5-YEAR EXPERIENCE WITH THE MAZE PROCEDURE FOR ATRIAL-FIBRILLATION
5-YEAR EXPERIENCE WITH THE MAZE PROCEDURE FOR ATRIAL-FIBRILLATION
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DOI：
10.1016/0003-4975(93)90338-i
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发表时间：
1993-10-01
影响因子：
4.6
通讯作者：
CRAWFORD, FA
中科院分区：
文献类型：
--
作者：
COX, JL;BOINEAU, JP;CRAWFORD, FA
1987年9月25日至1992年12月31日，75例患者（53例男性，22例女性;平均年龄52岁）接受迷宫手术治疗房颤。6例患者既往接受过心脏手术，28%的患者除迷宫手术外还接受了同期心脏手术。1例患者（1.3%）在接受迷宫手术和Morrow手术联合治疗慢性房颤和肥厚性梗阻性心肌病后10天死亡。40%的患者需要术后心房起搏器：术前病窦综合征为26%，医源性窦房结损伤为6%，8%的患者术前已放置起搏器。截至1992年12月31日，65例患者术后随访至少3个月（范围，3至63个月）。迷宫手术治愈了房颤，恢复了房室同步性，并保留了65例患者中的64例（98%）的心房运输功能。65名患者中有58名（89%）无需药物治疗，65名患者中有6名（9%）需要药物治疗，65名患者中只有1名（2%）药物治疗失败。结果支持迷宫手术作为治疗药物难治性症状性房颤患者窒息的方法。
Between September 25, 1987, and December 31, 1992, 75 patients (53 men, 22 women; average age, 52 years) underwent the maze procedure for the treatment of atrial fibrillation. Six patients had undergone a previous cardiac operation and 28% underwent concomitant cardiac procedures in addition to the maze procedure. One patient (1.3%) died 10 days after undergoing a combined maze procedure and Morrow procedure for the management of chronic atrial fibrillation and hypertrophic obstructive cardiomyopathy. Postoperative atrial pacemakers were required in 40%: 26% for preoperative sick sinus syndrome and 6% for iatrogenic injury of the sinus node, and 8% had pacemakers in place preoperatively. As of December 31, 1992, 65 patients had been followed up for at least 3 months after operation (range, 3 to 63 months). The maze procedure cured atrial fibrillation, restored atrioventricular synchrony, and preserved atrial transport function in 64 of 65 patients (98%). The procedure has been curative without the need for medications in 58 of 65 patients (89%) and with the need for medications in 6 of 65 (9%), with medications failing in only 1 of the 65 patients (2%). The results support the maze procedure as the treatment of choke in patients with medically refractory symptomatic atrial fibrillation.