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

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dc.authoridCAKIR, HABIB/0000-0002-9968-5198;
dc.authorwosidCAKIR, HABIB/HNB-7714-2023
dc.authorwosidgur, ozcan/AAA-8847-2022
dc.authorwosidGurkan, Selami/AAA-9006-2022
dc.contributor.authorGur, Ozcan
dc.contributor.authorGurkan, Selami
dc.contributor.authorGur, Demet Ozkaramanli
dc.contributor.authorCakir, Habib
dc.contributor.authorYuksel, Volkan
dc.contributor.authorHuseyin, Serhat
dc.contributor.authorCanbaz, Suat
dc.date.accessioned2024-06-12T10:52:49Z
dc.date.available2024-06-12T10:52:49Z
dc.date.issued2013
dc.departmentTrakya Üniversitesien_US
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.en_US
dc.identifier.issn1205-6626
dc.identifier.issn1918-1515
dc.identifier.issue1en_US
dc.identifier.urihttps://hdl.handle.net/20.500.14551/18847
dc.identifier.volume19en_US
dc.identifier.wosWOS:000340731600011en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.language.isoenen_US
dc.publisherCardiology Academic Pressen_US
dc.relation.ispartofExperimental & Clinical Cardiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAtrial Fibrillationen_US
dc.subjectOpen Heart Surgeryen_US
dc.subjectRadiofrequency Ablationen_US
dc.subjectResultsen_US
dc.subjectExpert Consensus Statementen_US
dc.subjectMitral-Valve Surgeryen_US
dc.subjectTerm Sinus Rhythmen_US
dc.subjectSurgical Ablationen_US
dc.subjectIntraoperative Ablationen_US
dc.subjectFollow-Upen_US
dc.subjectRecommendationsen_US
dc.subjectPersonnelen_US
dc.subjectCatheteren_US
dc.subjectPolicyen_US
dc.titleEarly results of monopolar versus bipolar radiofrequency ablation for atrial fibrillation during open heart surgeryen_US
dc.typeArticleen_US

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