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The Cox-maze IVprocedure in itssecond decade: stillthe gold standard? Chawannuch RuaengsriMatthew R. SchillAli J. Khiabani2017 год

The Cox-maze IV procedure in its second decade: still the gold standard?
review

Полный текстСтраница публикацииПубликация в OpenAlex
Аннотация: Atrial fibrillation (AF) is the most common cardiac arrhythmia and the treatment options include medical treatment and catheter-based or surgical interventions. AF is a major cause of stroke, and its prevalence is increasing. The surgical treatment of AF has been revolutionized over the past 2 decades through surgical innovation and improvements in endoscopic imaging, ablation technology and surgical instrumentation. The Cox-maze (CM) procedure, which was developed by James Cox and introduced clinically in 1987, is a procedure in which multiple incisions are created in both the left and the right atria to eliminate AF while allowing the sinus impulse to reach the atrioventricular node. This procedure became the gold standard for the surgical treatment of AF. Its latest iteration is termed the CM IV and was introduced in 2002. The CM IV replaced the previous cut-and-sew method (CM III) by replacing most of the incisions with a combination of bipolar radiofrequency and cryoablation. The use of ablation technologies, made the CM IV technically easier, faster and more amenable to minimally invasive approaches. The aims of this article are to review the indications and preoperative planning for the CM IV, to describe the operative technique and to review the literature including comparisons of the CM IV with the previous cut-and-sew method. Finally, this review explores future directions for the surgical treatment of patients with AF.
Год издания: 2017
Авторы: Chawannuch Ruaengsri, Matthew R. Schill, Ali J. Khiabani, Richard B. Schuessler, Spencer J. Melby, Ralph J. Damiano
Издательство: Oxford University Press
Источник: European Journal of Cardio-Thoracic Surgery
Ключевые слова: Atrial Fibrillation Management and Outcomes, Cardiac Arrhythmias and Treatments, Cardiac Valve Diseases and Treatments
Другие ссылки: European Journal of Cardio-Thoracic Surgery (PDF)
European Journal of Cardio-Thoracic Surgery (HTML)
Europe PMC (PubMed Central) (PDF)
Europe PMC (PubMed Central) (HTML)
PubMed Central (HTML)
PubMed (HTML)