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Atrial fibrillation: Current and emerging surgical strategies.

Abstract

OBJECTIVE

(a) To provide a comprehensive review of current literature on the surgical management of atrial fibrillation (AF), highlighting surgical approaches and outcomes. (b) To summarize the latest guidelines pertinent to the surgical management of AF.

BACKGROUND

AF is associated with high rates of morbidity and mortality, primarily related to the associated risk of stroke. The mainstay of management is pharmacologic rate or rhythm control and catheter-based ablation. Surgical ablation (SA) is an alternative strategy that is effective in select patient populations. Recently, novel techniques and technologies have been introduced and this has expanded the surgical capacity to manage AF.

METHODS

A comprehensive review of the literature was conducted.

RESULTS

Surgery can be a highly effective alternative therapeutic option for the management of AF in the appropriate patient population. The need for permanent pacemaker implantation is controversial among patients undergoing surgical intervention for AF. Surgical outcomes are promising, with long-term control of AF and symptomatic relief achieved in select groups of patients.

CONCLUSIONS

This article provides a comprehensive review of the surgical management of AF. We have summarized the latest surgical outcomes and contextualized the most recent guidelines.

Authors+Show Affiliations

Section of Cardiac Surgery, Department of Cardiac Sciences, Libin Cardiovascular Institute of Alberta, University of Calgary, Calgary, Alberta, Canada.Section of Cardiac Surgery, Department of Cardiac Sciences, Libin Cardiovascular Institute of Alberta, University of Calgary, Calgary, Alberta, Canada.Section of Cardiac Surgery, Department of Cardiac Sciences, Libin Cardiovascular Institute of Alberta, University of Calgary, Calgary, Alberta, Canada.Section of Cardiac Surgery, Department of Cardiac Sciences, Libin Cardiovascular Institute of Alberta, University of Calgary, Calgary, Alberta, Canada.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

31441538

Citation

Hassanabad, Ali Fatehi, et al. "Atrial Fibrillation: Current and Emerging Surgical Strategies." Journal of Cardiac Surgery, 2019.
Hassanabad AF, Jefferson HL, Shanmugam G, et al. Atrial fibrillation: Current and emerging surgical strategies. J Card Surg. 2019.
Hassanabad, A. F., Jefferson, H. L., Shanmugam, G., & Kent, W. D. T. (2019). Atrial fibrillation: Current and emerging surgical strategies. Journal of Cardiac Surgery, doi:10.1111/jocs.14194.
Hassanabad AF, et al. Atrial Fibrillation: Current and Emerging Surgical Strategies. J Card Surg. 2019 Aug 23; PubMed PMID: 31441538.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Atrial fibrillation: Current and emerging surgical strategies. AU - Hassanabad,Ali Fatehi, AU - Jefferson,Hallie L, AU - Shanmugam,Ganesh, AU - Kent,William D T, Y1 - 2019/08/23/ PY - 2019/8/24/entrez KW - atrial fibrillation KW - clinical outcomes KW - emerging surgical and hybrid approaches KW - guidelines KW - surgical management JF - Journal of cardiac surgery JO - J Card Surg N2 - OBJECTIVE: (a) To provide a comprehensive review of current literature on the surgical management of atrial fibrillation (AF), highlighting surgical approaches and outcomes. (b) To summarize the latest guidelines pertinent to the surgical management of AF. BACKGROUND: AF is associated with high rates of morbidity and mortality, primarily related to the associated risk of stroke. The mainstay of management is pharmacologic rate or rhythm control and catheter-based ablation. Surgical ablation (SA) is an alternative strategy that is effective in select patient populations. Recently, novel techniques and technologies have been introduced and this has expanded the surgical capacity to manage AF. METHODS: A comprehensive review of the literature was conducted. RESULTS: Surgery can be a highly effective alternative therapeutic option for the management of AF in the appropriate patient population. The need for permanent pacemaker implantation is controversial among patients undergoing surgical intervention for AF. Surgical outcomes are promising, with long-term control of AF and symptomatic relief achieved in select groups of patients. CONCLUSIONS: This article provides a comprehensive review of the surgical management of AF. We have summarized the latest surgical outcomes and contextualized the most recent guidelines. SN - 1540-8191 UR - https://www.unboundmedicine.com/medline/citation/31441538/Atrial_fibrillation:_Current_and_emerging_surgical_strategies L2 - https://doi.org/10.1111/jocs.14194 DB - PRIME DP - Unbound Medicine ER -