Heart Rhythm
Volume 6, Issue 12, Supplement , Pages S64-S70 , December 2009

Totally thorascopic surgical ablation of persistent AF and long-standing persistent atrial fibrillation using the “Dallas” lesion set

  • James R. Edgerton, MD

      Affiliations

    • Heart Hospital Baylor Plano, Plano, Texas
    • Cardiopulmonary Research, Science, and Technology Institute (CRSTI), Dallas, Texas
    • Corresponding Author InformationAddress reprint requests and correspondence: Dr. James R. Edgerton, 4708 Alliance Boulevard, Pavilion One, Suite 700, Plano, Texas 75093
    • ,
  • Warren M. Jackman, MD, FHRS

      Affiliations

    • University of Oklahoma Health Science Center, Oklahoma City, Oklahoma
    • ,
  • Cecile Mahoney, BS

      Affiliations

    • Cardiopulmonary Research, Science, and Technology Institute (CRSTI), Dallas, Texas
    • ,
  • Michael J. Mack, MD

      Affiliations

    • Heart Hospital Baylor Plano, Plano, Texas
    • Cardiopulmonary Research, Science, and Technology Institute (CRSTI), Dallas, Texas

References 

  1. Cox JL, Boineau JP, Schuessler RB, Jaquiss RDB, Lappas DG. Modification of the maze procedure for atrial flutter and atrial fibrillation (I. Rationale and surgical results). J Thorac Cardiovasc Surg. 1995;110:473–484
  2. Cox JL, Ad N. The importance of cryo ablation of the coronary sinus during the maze procedure. Semin Thorac Cardiovasc Surg. 2000;12:20–24
  3. Gaynor SL, Byrd GD, Diodato MD, et al. Microwave ablation for atrial fibrillation: dose-response curves in the cardioplegia-arrested and beating heart. Ann Thorac Surg. 2006;81:72–77
  4. Prasad SM, Maniar HS, Diodato MD, Schuessler RB, Damiano RJ. Physiological consequences of bipolar radiofrequency energy on the atrial and pulmonary veins: a chronic animal study. Ann Thorac Surg. 2003;76:836–842
  5. Shinbane JS, Lesh MD, Stevenson WG, et al. Anatomic and electrophysiologic relation between the coronary sinus and mitral annulus: implication for ablation of left-side accessory pathways. Am Heart J. 1998;136:93–98
  6. Jais P, Hocini M, Husu L, et al. Technique and results of linear ablation at the mitral isthmus. Circulation. 2004;110:2996–3002
  7. Cox JL. Atrial fibrillation II: rationale for surgical treatment. J Thorac Cardiovasc Surg. 2003;126:1693–1699
  8. Edgerton JR, Edgerton ZJ, Weaver T, et al. Minimally invasive pulmonary vein isolation and partial autonomic denervation for surgical treatment of atrial fibrillation. Ann Thorac Surg. 2008;86:35–39
  9. Wisser W, Seebacher G, Fleck T, et al. Permanent chronic atrial fibrillation: is pulmonary vein isolation alone enough?. Ann Thorac Surg. 2007;84:1151–1157
  10. Thomas SP, Guy DJR, Boyd AC, et al. Comparison of epicardial and endocardial linear ablation using handheld probes. Ann Thorac Surg. 2003;75:543–548
  11. Arruda M, Mlcochova H, Prasad K, et al. Electrical Isolation of the superior vena cava: an adjunctive strategy to pulmonary vein antrum isolation improving the outcome of AF ablation. J Cardiovasc Electrophysiol. 2007;18:1261–1266
  12. Hirose M, Leatmanoratn Z, Laurita K, et al. Partial vagal denervation increases vulnerability to vagally induced atrial fibrillation. J Cardiovasc Electrophysiol. 2002;13:1272–1279
  13. Edgerton JR, Jackman WM, Mack MJ. Minimally invasive pulmonary vein isolation and partial autonomic denervation for surgical treatment of atrial fibrillation. J Interv Card Electrophysiol. 2007;20:89–93
  14. Edgerton JR, Jackman WM, Mack MJ. A new epicardial lesion set for minimal access left atrial Maze: the Dallas Lesion Set. Ann Thorac Surg (In press).
  15. Gaynor SL, Diodato MD, Prasad SM, et al. A prospective, single-center clinical trial of a modified Cox maze procedure with bipolar radiofrequency ablation. J Thorac Cardiovasc Surg. 2004;128:535–542
  16. Prasad SM, Maniar HS, Camillo CJ, et al. The Cox maze III procedure for atrial fibrillation: long-term efficacy in patients undergoing lone versus concomitant procedures. J Thorac Cardiovasc Surg. 2003;126:1822–1828
  17. Gaynor SL, Schuessler RB, Bailey MS, et al. Surgical treatment of atrial fibrillation: predictors of late recurrence. J Thorac Cardiovasc Surg. 2005;129:104–111
  18. Damiano RJ, Gaynor SL, Bailey M, et al. The long-term outcome of patients with coronary disease and atrial fibrillation undergoing the Cox maze procedure. J Thorac Cardiovasc Surg. 2003;126:2016–2021
  19. Gillinov AM, Mccarthy PM, Blackstone EH, et al. Surgical ablation of atrial fibrillation with bipolar radiofrequency as the primary modality. J Thorac Cardiovasc Surg. 2005;129:1322–1329
  20. Doll NPritzwald-Stegmann, Czesla M, et al. Ablation of ganglionic plexi during combined surgery for atrial fibrillation. Ann Thorac Surg. 2008;86:1659–1663
  21. Wolf RK, Schneeberger EW, Osterday R, et al. Video-assisted bilateral pulmonary vein isolation and left atrial appendage exclusion for atrial fibrillation. J Thorac Cardiovasc Surg. 2005;130:797–802
  22. McClelland JH, Duke D, Reddy R. Preliminary results of a limited thoracotomy: new approach to treat atrial fibrillation. J Cardiovasc Electrophysiol. 2007;12:1289–1295
  23. Gillinov AM, Bhavani S, Blackstone EH, et al. Surgery for permanent atrial fibrillation: impact of patient factors and lesion set. Ann Thorac Surg. 2006;82:502–514
  24. Wijffels MC, Kirchhof CJ, Dorland R, Power J, Allessie MA. Electrical remodeling due to atrial fibrillation in chronically instrumented conscious goats: roles of neurohumoral changes, ischemia, atrial stretch, and high rate of electrical activation. Circulation. 1997;96:3710–3720
  25. Lall SC, Melby SJ, Voeller RK, et al. The effect of ablation technology on surgical outcomes after the Cox-maze procedure: a propensity analysis. J Thorac Surg. 2007;133:389–396
  26. Gillinov AM, McCarthy PM, Blackstone EH, et al. Surgical ablation of atrial fibrillation with bipolar radiofrequency as the primary modality. J Thorac Cardiovasc Surg. 2005;129:1322–1329
  27. Gillinov AM, McCarthy . Advances in surgical treatment of atrial fibrillation. Card Surg Today. 2004;2:118–125
  28. Cox JL. The role of surgical intervention in the management of atrial fibrillation. Tex Heart Inst J. 2004;31:257–265
  29. Ninet J, Roques X, Seitelberger R, et al. Surgical ablation of atrial fibrillation with off-pump, epicardial high-intensity focused ultrasound: results of a multicenter trial. J Thorac Cardiovasc Surg. 2005;130:803–809
  30. Gammie JS, Didolkar P, Krowsoski LS, et al. Intermediate-term outcomes of surgical atrial fibrillation correction with the cryomaze procedure. Ann Thorac Surg. 2009;87:1452–1459
  31. Fassini G, Riva S, Chiodelli R, et al. Left mitral isthmus ablation associated with PV isolation: long-term results of a prospective randomized study. J Cardiovasc Electrophysiol. 2005;16:1150–1156
  32. Haissaguerre M, Hocini M, Sanders P, et al. Catheter ablation of long-standing persistent atrial fibrillation: clinical outcome and mechanism of subsequent arrhythmias. J Cardiovasc Electrophysiol. 2005;16:1138–1147
  33. Rostock T, O'Neill MD, Sanders P, et al. Characterization of conduction recovery across left atrial linear lesions in patients with paroxysmal and persistent atrial fibrillation. J Cardiovasc Electrophysiol. 2006;17:1106–1111
  34. Gillinov AM, Blackstone EH, McCarthy EM. Atrial fibrillation: current surgical options and their assessment. Ann Thorac Surg. 2002;74:2210–2217
  35. Sanders P, Jais P, Hocini M, et al. Electrophysiologic and clinical consequences of linear catheter ablation to transect the anterior left atrium. Heart Rhythm. 2004;1:176–184

 Dr. James Edgerton is a paid consultant for AtriCure. Jackman, Mahoney and Mack have no conflicts of interest to disclose.

 Symposium supported by AtriCure and The Heart Hospital.

PII: S1547-5271(09)00998-9

doi: 10.1016/j.hrthm.2009.09.011

Heart Rhythm
Volume 6, Issue 12, Supplement , Pages S64-S70 , December 2009

Article Tools

* Image Usage & Resolution