?url_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Adc&rft.title=Permanent+atrial+fibrillation+ablation+surgery+in+patients+with+advanced+age%0A%0A&rft.creator=Geidel%2C+Stephan&rft.creator=Lass%2C+Michael&rft.creator=Ostermeyer%2C+J%C3%B6rg&rft.subject=Indian+Pacing+and+Electrophysiology+Journal&rft.description=Background%3A+Even+if+permanent+atrial+fibrillation+(pAF)+is+a+frequent+concomitant+problem+in+patients+undergoing+open+heart+surgery+and+particularly+in+those+with+advanced+age%2C+data+of+pAF+ablation+surgery+in+older+aged+patients+are+scarce.+This+study+was+performed+to+assess+early+and+late+results+of+combined+open+heart+surgery+and+pAF+ablation+procedures+in+patients+with+advanced+aged%2C+compared+to+young+patients.+%0AMaterial+and+Methods%3A+A+selective+group+of+126+patients+(Group+A%3A+age+%E2%89%A570+%5B76.4%C2%B14.8%5D+years%2C+n%3D70%3B+Group+B%3A+age+%3C70+%5B62.0%C2%B16.2%5D+years%3A+n%3D56)+with+pAF+(%E2%89%A56+months)+underwent+either+monopolar+(Group+A%2C+B%3A+n%3D51+vs.+n%3D44)+or+bipolar+(Group+A%2C+B%3A+n%3D19+vs.+n%3D12)+radiofrequency+(RF)+ablation+procedures+concomitant+to+open+heart+surgery.+Regular+follow-up+was+performed+3+to+36+months+after+surgery+to+assess+survival%2C+New+York+Heart+Association+(NYHA)+class+and+conversion+rate+to+stable+sinus+rhythm+(SR).%0AResults%3A+Early+mortality+(%3C30+days)+was+2.9%25+in+Group+A+(Group+B%3A+0%25)%2C+cumulative+survival+at+long-term+follow+up+was+0.78+vs.+0.98+(p%3D0.03)+and+NYHA-class+improved+significantly+in+both+groups%2C+particularly+in+cases+with+stable+SR.+At+12-months+follow-up+73%25+of+Group+A+patients+were+in+stable+SR+(Group+B+78%25).%0AConclusions%3A+Concomitant+mono-+and+bipolar+RF+ablation+surgery+represents+a+safe+option+to+cure+pAF+during+open+heart+surgery+with+a+very+low+risk%2C+even+in+patients+with+advanced+age.%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=2005-10&rft.type=Journal+(Paginated)&rft.type=PeerReviewed&rft.format=text%2Fhtml&rft.identifier=http%3A%2F%2Fcogprints.org%2F4456%2F1%2Fgeidel2.htm&rft.format=application%2Fpdf&rft.identifier=http%3A%2F%2Fcogprints.org%2F4456%2F2%2Fgeidel2.pdf&rft.identifier=++Geidel%2C+Stephan+and+Lass%2C+Michael+and+Ostermeyer%2C+J%C3%B6rg++(2005)+Permanent+atrial+fibrillation+ablation+surgery+in+patients+with+advanced+age.++%5BJournal+(Paginated)%5D+++++&rft.relation=http%3A%2F%2Fcogprints.org%2F4456%2F