New technologies in treatment of atrial fibrillation in cardiosurgical patients

A. V. Evtushenko, V. V. Evtushenko, A. N. Bykov, V. S. Sergeev, V. I. Syryamkin, Yu V. Kistenev, Yana Jonovna Anfinogenova, K. A. Smyshlyaev, I. O. Kurlov

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Abstract

The article is devoted to the evaluation of the results of clinical application of penetrating radiofrequency ablation techniques on atrial myocardium. Total operated on 241 patients with valvular heart disease and coronary heart disease complicated with atrial fibrillation. All operations were performed under cardiopulmonary bypass and cardioplegia. The main group consists of 141 patients which were operated using penetrating technique radiofrequency exposure. The control group consisted of 100 patients who underwent surgery with the use of "classical" monopolar RF-ablation technique. Both groups were not significantly different on all counts before surgery. Patients with previous heart surgery were excluded during the selection of candidates for the procedure, due to the presence of adhesions in the pericardium, that do not allow good visualization of left atrium, sufficient to perform this procedure. Penetrating technique has significantly higher efficiency compared to the "classic" technique in the early and long-term postoperative periods. In the early postoperative period, its efficiency is 93%, and in the long term is 88%. The efficacy of "classical" monopolar procedure is below: 86% and 68% respectively.

Original languageEnglish
Title of host publicationNew Operational Technologies, NEWOT 2015: Proceedings of the 5th International Scientific Conference "New Operational Technologies"
PublisherAmerican Institute of Physics Inc.
Volume1688
ISBN (Electronic)9780735413351
DOIs
Publication statusPublished - 17 Nov 2015
Externally publishedYes
Event5th International Scientific Conference on New Operational Technologies, NEWOT 2015 - Tomsk, Russian Federation
Duration: 29 Sep 201530 Sep 2015

Conference

Conference5th International Scientific Conference on New Operational Technologies, NEWOT 2015
CountryRussian Federation
CityTomsk
Period29.9.1530.9.15

ASJC Scopus subject areas

  • Physics and Astronomy(all)

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  • Cite this

    Evtushenko, A. V., Evtushenko, V. V., Bykov, A. N., Sergeev, V. S., Syryamkin, V. I., Kistenev, Y. V., Anfinogenova, Y. J., Smyshlyaev, K. A., & Kurlov, I. O. (2015). New technologies in treatment of atrial fibrillation in cardiosurgical patients. In New Operational Technologies, NEWOT 2015: Proceedings of the 5th International Scientific Conference "New Operational Technologies" (Vol. 1688). [030008] American Institute of Physics Inc.. https://doi.org/10.1063/1.4936003