Early outcomes of usage of cryoFORM® probe for cryomaze procedure in congenital heart surgery
| العنوان: | Early outcomes of usage of cryoFORM® probe for cryomaze procedure in congenital heart surgery |
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| المؤلفون: | Firat H. Altin, Okan Yurdakök, Ahmet Şaşmazel, Oktay Korun, Numan Ali Aydemir, Murat Çiçek, Şevket Ballı |
| المصدر: | Cardiology in the young. 30(12) |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Tachycardia, Heart Defects, Congenital, medicine.medical_specialty, medicine.medical_treatment, 030204 cardiovascular system & hematology, Cryosurgery, 03 medical and health sciences, 0302 clinical medicine, Atrial Fibrillation, medicine, Tachycardia, Supraventricular, Humans, Sinus rhythm, 030212 general & internal medicine, Heart Atria, Coronary sinus, business.industry, Atrial fibrillation, Cryoablation, General Medicine, medicine.disease, Surgery, Cardiac surgery, Treatment Outcome, Pediatrics, Perinatology and Child Health, Catheter Ablation, medicine.symptom, Cardiology and Cardiovascular Medicine, business, Atrial flutter, Junctional rhythm |
| الوصف: | Objectives:This study aimed to evaluate the early outcomes of patients who underwent a concomitant therapeutic maze procedure for congenital heart surgery.Materials and Methods:Between 2019 and 2020, eight patients underwent surgical cryoablation by using the same type of cryoablation probe.Results:Three patients had atrial flutter, two had Wolf–Parkinson–White syndrome, two intra-atrial reentrant tachycardia, and one had atrial fibrillation. Four patients underwent electrophysiological study. Preoperatively, one patient was on 3, two were on 2, five were on 1 antiarrhythmic drug. Six patients underwent right atrial maze and two underwent bilateral atrial maze. Five out of six right atrial maze patients underwent right atrial reduction. Nine different lesion sets were used. Some of the lesions were combined and applied as one lesion. In Ebstein’s anomaly patients, the lesion from coronary sinus to displaced tricuspid annulus was delicately performed. The single ventricle patient with heterotaxy had junctional rhythm at the time of discharge and was the only patient who experienced atrial extrasystoles 2 months after discharge. Seven of the eight patients were on sinus rhythm. No patient needed permanent pacemaker placement.Conclusion:Cryomaze procedure can be applied in congenital heart diseases with acceptable arrhythmia-free rates by selecting the appropriate materials and suitable lesion sets. The application of cryomaze in heterotaxy patients can be challenging due to differences in the conduction system and complex anatomy. Consensus with the electrophysiology team about the choice of the right–left or biatrial maze procedure is mandatory for operational success. |
| تدمد: | 1467-1107 1047-9511 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::f7da06b4b0d239238eb30275e669deb7 https://pubmed.ncbi.nlm.nih.gov/32988422 |
| Rights: | CLOSED |
| رقم الانضمام: | edsair.doi.dedup.....f7da06b4b0d239238eb30275e669deb7 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14671107 10479511 |
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