The Maze procedure was revealed very effective, but was not widely accepted because of its very invasiveness and complexity. Frequent complications are bleeding and complete atrioventricular block.
ARRHYTHMIA AFTER ATRIAL FLUTTER ABLATION FULL
The Maze procedure is technically challenging and highly invasive and requires a full sternotomy and cardiopulmonary bypass and cardiac arrest. James Cox proposed and developed a surgical ablation technique called the Maze procedure in 1987. Antiarrhythmic treatment has lower efficacy and various adverse events. Increasing age may contribute to increasing incidence and prevalence of AF as well as hypertension, diabetes mellitus, structural heart disease or obesity. The mechanism of AF is not completely understood. AF increases the risk of thromboembolic events and hospitalizations and deteriorates quality of life. Close cooperation between cardiac surgeons and electrophysiologists for optimal selection of patients and management for arrhythmia recurrence seems suggestible for persistent or longstanding persistent AF.Ītrial fibrillation (AF) is the most common and increasing cardiac arrhythmia. A hybrid approach consisting of the sequential combination of a surgical minimally invasive epicardial ablation and a transvenous catheter endocardial ablation would be an alternative option that supplements the limitations of endo- and epicardial strategies. Despite continuous improvements, catheter-based procedures have shown relatively far from satisfactory outcomes and may need to be repeated to achieve sinus rhythm. Persistent or longstanding persistent AF presents a major challenge. The atrial remodeling occurs electrically and structurally in persistent or longstanding persistent AF, and the catheter ablation and surgical ablation have variable success rates. identified potential sources of AF in the pulmonary veins as triggers and developed the percutaneous catheter ablation as the treatment strategy for paroxysmal AF refractory to pharmaceutical therapy. Although surgical ablation offers a higher success rate, it should be performed with minimally invasive techniques because of its high invasiveness. James Cox proposed a concept of Maze procedure in 1987 which was based on a surgical ablation lesion for electrical conduction pathway. AF increases thromboembolic events and hospitalizations and deteriorates quality of life. Atrial fibrillation (AF) is the most common and increasing cardiac arrhythmia.
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