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The evaluation of the cardiovascular events in patients with atrial fibrillation in the long-term after "maze" radiofrequency endocardial catheter ablation procedure

https://doi.org/10.29001/2073-8552-2015-30-1-60-66

Abstract

The aim of this study was to evaluate the occurrence of cardiovascular events in the long-term period after “MAZE” radiofrequency endocardial catheter ablation procedure, according to the efficacy of the interventional treatment. A total of 391 patients (247 male) aged 18 to 77 years (mean age 54.9±10.1 years) with atrial fibrillation (AF) were examined. All patients underwent catheter ablation, including pulmonary veins isolation and ablation of the lines in the back wall, roof of the left atrium, and the mitral isthmus. According to the results of our study, the long-term efficacy was 83.3% in patients with paroxysmal AF and about 72.4% in patients with persistent AF. Maintaining the sinus rhythm significantly reduced the risk of stroke (including fatal stroke) as compared with single anticoagulation therapy during the heart rate control strategy.

About the Authors

M. E. Protasov
Republican Cardiology Dispensary
Russian Federation


R. E. Batalov
Federal State Budgetary Scientific Institution "Research Institute for Cardiology"
Russian Federation


M. S. Khlynin
Federal State Budgetary Scientific Institution "Research Institute for Cardiology"
Russian Federation


E. A. Protasova
Saratov State Medical University n.a. V.I. Razumovsky, Research Institute for Cardiology
Russian Federation


I. V. Kisteneva
Federal State Budgetary Scientific Institution "Research Institute for Cardiology"
Russian Federation


S. V. Popov
Federal State Budgetary Scientific Institution "Research Institute for Cardiology"
Russian Federation


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Review

For citations:


Protasov M.E., Batalov R.E., Khlynin M.S., Protasova E.A., Kisteneva I.V., Popov S.V. The evaluation of the cardiovascular events in patients with atrial fibrillation in the long-term after "maze" radiofrequency endocardial catheter ablation procedure. Siberian Journal of Clinical and Experimental Medicine. 2015;30(1):60-66. (In Russ.) https://doi.org/10.29001/2073-8552-2015-30-1-60-66

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ISSN 2713-2927 (Print)
ISSN 2713-265X (Online)