Surgical approaches for atrial fibrillation.
The Cox Maze procedure, a cardiac intervention that was developed by James Cox, MD, was first performed in 1988 to surgically cure atrial fibrillation. Over the years, changes in techniques of the classic maze were made, culminating in the Cox Maze III procedure, the Gold Standard. Modifications in the original procedure included simplifying the procedure to a minimally invasive approach. As a result of some of these modifications, the initial maze-like series of surgical atrial incisions has been reduced with the use of alternate energy sources that create hyperthermic lesion lines of conduction block that isolate and interrupt the abnormal impulses. The minimize, a minimally invasive thorascopic approach, can be performed off pump, thus avoiding a median sternotomy and cardiopulmonary bypass and cardioplegic arrest intraoperatively and ensuring a shorter, less painful recovery.
Schouchoff
Barbara
B
West Penn Allegheny Health System, Allegheny General Hospital, Pittsburgh, Pa, USA. bschouch@wpahs.org
D000359:Aftercare / Q000379:methods; D001281:Atrial Fibrillation / Q000209:etiology / Q000451:nursing / Q000601:surgery*; D006348:Cardiac Surgical Procedures / Q000009:adverse effects / Q000379:methods* / Q000451:nursing; D017115:Catheter Ablation / Q000009:adverse effects / Q000379:methods* / Q000451:nursing; D003422:Critical Care / Q000379:methods; D003452:Cryosurgery; D006801:Humans; D053685:Laser Therapy; D008872:Microwaves / Q000627:therapeutic use; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D010351:Patient Discharge; D018579:Patient Selection; D011182:Postoperative Care / Q000379:methods / Q000451:nursing; D011667:Pulmonary Veins / Q000601:surgery; D012307:Risk Factors; D013906:Thoracoscopy / Q000379:methods; D016896:Treatment Outcome