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Manual of Surgical Treatment of Atrial Fibrillation / Edition 1

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Overview

In recent years, a myriad of surgical protocols have been developed to manage atrial fibrillation, increasing the confusion over which are the most effective approaches. This timely book presents a multidisciplinary, international team of authorities who have reviewed the evidence in order to establish which surgical approaches should be used under which circumstances.

Divided into five parts, the book not only explores surgical treatment of atrial fibrillation, it also offers a complete understanding of its underlying causes:

  • Anatomy, Pathophysiology, and Electrophysiologic Basis of Atrial Fibrillation
  • Surgical Approach to Atrial Fibrillation: The Cox-Maze Procedure
  • Modifications of the Cox-Maze, Use of Alternative Surgical Patterns, and Energy Sources
  • The Invasive Cardiologist Approach
  • Perioperative Complications, Reporting Results, and Statistical Analysis

With its clear presentation and analysis of the current findings in surgical treatment of atrial fibrillation, this book points the way towards a scientific approach for the surgical cure of atrial fibrillation and is essential reading for all cardiac surgeons.

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Editorial Reviews

Doody's Review Service
Reviewer: Ralph J. Damiano, MD (Washington University School of Medicine)
Description: This comprehensive overview of the state-of-the-art of surgical treatment of atrial fibrillation (AF) uses a multidisciplinary approach with contributions from anatomists, cardiologists, and surgeons. Divided into five sections, it begins with a review of the anatomy and physiology as well as the pharmacological treatment of AF. The authors then provide a look at both the historical and currently used surgical techniques for AF. Short sections cover catheter ablation and treatment of congenital cardiopathies.
Purpose: This is intended as a review of surgical treatment of AF, a worthy objective since this is a field that has undergone rapid evolution over the last 10 years, with the introduction of a number of new operations and ablation technologies. Unfortunately, the book does not completely meet its objectives and leaves readers without clear guidance on the appropriate approach to the patient.
Audience: Surgeons and cardiologists involved in the treatment of patients with AF are the intended audience. The editors have assembled a collection of experts from around the world who are all authorities in the field.
Features: The first section deals with the anatomy, pathophysiology, and electrophysiology of the atrium and atrial fibrillation. The second reviews the history of surgery for AF and the most successful procedure, the Cox-Maze operation. The third section covers recent modifications of the Cox-Maze procedure. The last two sections review catheter ablation and complications of surgery. The strongest part of the book is the excellent chapter on the anatomy of the atria by Dr. Anderson and colleagues. It is beautifully written with excellent illustrations. Unfortunately, the rest of the book does not match up to the quality of this chapter. The sections on the pathophysiology and pharmacology of AF are particularly weak, and the latter section never mentions the recently published guidelines by the ACC/AHA/ESC on the management of patients with AF. The third section is a good review of current surgical approaches, but suffers from poor illustrations of operative techniques and a lack of uniformity in presenting the surgical results. Moreover, the microwave section does not mention the poor experimental and clinical results in the U.S. which led to the removal of these devices from the market. The chapter on alternative energy sources is also weak, and ignores most of the published experimental literature on these devices. No attempt is made to highlight the advantages or disadvantages of each technology. The final section, "Perioperative Complications, Reporting Results and Statistical Analysis," is woefully inadequate and disappointing, including only a brief, far from comprehensive description of complications, with no mention of the importance of patient follow-up and reporting results.
Assessment: This is an interesting compilation of information on the surgical treatment of AF. Unfortunately, the quality of the chapters is variable and there is a lack of consistency in the illustrations and the reporting of results. Much of the information is already outdated, and the book does not even refer to the recent guidelines and consensus statements published regarding AF and ablation. While it is a reasonable review, the book provides physicians with little guidance regarding the plethora of new technologies and procedures available for the surgical treatment of AF.
From the Publisher
“The editors have assembled a collection of … authorities in the field. This is an interesting compilation of information on the surgical treatment of AF.” Doody's Book Reviews
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Product Details

  • ISBN-13: 9781405140324
  • Publisher: Wiley
  • Publication date: 2/25/2008
  • Edition number: 1
  • Pages: 272
  • Product dimensions: 7.30 (w) x 10.32 (h) x 0.82 (d)

Meet the Author

Hauw Sie, MD
Isala Klinieken, Zwolle, The Netherlands

Giuseppe D’Ancona, MD
ISMETT @ UPMC, Mediterranean Institute for Transplantation and Advanced Specialized Therapies, Palermo, Italy

Fabio Bartolozzi, MD
Galway Clinic, Galway, Ireland

Willem Beukema, MD
Isala Klinieken, Zwolle, The Netherlands

Donald Doty, MD
University of Utah Medical Center, Salt Lake City, UT, USA

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Table of Contents

Contributors.

Foreword.

Part I Anatomy, pathophysiology, and electrophysiologic basis of atrial fibrillation.

1 The morphology and development of the atrial chambers, with particular regard to.

atrial fibrillation: Robert H. Anderson (University College, London,), Antoon F. Moorman (University of Amsterdam), Andrew Taylor (University College, London), & Siew Yen Ho (Imperial College and Royal Brompton and.

Harefield NHS Trust, London).

2 Pathophysiology of atrial fibrillation: Robert A. Byrne (University College Hospital, Galway) & Kieran Daly (University College Hospital, Galway).

3 Genetics of atrial fibrillation: Ramon Brugada (Isala Klinieken, Zwolle).

4 Pharmacological management of atrial fibrillation: Yvonne Smyth (University College Hospital, Galway) & Kieran Daly (University College Hospital, Galway).

5 Electrophysiological basis of atrial fibrillation:Sander Verheule (Maastricht University), Thomas van Brakel (Maastricht University), Erik Harks (Maastricht University),.

Maura Greiser (Maastricht University) & Maurits Allessie (Maastricht University).

6 Pulmonary and thoracic vein sources: the focal theory of atrial fibrillation: Prashanthan Sanders (Hôpital Cardiologique du Haut-Lévêque; and Université Victor Segalen Bordeaux II), Mélèze Hocini (Hôpital Cardiologique du Haut-Lévêque; and Université Victor Segalen Bordeaux II),.

Pierre Jaïs (Hôpital Cardiologique du Haut-Lévêque; and Université Victor Segalen Bordeaux II), Yoshihide Takahashi (Hôpital Cardiologique du Haut-Lévêque; and Université Victor Segalen Bordeaux II), Thomas Rostock (Hôpital Cardiologique du Haut-Lévêque; and Université Victor Segalen Bordeaux II),.

Fréderic Sacher (Hôpital Cardiologique du Haut-Lévêque; and Université Victor Segalen Bordeaux II), Anders Jonsson (Hôpital Cardiologique du Haut-Lévêque; and Université Victor Segalen Bordeaux II), Martin Rotter (Hôpital Cardiologique du Haut-Lévêque; and Université Victor Segalen Bordeaux II),.

Li-Fern Hsu (Hôpital Cardiologique du Haut-Lévêque; and Université Victor Segalen Bordeaux II), & Michel Haïssaguerre (Hôpital Cardiologique du Haut-Lévêque; and Université Victor Segalen Bordeaux II).

Part II Surgical approach to atrial fibrillation.

7 Surgical treatment of atrial fibrillation: a retrospection: Gerard M. Guiraudon (University of Western Ontario).

8 The maze procedure: past, present, and future: Niv Ad (Inova Heart and Vascular Institute).

Part III Modifications of the Cox-maze, use of alternative surgical patterns, and energy sources.

9 The radial procedure for atrial fibrillation: theoretical basis and clinical application: Takashi Nitta (Nippon Medical School, Tokyo).

10 The mini-maze operation: Z.A. Szalay (Kerckhoff Clinic Foundation, Bad Nauheim).

11 Alternative energy sources for the surgical treatment of atrial fibrillation: Mark J. Russo (Columbia University) & Mathew R. Williams (Columbia University).

12 Radiofrequency modified maze surgery for chronic atrial fibrillation and concomitant cardiac surgery: Zwolle experience:.

Hauw T. Sie (Isala Klinieken, Zwolle), Willem P. Beukema (Isala Klinieken, Zwolle), Arif Elvan (Isala Klinieken, Zwolle), Hacer Sen (Isala Klinieken, Zwolle), Anand Ramdat Misier (Isala Klinieken, Zwolle),.

Giuseppe D’Ancona (ISMETT @ UPMC Mediterranean Institute for Transplantation and Advanced Specialized Therapies, Palermo), & Fabio Bartolozzi (Galway Clinic).

13 Bipolar radiofrequency ablation of atrial fibrillation: A. Marc Gillinov (The Cleveland Clinic Foundation).

14 Surgical ablation therapy using microwave energy: endo- and epicardial approach: Michael Knaut (Heart Center Dresden, University of Technology Dresden) & Stefan Brose.

15 Epicardial ablation in the treatment of atrial fibrillation: Stefano Benussi (San Raffaele Hospital, Milan) & Ottavio Alfieri (San Raffaele Hospital, Milan).

16 Surgical treatment of atrial fibrillation: the Japanese experience: Yoshio Kosakai (Takarazuka Municipal Hospital).

17 Minimally invasive surgical approach to treat atrial fibrillation: Mustafa Güden (Florence Nightingale Hospital, Sisli), Belhhan Akpınar (Florence Nightingale Hospital, Sisli) & Osman Bayındır (Florence Nightingale Hospital, Sisli).

Part IV The invasive cardiologist approach.

18 Percutaneous treatment of atrial fibrillation: Carlo Pappone (San Raffaele University Hospital, Milan) & Vincenzo Santinelli (San Raffaele University Hospital, Milan).

19 Surgical ablation of arrhythmias associated with congenital cardiopathies: Nestor Sandoval (Cl´ınica A. Shaio and Fundaci òon Cardio-Infantil, Bogotá), Fernando Rosas (Cl´ınica A. Shaio and Fundaci òon Cardio-Infantil, Bogotá), & Victor Manuel Velasco (Cl´ınica A. Shaio and Fundaci òon Cardio-Infantil, Bogotá).

Part V Perioperative Complications, Reporting Results, and Statistical Analysis.

20 Perioperative complications during surgical treatment of atrial fibrillation: tips and pitfalls: Nicolas Doll (University of Leipzig), Alexander M. Fabricius (University of Leipzig),.

Virginia Dietel (University of Leipzig), Piotr Suwalski (University of Leipzig), Thomas Walther (University of Leipzig), Jan F. Gummert (University of Leipzig), & Friedrich W. Mohr (University of Leipzig).

Index

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