral valve surgery no prospective randomized trial has reported its efficacy.Methods: 70 patients with longlasting AF where included from 5 different centres. They were randomly assigned to mitral valve surgery and atrial microwave ablation or mitral valve surgery alone.Results: Out of 70 randomized, 66 and 64 patients were available for evaluation at 6 and 12 months. At 12 months SR was restored and preserved in 71.0 % in the ablation group vs 36.4 % in the control group (P=0.006), corresponding figures at 6 months was 62.5 % vs 26.5 % (P=0.003). The 30-day mortality rate was 1.4 %, with one death in the ablation group vs zero deaths in the control group. At 12 months the mortality rate was 7,1 % (Ablation n=3 vs Control n=2). No significant differences existed between the groups with regard to the overall rate of serious adverse events (SAE) during the perioperative period or at the end of the study. 16 % of patients randomized to ablation were on antiarrhytmic drugs compared to 6 % in the control group after 1 year (p=0.22).Conclusion: Microwave ablation of left and right atrium in conjunction with mitral valve surgery is safe and effectively restores sinus rhythm in patients with longlasting AF as compared to mitral valve surgery alone.

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Lehto, MikaDepartment of Cardiology, Helsinki University Hospital, Helsinki, Finland (författare)
  • Ahn, HenrikDepartment of Cardiothoracic Surgery, Linköping University Hospital, Linköping, Sweden (författare)
  • Hermansson, UlfDepartment of Cardiothoracic Surgery, Linköping University Hospital, Linköping, Sweden (författare)
  • Linde, PeterDepartment of Cardiology, Örebro University Hospital, Örebro, Sweden (författare)
  • Ahlsson, Anders,1962-Region Örebro län,Department of Cardiothoracic Surgery(Swepub:oru)aran (författare)
  • Koistinen, JuhaniDepartment of Cardiology, Turku University Hospital, Turku, Finland (författare)
  • Savola, JukkaDepartment of Cardiothoracic Surgery, Turku University Hospital, Turku, Finland (författare)
  • Raatikainen, PekkaHeart Center, Tampere University Hospital, Tampere, Finland (författare)
  • Lepojärvi, MarttiDepartment of Cardiothoracic Surgery, Oulu University Hospital, Oulu, Finland (författare)
  • Sahlman, AnteroDepartment of Cardiothoracic Surgery, Helsinki University Hospital, Helsinki, Finland (författare)
  • Werkkala, KalervoDepartment of Cardiothoracic Surgery, Helsinki University Hospital, Helsinki, Finland (författare)
  • Toivonen, LauriDepartment of Cardiology, Helsinki University Hospital, Helsinki, Finland (författare)
  • Walfridsson, HåkanDepartment of Cardiology, Linköping University Hospital, Linköping, Sweden (författare)
  • Department of Cardiology, Linköping University Hospital, Linköping, SwedenDepartment of Cardiology, Helsinki University Hospital, Helsinki, Finland (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:Journal of Atrial Fibrillation: Cardiofront5:2, s. 13-221941-6911

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