Surgery for atrial fibrillation.
Surgery for atrial fibrillation.
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DOI：
10.1016/j.ccl.2014.07.003
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发表时间：
2014-11
影响因子：
2.4
通讯作者：
Damiano RJ Jr
中科院分区：
文献类型：
--
作者：
Lawrance CP;Henn MC;Damiano RJ Jr
房颤是最常见的心律失常，其治疗方案包括药物治疗、导管治疗或手术治疗。在过去的几十年里，房颤的手术治疗经历了多次演变。Cox- maze手术是由James Cox在1987年发明的这个手术在心房上开了多个切口来阻断电通路让心房纤维性颤动持续。该手术成为房颤手术治疗的金标准，目前已进入第四次迭代，称为Cox-Maze IV。Cox-Maze IV用冷冻消融和双极射频消融的结合取代了以前的“切割缝合”方法。消融技术的应用使得Cox-Maze IV手术可以通过侵入性较小的右小胸切开术来代替传统的胸骨切开术。本文的目的是回顾执行Cox-Maze IV手术的适应症和术前计划。除了具体的术后注意事项外，还将讨论胸骨切开术和右侧小胸切开术的手术技术。最后，本文将回顾描述两种入路手术结果的文献，包括Cox-Maze IV与之前的“切割缝合”方法的比较。
Atrial fibrillation is the most common cardiac arrhythmia and its treatment options include drug therapy or, catheter-based or surgical interventions. The surgical treatment of atrial fibrillation has undergone multiple evolutions over the last several decades. The Cox-Maze procedure which was developed by James Cox in 1987 is a procedure where multiple surgical incisions are created along the atria to interrupt the electrical pathways thought to allow atrial fibrillation to persist. This procedure went on to become the gold standard for the surgical treatment of atrial fibrillation and is currently in its 4th iteration called the Cox-Maze IV. The Cox-Maze IV replaced the previous “cut-and-sew” method with a combination of cryoablation and bipolar RF ablation. The adaption of ablation technologies allowed the Cox-Maze IV procedure to be performed through a less invasive right minithoracotomy instead of a traditional sternotomy approach. The aim of this article is to review the indications and preoperative planning for performing a Cox-Maze IV procedure. A description of the operative techniques for both a sternotomy and right mini-thoracotomy approach will be discussed in addition to specific postoperative considerations. Finally, this article will review the literature describing the surgical results for both approaches including comparisons of the Cox-Maze IV to the previous “cut-and-sew” method.
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DOI：
10.1097/imi.0b013e3181ee3815
发表时间：
2010-07
期刊：
Innovations (Philadelphia, Pa.)
影响因子：
--
作者：
Lee AM;Clark K;Bailey MS;Aziz A;Schuessler RB;Damiano RJ Jr
通讯作者：
Damiano RJ Jr
DOI：
10.1016/j.jtcvs.2010.08.067
发表时间：
2011-01-01
影响因子：
6
作者：
Damiano, Ralph J., Jr.;Schwartz, Forrest H.;Schuessler, Richard B.
通讯作者：
Schuessler, Richard B.
DOI：
10.1161/circep.111.963819
发表时间：
2012-02
期刊：
Circulation. Arrhythmia and electrophysiology
影响因子：
--
作者：
Weimar T;Schena S;Bailey MS;Maniar HS;Schuessler RB;Cox JL;Damiano RJ Jr
通讯作者：
Damiano RJ Jr
影响因子：
37.8
作者：
Oral, H;Scharf, C;Morady, F
通讯作者：
Morady, F
影响因子：
37.8
作者：
Pappone, C;Oreto, G;Alfieri, O
通讯作者：
Alfieri, O