Early results of monopolar versus bipolar radiofrequency ablation for atrial fibrillation during open heart surgery

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dc.authorwosidGurkan, Selami/AAA-9006-2022
dc.authorwosidgur, ozcan/AAA-8847-2022
dc.contributor.authorGür, Özcan
dc.contributor.authorGürkan, Selami
dc.contributor.authorÖzkaramanlı Gür, Demet
dc.contributor.authorÇakır, Habib
dc.contributor.authorYüksel, Volkan
dc.contributor.authorHüseyin, Serhat
dc.contributor.authorEge, Turan
dc.date.accessioned2022-05-11T14:35:57Z
dc.date.available2022-05-11T14:35:57Z
dc.date.issued2013
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Kalp ve Damar Cerrahisi Ana Bilim Dalı
dc.description.abstractBACKROUND: In patients with atrial fibrillation (AF) for whom open heart surgery is scheduled, it is suggested to treat AF by ablation. OBJECTIVE: To compare the efficacy of monopolar and bipolar surgical radiofrequency ablation systems in patients undergoing concomitant open heart surgery and reveal the factors affecting the conversion to sinus rhythm. METHODS: Forty-three patients (19 male and 24 female) who underwent irrigated monopolar or bipolar radiofrequency ablation for persistent AF at concomitant cardiac surgery between 2007 and 2012 were included in the study. RESULTS: Monopolar ablation was performed in 24 and bipolar ablation was performed in 19 patients. Twenty of the 24 patients who underwent monopolar radiofrequency ablation and 15 of the 19 patients in the bipolar ablation group were in sinus rhythm at the three-month follow-up. There was no statistically significant difference between the two ablation procedures on the conversion of AF to sinus rhythm. When the effect of left atrial diameter on conversion to sinus rhythm was compared, left atrial diameter >60 mm was found to have pronounced negative influence on procedural success, while left atrial diameter <60 mm had no effect. CONCLUSION: A concomitant monopolar or bipolar modified Cox maze procedure during open heart surgery is equally effective technique for AF ablation at three months of follow up. Left atrial diameters >60 mm significantly reduced the rate of conversion to sinus rhythm.
dc.identifier.issn1205-6626
dc.identifier.issn1918-1515
dc.identifier.issue1en_US
dc.identifier.urihttps://hdl.handle.net/20.500.11776/8310
dc.identifier.volume19
dc.identifier.wosWOS:000340731600011
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.institutionauthorGür, Özcan
dc.institutionauthorGürkan, Selami
dc.language.isoen
dc.publisherCardiology Academic Press
dc.relation.ispartofExperimental & Clinical Cardiology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectAtrial fibrillation
dc.subjectOpen heart surgery
dc.subjectRadiofrequency ablation
dc.subjectResults
dc.subjectExpert Consensus Statement
dc.subjectMitral-Valve Surgery
dc.subjectTerm Sinus Rhythm
dc.subjectSurgical Ablation
dc.subjectIntraoperative Ablation
dc.subjectFollow-Up
dc.subjectRecommendations
dc.subjectPersonnel
dc.subjectCatheter
dc.subjectPolicy
dc.titleEarly results of monopolar versus bipolar radiofrequency ablation for atrial fibrillation during open heart surgery
dc.typeArticle

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