?url_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Adc&rft.title=Surgical+treatment+of+permanent+atrial+fibrillation+during+cardiac+surgery+using+monopolar+and+bipolar+radiofrequency+ablation&rft.creator=Geidel%2C+Stephan&rft.creator=Ostermeyer%2C+J%C3%B6rg&rft.creator=Lass%2C+Michael&rft.creator=Boczor%2C+Sigrid&rft.creator=Kuck%2C+Karl-Heinz&rft.subject=Indian+Pacing+and+Electrophysiology+Journal&rft.description=Objective%3A+Permanent+atrial+fibrillation+(pAF)+is+a+serious+problem+in+cardiac+surgery%3A+An+incidence+of+3.5%25+among+all+patients+scheduled+for+open+heart+surgery%2C+9.8%25+in+heart+valve+cases+and+45.6%25+among+patients+with+severe+rheumatic+mitral+valve+(MV)+disease+was+observed+in+our+institution.+Our+experience+with+radiofrequency+(RF)+ablation+procedures+to+treat+pAF+in+these+cases+is+reported.+%0AMethods%3A+Since+February+2001+monopolar+endocardial+RF+ablation+procedures+creating+two+encircling+isolation+lesions+around+the+left+and+the+right+pulmonary+veins+(LPVs%2C+RPVs)+and+a+connection+line+between+both+were+performed+in+patients+with+pAF+concomitant+to+heart+valve+surgery.+Since+March+2003+bipolar+RF+ablation+was+used+as+an+adjunct+to+CABG+surgery.+Amiodarone+was+given+for+3+months+after+surgery.%0AResults%3A+Sixtytwo+patients+with+pAF+underwent+surgical+ablation+procedures+and+primary+valve+(mitral%3A+n%3D45%3B+aortic%3A+n%3D13%3B+aortic%2Bmitral%3A+n%3D1%3B+LA-diameter+55.6%C2%B17.3+mm)+or+CABG+surgery+(n%3D3).+Follow-up+was+performed+at+3%2C+6%2C+9%2C+12%2C+18+and+24+months%3B+75%25+had+stable+sinus+rhythm+(SR)+at+late+follow-up.+Almost+90%25+of+the+patients+with+a+preoperative+LA-diameter+of+%3C56mm+had+SR.%0AConclusion%3A+Isolation+of+the+PVs+using+RF+ablation+procedures+in+combination+with+amiodarone+therapy+represents+a+safe+and+efficient+option+to+cure+pAF+in+patients+undergoing+open+heart+surgery.%0A&rft.publisher=Indian+Pacing+and+Electrophysiology+Group&rft.contributor=Singh%2C+Balbir&rft.contributor=Lokhandwala%2C+Yash&rft.contributor=Francis%2C+Johnson&rft.contributor=Gupta%2C+Anup&rft.date=2003-07&rft.type=Journal+(Paginated)&rft.type=PeerReviewed&rft.format=text%2Fhtml&rft.identifier=http%3A%2F%2Fcogprints.org%2F4257%2F1%2Fgeidel.htm&rft.identifier=++Geidel%2C+Stephan+and+Ostermeyer%2C+J%C3%B6rg+and+Lass%2C+Michael+and+Boczor%2C+Sigrid+and+Kuck%2C+Karl-Heinz++(2003)+Surgical+treatment+of+permanent+atrial+fibrillation+during+cardiac+surgery+using+monopolar+and+bipolar+radiofrequency+ablation.++%5BJournal+(Paginated)%5D+++++&rft.relation=http%3A%2F%2Fcogprints.org%2F4257%2F