Atriyal fibrilasyonun cerrahi tedavisi

Akpınar, Belhan; güden, mustafa; SANİSOĞLU, İlhan; SAĞBAŞ, Ertan

Atriyal fibrilasyonun cerrahi tedavisi

Belhhan AKPINAR, (Kadir Has Üniversitesi, Florence Nightingale Hastanesi, Kalp Damar Cerrahisi Anabilim Dalı, İstanbul, Türkiye)

Ertan SAĞBAŞ, (Kadir Has Üniversitesi, Florence Nightingale Hastanesi, Kalp Damar Cerrahisi Anabilim Dalı, İstanbul, Türkiye)

Mustafa GÜDEN, (Kadir Has Üniversitesi, Florence Nightingale Hastanesi, Kalp Damar Cerrahisi Anabilim Dalı, İstanbul, Türkiye)

İlhan SANİSOĞLU (Kadir Has Üniversitesi, Florence Nightingale Hastanesi, Kalp Damar Cerrahisi Anabilim Dalı, İstanbul, Türkiye)

Anadolu Kardiyoloji Dergisi

3 0

Yıl: 2007 Cilt: 7 Sayı: 1 Sayfa Aralığı: 65 - 73 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Atriyal fibrilasyonun cerrahi tedavisi

Öz:

Teknolojideki hızlı gelişmeler atriyal fibrilasyonun (AF) cerrahi tedavisinde birçok yeniliği beraberinde getirmiştir. Maze III operasyonu, AF’nin cerrahi tedavisinde altın standart olarak kabul edilmekle beraber teknik zorluk ve bazı komplikasyonlar nedeniyle yaygın kullanım alanı bulamamıştır. Alternatif enerji kaynaklarının kullanıma girmesi ile orijinal yöntem ile kesip dikerek oluşturulan lezyonlar bu enerji kaynaklarıyla çok daha kısa sürede emniyetle oluşturulmaktadır. Bu işlemlerle %70-98 arasında değişen oranlarda başarı elde edilmektedir. İki bin beş yılı Haziran ayı itibariyle dünyada otuz binin üzerinde hastaya cerrahi ablasyon işlemi yapıldığı bildirilmektedir. Ancak yaygın uygulama bazı komplikasyonları beraberinde getirse de cerrahi ablasyonun yaygın kabul görmesine engel olamamıştır. Öte yandan tek başına AF’li olgularda minimal invazif tekniklerle cerrahi ablasyon, perkütan tekniklere önemli bir alternatif oluşturmaktadır. Bu derlemede atriyal fibrilasyonun cerrahi tedavisinin tarihsel gelişimi ve güncel klinik uygulamalar üzerinde durulacaktır.

Anahtar Kelime: Kateter ablasyonu Cerrahi işlemler, minimal invaziv Kalp damar cerrahi işlemleri Atriyal fibrilasyon

Konular: Yeşil, Sürdürülebilir Bilim ve Teknoloji Robotik Kalp ve Kalp Damar Sistemi Radyoloji, Nükleer Tıp, Tıbbi Görüntüleme Cerrahi

The surgical treatment of atrial fibrillation

Öz:

The surgical treatment of atrial fibrillation (AF) has entered a new era with the development of new tools and advanced techniques. The Maze III operation remains as the gold standard for the surgical treatment of AF. However new energy sources have been adopted for treating this arrhythmia in an effort to reduce the invasiveness and technical concerns with the original procedure. Success rates ranging between 70-98% have been reported using these new techniques. On the other hand, interventional cardiologists have further improved their techniques so that percutaneous techniques are competing with minimally invasive ablation techniques for the treatment of drug resistant and symptomatic lone AF. These developments have aroused the interest of cardiac surgeons in AF surgery and have found themselves a wide application. It has been estimated that thirty thousand patients have undergone surgical ablation for AF so far. Inevitably, procedure related complications have occurred and caused skepticism by some groups. However, surgical ablation has become a widely accepted treatment modality for AF patients undergoing concomitant cardiac surgery. The aim of this text is to make an overall review of the surgical treatment of AF and evaluate the current situation in view of the literature and the personal experience of the authors.

Anahtar Kelime: Atrial Fibrillation Catheter Ablation Surgical Procedures, Minimally Invasive Cardiovascular Surgical Procedures

Konular: Yeşil, Sürdürülebilir Bilim ve Teknoloji Robotik Kalp ve Kalp Damar Sistemi Radyoloji, Nükleer Tıp, Tıbbi Görüntüleme Cerrahi

Belge Türü: Makale Makale Türü: Derleme Erişim Türü: Erişime Açık

1. Feinberg WM, Blackshear JL, Laupacis A, Kronmal R, Hart RG. Prevalence, age and distribution of patients with atrial fibrillation. Analysis and implications. Arch Intern Med 1995; 155: 469-73.
2. Wolf PA, Abbot RD, Kannel WB. Atrial fibrillation as an independent risk factor for stroke. The Framingham Study. Stroke 1991; 22: 983-8.
3. Adalet K. Atriyal fibrilasyonun güncel farmakolojik tedavisi. Türk Kardiyol Dern Arş 2002; 30: 104-18
4. Bando K, Kobayashi J, Kosaka Y Hirata M, Sasako Y, Nakatani S, et al. Impact of Cox maze procedure on outcome in patients with atrial fibrillation and mitral valve disease. J Thorac Cardiovasc Surg 2002; 124: 575-83.
5. Wyse DG. In the wake of the AFFIRM trial: What we still don’t know about the management of atrial fibrillation and where we need to go. Card Electrophysiol Rev 2003; 7: 130-5.
6. Pappone C, Rosanio S, Augello G, Gallus G, Vicedomini G, Mazzone P, et al. Mortality, morbidity and quality of life after circumferential pulmonary vein ablation for atrial fibrillation: outcomes from a controlled non-randomized long-term study. J Am Coll Cardiol 2003; 42: 185-97.
7. Macle L, Jais P, Scavee C, Weerasooriya R, Shah DC, Hocini M, et al. Electrophysiologically guided pulmonary vein isolation during sustained atrial fibrillation. J Cardiovasc Electrophysiol 2003; 14: 255-60.
8. Cox JL. Surgery for atrial fibrillation. In: Hanley M, editor. Cardiac Surgery: State of the art reviews. Philadelphia: Hanley and Belfus Inc; 1990. p.207.
9.Guiraudon G, Campbell CS, Joned DL, McLellan DG, Macdonalds JL. Combined sino-atrial node atrioventricular isolation: a surgical alternative to his bundle ablation in patients with atrial fibrillation.Circulation 1985;72:220-4.
10. Guiraudon G, Klein GJ, Sharma AD, Yee R. Use of old and new anatomic, electro physiologic and technical knowledge to develop operative approaches to tachycardia. In: Brugada P, Wellens HJJ, editors. Cardiac Arrhythmias: Where to go from here? Mount Kisco: Futura Publishing Co; 1987. p.639-45.
11. Leitch JW, Klein G, Yee R, Guiraudon G. Sinus node and atrio-ventricular isolation: long term results with the “Corridor” operation for atrial fibrillation. J Am Coll Cardiol 1991; 17: 970-5.
12. Guiraudon GM . The surgical treatment of atrial fibrillation. Herz 1993; 18: 51-9.
13. Cox JL . The surgical treatment of atrial fibrillation. IV. Surgical technique. J Thorac Cardiovasc Surg. 1991; 101: 584-92.
14. Cox JL. Schuessler RB, D’Agostino HJ Jr, Stone CM, Chang BC, Cain ME, et al. The surgical treatment of atrial fibrillation. III. Development of a definitive surgical procedure. J Thorac Cadiovasc Surg 1991; 101: 569-83.
15. Cox J. Surgical treatment of arrhythmias. In : Edmunds HL, editor.Cardiac Surgery in the Adult.Boston: Blackwell Medical Sciences; 1998. p.780-95.
16. Haissaguerre M, Fischer B, Labbe T, Lemetayer P, Montserrat P, d'Ivernois C, et al. Frequency of recurrent atrial fibrillation after catheter ablation of overt accessory pathways. Am J Cardiol 1992; 69: 493-7.
17. Sueda T, Imai K, Ishii O, Orihashi K, Watari M, Okado K. Efficacy of pulmonary vein isolation for the elimination of chronic atrial fibrillation in cardiac valvular surgery. Ann Thorac Surg 2001; 71: 1189-93.
18. Yamauchi S, Ogasawara H, Saji Y, Bessho R, Miyagi Y, Fujii M. Efficacy of intraoperative mapping to optimize the surgical ablation of atrial fibrillation in cardiac surgery. Ann Thorac Surg 2002; 74: 450-7.
19. Kress DC, Krum D, Chekanov V, Hare J, Eljhi K, Yamamoto F. Improved success rate of the maze procedure in mitral valve disease by new criteria for patient selection. Eur J Cardiothorac Surg 1998; 13: 247-52.
20. Usui A, Inden Y, Mizutani S, Takagi Y, Akita T, Ueda Y. Repetitive atrial flutter as a complication of the left-sided simple maze procedure. Ann Thorac Surg 2002; 73: 1457-9.
21. Patwardhan AM, Dave HH, Tamhane AA, Pandit SP, Dalvi BV, Golam K, et al. Intraoperative radiofrequency microbipolar coagulation to replace incisions of maze III procedure for correcting atrial fibrillation in patients with rheumatic heart disease. Eur J Cardiothorac Surg 1998; 12: 627-33.
22. Manasse E, Barbone A, Faletra F, Gallotti R. Microwave ablation of atrial fibrillation in conjunction with treatment of early postoperative massive left atrial thrombosis. Interactive CardioVasc Thorac Surg 2003; 2: 16-9.
23. Lee JW, Choo J, Kim K, Song JM, Sonh H, Song MG. Atrial fibrillation surgery simplified with cryoablation to improve left atrial function. Ann Thorac Surg 2001; 72: 1479-83.
24. Melo J, Adragao P, Neves J, Ferreira MM, Pinto MM, Rebocho MJ, et al. Surgery for atrial fibrillation using radiofrequency catheter ablation: Assessment of results at one year. Eur J Cardiothorac Surg 1999; 15: 851-5.
25. Williams RM, Stewart RJ, Bolling FS, Freeman S, Anderson JT, Argenzıano M, et al. Surgical treatment of atrial fibrillation using radiofrequency energy. Ann Thorac Surg 2001; 71: 1939-44.
26. Pasic M, Bergs P, Muller P, Hofmann M, Grauhan O, Kuppe H, et al. Intraoperative radiofrequency maze ablation for atrial fibrillation. The Berlin Modification. Ann Thorac Surg 2001; 72: 1484-91.
27. Sie HT, Beukema WP, Misier RR, Elvan A, Ennema J, Wellens HJJ. The radiofrequency modified maze procedure. A less invasive surgical approach to atrial fibrillation during open heart surgery. Eur J Cardiothorac Surg 2001; 19: 443-7.
28. Sie H, Beukema WP, Elvan A, Misier RR, Ennema J, Haalebos NMP. Radiofrequency modified maze in patients with atrial fibrillation undergoing concomitant cardiac surgery. J Thorac Cardiovasc Surg 2001; 122: 249-56.
29. Khargi K, Deneke T, Haardt H, Lemke B, Grewe P, Muller KM, et al. Saline irrigated cooled tip radiofrequency ablation is an effective technique to perform the maze procedure. Ann Thorac Surg 2001; 72: S1090-5.
30. Güden M, Akpınar B, Sanisoğlu İ, Sağbaş E, Bayındır O. Intraoperative saline-irrigated radiofrequency modified maze procedure for atrial fibrillation. Ann Thorac Surg 2002; 74: 1301-6.
31. Benussi S, Pappone C, Nascimbene OG, Oreto G, Caldarola A, Stefano PL, et al. A simple way to treat atrial fibrillation during mitral valve surgery:the epicardial radiofrequency approach. Eur J Cardiothorac Surg 2000; 17: 524-9.
32. Melo J, Adrago P, Neves J, Ferreira M, Timóteo A, Santiago T, et al. Endocardial and epicardial radiofrequency ablation in the treatment of atrial fibrillation with a new intraoperative device. Eur J Cardiothorac Surg 2000; 18: 182-6.
33. Güden M, Akpinar B, Çaynak B, Turkoglu C, Ozyedek Z, Sanisoglu I, et al. Left versus bi-atrial intraoperative saline irrigated radiofrequency modified maze procedure for atrial fibrillation. Card Electrophysiol Rev 2003; 7: 251-7.
34. Khargi K, Deneke T, Lemke B Laczkovics A. Irrigated radiofrequency ablation is a safe and effective technique to treat chronic atrial fibrillation. Interactive Cardiovasc Thorac Surg 2003; 2: 241-5.
35. Gillinov AM, Petterson G, Rice TW. Esophageal injury during radiofrequency ablation for atrial fibrillation. J Thorac Cardiovasc Surg 2001; 122: 1239-40.
36. Cox JL. Ad. N: Minimally invasive Maze procedure. Pacing Clin Electrophysiol 2000; 23: 600-5.
37. Mohr FW, Falk V, Diegler A, Walther T, Van son JA, Autchbach R. Minimally invasive port-access mitral valve surgery. J Thorac Cardiovasc Surg 1998; 115: 567-74.
38. Akpınar B, Güden M, Sağbaş E, Sanisoğlu İ, Bayındır O. Combined radiofrequency modified maze and mitral valve procedure through a port access approach. Early and mid term results. Eur J Cardiothorac Surg 2003; 24: 223-30.
39. Güden M, Akpınar B, Sağbaş E, Sanisoğlu İ, Özbek U. A radiofrequency modified maze and valve procedure through a port access approach. Heart Surg Forum 2003; 6: 292-6.
40. Guden M, Akpınar B, Ergenoglu Sagbas E, Sanisoglu İ, Ozbek U. Combined radiofrequency ablation and myxoma resection through a port access approach. Ann Thorac Surg 2004; 78: 1470-2.
41. Loulmet D, Patel N, Patel U, Frumkin WI, Santoni-Rugiu F, Langan MN, et al. First Robotic Endoscopic epicardial isolation of the pulmonary veins with microwave energy in a patient with chronic atrial fibrillation. Ann Thorac Surg 2004; 78: 24-5.
42. Reade CC, Johnson JO, Bolotin G, Freund WL Jr, Jenkins NL, Bower CE, et al. Combining mitral valve repair and microwave atrial fibrillation: techniques and initial results. Ann Thorac Surg 2005; 79: 480-4.

APA	Akpınar B, SAĞBAŞ E, güden m, SANİSOĞLU İ (2007). Atriyal fibrilasyonun cerrahi tedavisi. , 65 - 73.
Chicago	Akpınar Belhan,SAĞBAŞ Ertan,güden mustafa,SANİSOĞLU İlhan Atriyal fibrilasyonun cerrahi tedavisi. (2007): 65 - 73.
MLA	Akpınar Belhan,SAĞBAŞ Ertan,güden mustafa,SANİSOĞLU İlhan Atriyal fibrilasyonun cerrahi tedavisi. , 2007, ss.65 - 73.
AMA	Akpınar B,SAĞBAŞ E,güden m,SANİSOĞLU İ Atriyal fibrilasyonun cerrahi tedavisi. . 2007; 65 - 73.
Vancouver	Akpınar B,SAĞBAŞ E,güden m,SANİSOĞLU İ Atriyal fibrilasyonun cerrahi tedavisi. . 2007; 65 - 73.
IEEE	Akpınar B,SAĞBAŞ E,güden m,SANİSOĞLU İ "Atriyal fibrilasyonun cerrahi tedavisi." , ss.65 - 73, 2007.
ISNAD	Akpınar, Belhan vd. "Atriyal fibrilasyonun cerrahi tedavisi". (2007), 65-73.

APA	Akpınar B, SAĞBAŞ E, güden m, SANİSOĞLU İ (2007). Atriyal fibrilasyonun cerrahi tedavisi. Anadolu Kardiyoloji Dergisi, 7(1), 65 - 73.
Chicago	Akpınar Belhan,SAĞBAŞ Ertan,güden mustafa,SANİSOĞLU İlhan Atriyal fibrilasyonun cerrahi tedavisi. Anadolu Kardiyoloji Dergisi 7, no.1 (2007): 65 - 73.
MLA	Akpınar Belhan,SAĞBAŞ Ertan,güden mustafa,SANİSOĞLU İlhan Atriyal fibrilasyonun cerrahi tedavisi. Anadolu Kardiyoloji Dergisi, vol.7, no.1, 2007, ss.65 - 73.
AMA	Akpınar B,SAĞBAŞ E,güden m,SANİSOĞLU İ Atriyal fibrilasyonun cerrahi tedavisi. Anadolu Kardiyoloji Dergisi. 2007; 7(1): 65 - 73.
Vancouver	Akpınar B,SAĞBAŞ E,güden m,SANİSOĞLU İ Atriyal fibrilasyonun cerrahi tedavisi. Anadolu Kardiyoloji Dergisi. 2007; 7(1): 65 - 73.
IEEE	Akpınar B,SAĞBAŞ E,güden m,SANİSOĞLU İ "Atriyal fibrilasyonun cerrahi tedavisi." Anadolu Kardiyoloji Dergisi, 7, ss.65 - 73, 2007.
ISNAD	Akpınar, Belhan vd. "Atriyal fibrilasyonun cerrahi tedavisi". Anadolu Kardiyoloji Dergisi 7/1 (2007), 65-73.