Thoracoscopic ablation for treatment of patients with lone atrial fibrillation in Russia
Le résumé fourni par la source
Aim. Endoscopic surgery demonstrates promising results of treatment in patients with non-paroxysmal atrial fibrillation. Minimally invasive thoracoscopic ablation contributes to the growing interest in such operations all over the world. Nowadays totally thoracoscopic ablations are available for patients in Russian Federation. Emphasis in our study was placed on the collection and analysis of data on thoracoscopic ablation procedures used for treating patients with lone atrial fibrillation.Methods. The study covered the operations performed by Russian cardiac surgeons over a period up until January 1, 2018. Data collection was based on emailed registration forms containing information about the date of procedures, type of ablation pattern, previous catheter procedures, used devices, methods of left atrial appendage closure and safety profile information. 30-day mortality, conversion to sternotomy/thoracotomy, stroke/ transient ischemic attack, reexplorations, cardiac tamponade and phrenic nerve damage were considered as major complications.Results. The study encompassed 10 cardiosurgical centers in Russian Federation where totally thoracoscopic ablations had been carried out between 2011– 2018. Six hundred fifty-two procedures were registered. Most patients were ablated in Dallas and Box Lesion patterns. Left atrial appendage exclusion was performed in 90,4% patients. Major complications were observed in 27 (4%) patients, mostly during the “learning curve” period.Conclusion. The given study is the first attempt to collect and systematize the data on a new surgical procedure for treatment of patients with atrial fibrillation. The data obtained allow for making a conclusion that thoracoscopic ablation is becoming a wide-spread surgical technique to treat patients with lone atrial fibrillation in Russia. The quantity of procedure increases annually. Introducing thoracoscopic procedures in clinical practice may be accompanied by complications at any center. Nevertheless, according to our investigation the rate of complications is low, which enables us to recommend thoracoscopic ablation to treat a numerous cohort of atrial fibrillation patients in Russia.Received 13 June 2018. Revised 22 July 2018. Accepted 23 July 2018.Funding: The study did not have sponsorship.Conflict of interest: Authors declare no conflict of interest.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Thoracoscopic ablation for treatment of patients with lone atrial fibrillation in Russia
- Date Crossref
- 07/08/2018
- Éditeur
- Meshalkin National Medical Research Center
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Specialized Cardiosurgical Clinical Hospital named after Academician B.A. Korolev pays non établi dans la noticeÉtablissement de santé
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ФГБУ «Клиническая больница» pays non établi dans la noticeInstitution
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ФГБУ «Национальный медицинский исследовательский центр имени академика Е.Н. Мешалкина» pays non établi dans la noticeInstitution
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ФГБУ «Федеральный центр сердечно-сосудистой хирургии» pays non établi dans la noticeInstitution
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ФГБУ «Федеральный центр высоких медицинских технологий» pays non établi dans la noticeInstitution
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БУ «Окружная клиническая больница» pays non établi dans la noticeInstitution
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ФГБУ «Федеральный научно-клинический центр специализированных видов медицинской помощи и медицинских технологий Федерального медико-биологического агентства» pays non établi dans la noticeInstitution
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ГБУЗ НО «Специализированная кардиохирургическая клиническая больница» pays non établi dans la noticeInstitution
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ФГБНУ «Научно-исследовательский институт комплексных проблем сердечно-сосудистых заболеваний» pays non établi dans la noticeInstitution
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ФГБУ «Национальный медицинский исследовательский центр кардиологии» pays non établi dans la noticeInstitution
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ГБУЗ АО «Первая городская клиническая больница имени Е.Е. Волосевич» pays non établi dans la noticeInstitution
Specialized Cardiosurgical Clinical Hospital named after Academician B.A. Korolev, ФГБУ «Клиническая больница» et ФГБУ «Национальный медицинский исследовательский центр имени академика Е.Н. Мешалкина», avec 8 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.