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Emeshkin M.I.

FGBU "Novosibirskiĭ NII patologii krovoobrashcheniia im. akad. E.N. Meshalkina" Minzdravsotsrazvitiia Rossii

Bogachev-Prokof'ev A.V.

FGBU "Novosibirskiĭ NII patologii krovoobrashcheniia im. akad. E.N. Meshalkina" Minzdravsotsrazvitiia Rossii

Afanas'ev A.V.

FGBU "Novosibirskiĭ nauchno-issledovatel'skiĭ institut patologii krovoobrashcheniia im. akad. E.N. Meshalkina" Minzdrava RF

Sharifulin R.M.

Centre of new surgical technologies of acad. E.N. Meshalkin Novosibirsk Research Institute of Circulation Pathology, Russian Ministry of Health, Novosibirsk, Russia

Zheleznev S.I.

Centre for Vascular and Hybrid Surgery, Federal state budgetary institution, Federal state budgetary institution Academician E.N. Meshalkin Novosibirsk State Research Institute Of Circulation Pathology, Rosmedtekhnologii, Novosibirsk, Russia

Ovcharov M.A.

Meshalkin National Medical Research Center of Healthcare Ministry of the Russian Federation, Novosibirsk, Russia

Karas'kov A.M.

FGBU "Novosibirskiĭ NII patologii krovoobrashcheniia im. akad. E.N. Meshalkina" Minzdravsotsrazvitiia Rossii

Comparative efficacy of biatrial and left atrial surgical ablation for atrial fibrillation

Authors:

Emeshkin M.I., Bogachev-Prokof'ev A.V., Afanas'ev A.V., Sharifulin R.M., Zheleznev S.I., Ovcharov M.A., Karas'kov A.M.

More about the authors

Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2018;11(5): 6‑14

DOI: 10.17116/kardio2018110516

Read: 1646 times

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Table of contents

COMPARATIVE EFFICACY OF BIATRIAL AND LEFT ATRIAL SURGICAL ABLATION FOR ATRIAL FIBRILLATION
COMPARATIVE EFFICACY OF BIATRIAL AND LEFT ATRIAL SURGICAL ABLATION FOR ATRIAL FIBRILLATION

To cite this article:

Emeshkin MI, Bogachev-Prokof'ev AV, Afanas'ev AV, Sharifulin RM, Zheleznev SI, Ovcharov MA, Karas'kov AM. Comparative efficacy of biatrial and left atrial surgical ablation for atrial fibrillation. Russian Journal of Cardiology and Cardiovascular Surgery. 2018;11(5):6‑14. (In Russ.)
https://doi.org/10.17116/kardio2018110516

Подписка 2026 Кардиология и сердечно-сосудистая хирургия (Russian Journal of Cardiology and Cardiovascular Surgery)
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Использование инфографики авторами научных работ
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Abstract:

Aim — to compare outcomes of concomitant biatrial (BA) and left atrial (LA) surgical ablation in patients with acquired mitral valve disease complicated by persistent and long-standing persistent atrial fibrillation. Material and methods. There were 588 patients with either persistent (20.9%) or long-standing persistent AF (79.1%) operated from January 2007 to December 2016. Propensity score matching was applied to reduce between-group differences. So, two groups by 156 patients were obtained with comparable preoperative and postoperative characteristics. Results. Propensity score matching was followed by similar 30-day mortality (1.9% vs. 0.6%; p=0.617), overall 5-year survival (93.5±2.2% vs. 92.8±2.9%; p=0.998), freedom from thromboembolic events (97.1±2.8% vs. 96.2±2.7%; p=0.309). Biatrial procedure was accompanied by better freedom from recurrent atrial arrhythmia (85.3±4.5% vs. 91.9±3.1%; p=0.049; OR 3.26; 95% CI 1.33—7.99). Conclusion. Both atrial fragmentation schemes had similar 30-day mortality, survival, and incidence of thromboembolic events. Patients with persistent AF have higher freedom from recurrent atrial rhythm disturbances after biatrial ablation.

Keywords:

atrial fibrillation
surgical ablation
maze procedure

Authors:

Emeshkin M.I.

FGBU "Novosibirskiĭ NII patologii krovoobrashcheniia im. akad. E.N. Meshalkina" Minzdravsotsrazvitiia Rossii

Bogachev-Prokof'ev A.V.

FGBU "Novosibirskiĭ NII patologii krovoobrashcheniia im. akad. E.N. Meshalkina" Minzdravsotsrazvitiia Rossii

Afanas'ev A.V.

FGBU "Novosibirskiĭ nauchno-issledovatel'skiĭ institut patologii krovoobrashcheniia im. akad. E.N. Meshalkina" Minzdrava RF

Sharifulin R.M.

Centre of new surgical technologies of acad. E.N. Meshalkin Novosibirsk Research Institute of Circulation Pathology, Russian Ministry of Health, Novosibirsk, Russia

Zheleznev S.I.

Centre for Vascular and Hybrid Surgery, Federal state budgetary institution, Federal state budgetary institution Academician E.N. Meshalkin Novosibirsk State Research Institute Of Circulation Pathology, Rosmedtekhnologii, Novosibirsk, Russia

Ovcharov M.A.

Meshalkin National Medical Research Center of Healthcare Ministry of the Russian Federation, Novosibirsk, Russia

Karas'kov A.M.

FGBU "Novosibirskiĭ NII patologii krovoobrashcheniia im. akad. E.N. Meshalkina" Minzdravsotsrazvitiia Rossii

Close metadata

References:

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