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Isakov S.V.

FGBU "Federal'nyĭ tsentr serdtsa, krovi i éndokrinologii im. V.A. Almazova", Sankt-Peterburg

Bagdasaryan A.Yu.

Almazov North-West Federal Medical Research Center of the Ministry of Healthcare of the Russia, St. Petersburg, Russia

Gordeev M.L.

FGBU "Federal'nyĭ tsentr serdtsa, krovi i éndokrinologii im. V.A. Almazova", Sankt-Peterburg

MAZE IV procedure: modified technique

Authors:

Isakov S.V., Bagdasaryan A.Yu., Gordeev M.L.

More about the authors

Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2017;10(5): 12‑15

DOI: 10.17116/kardio201710512-15

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Table of contents

MAZE IV PROCEDURE: MODIFIED TECHNIQUE
MAZE IV PROCEDURE: MODIFIED TECHNIQUE

To cite this article:

Isakov SV, Bagdasaryan AYu, Gordeev ML. MAZE IV procedure: modified technique. Russian Journal of Cardiology and Cardiovascular Surgery. 2017;10(5):12‑15. (In Russ.)
https://doi.org/10.17116/kardio201710512-15

Подписка 2025-2 (Russian Journal of Cardiology and Cardiovascular Surgery)
 
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Aim — to show an effectiveness of modified MAZE IV procedure in patients with valvular heart disease by using of radiofrequency ablation (RFA) and «cut-sew» technique. Material and methods. The trial enrolled 72 patients with valvular heart defects and concomitant persistent atrial fibrillation (AF) for the period from 2012 to 2016. These patients underwent surgical correction of acquired heart defects and modified MAZE IV procedure including biatrial fragmentation via radiofrequency ablation (RFA) and «cut-sew» technique. Results. Modified MAZE IV procedure has high efficiency (preserved sinus rhythm after 1 year in 80% of patients). Thus, modified MAZE IV procedure should be considered simultaneously in all patients with persistent AF undergoing heart valve surgery.

Keywords:

atrial fibrillation
radiofrequency ablation
heart valve defects
modified MAZE IV procedure

Authors:

Isakov S.V.

FGBU "Federal'nyĭ tsentr serdtsa, krovi i éndokrinologii im. V.A. Almazova", Sankt-Peterburg

Bagdasaryan A.Yu.

Almazov North-West Federal Medical Research Center of the Ministry of Healthcare of the Russia, St. Petersburg, Russia

Gordeev M.L.

FGBU "Federal'nyĭ tsentr serdtsa, krovi i éndokrinologii im. V.A. Almazova", Sankt-Peterburg

List of references:

  1. Bogachev-Prokof’ev AV, Zheleznev SI, Pivkin AN. Radiofrequency ablation of concomitant the treatment of atrial fibrillation and valvular heart disease. Patologiia krovoobrashcheniia i kardiokhirurgiia [Pathology of circulation and cardiac surgery]. 2013;2:9-22 (In Russ.).
  2. Bokeriya LA, Bokeriya OL, Melikulov AKh. Surgical treatment of atrial fibrillation: current state of the problem. Annaly aritmologii. [The annals of Arrhythmology]. 2009;6:2:6-11. (In Russ).
  3. Bokeriya LA, Revishvili ASh, Shmul’ AV. The results of surgical treatment of atrial fibrillation in patients with heart defects. Annaly aritmologii. [The annals of Arrhythmology]. 2012;4:14-22. (In Russ.).
  4. Revishvili ASh, Serguladze SYu, Ezhova IV. The results of surgical treatment of isolated forms of atrial fibrillation using a modification of the operation «maze». Annaly aritmologii. 2012;9:3: 31-39. (In Russ.).
  5. Rychin SV. The operation «maze» in the surgical treatment of atrial fibrillation in patients with mitral valve: an evolution of the methods and results. Annaly aritmologii. [The annals of Arrhythmology]. 2005;2:1:14-25. (In Russ.).
  6. Cox JL. Cardiac surgery for arrhythmias. J Cardiovasc Electrophysiol. 2004;15:2:250-262. https://doi.org/10.1046/1540-8167.2004.03656
  7. Cox JL, Schuessler RB, Boineau JP. The surgical treatment of atrial fibrillation. I. Summary of the current concepts of the mechanisms of atrial flutter and atrial fibrillation. J Thorac Cardiovasc Surg. 1991;101:3:402-405. PMID:1999933

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