scholarly journals Comparison of modified MAZE with minimally invasive monopolar ablation and traditional bipolar radiofrequency ablation in the treatment of atrial fibrillation

2019 ◽  
Vol 14 (1) ◽  
Author(s):  
Wei Si ◽  
Sijia Yang ◽  
Linhui Pan ◽  
Chengchegn Li ◽  
Liang Ma
Keyword(s):  
Quality Of Life ◽  
Atrial Fibrillation ◽  
Radiofrequency Ablation ◽  
Minimally Invasive ◽  
Sinus Rhythm ◽  
Ablation Rate ◽  
Atrial Fibrillation Ablation ◽  
Bipolar Radiofrequency ◽  
Postoperative Quality

Abstract Background and aim of the study Atrial fibrillation (AF) is the most common atrial arrhythmia. Our aim was to compare the outcomes of atrial fibrillation treatment with original modified minimally invasive MAZE using monopolar radiofrequency ablation (mi-MAZE) and open surgery MAZE using bipolar radiofrequency ablation (os-MAZE). Methods We searched the associated patients’ information on the medical record system of the First Affiliated Hospital, School of Medicine, Zhejiang University. Statistical Package for Social Sciences (SPSS) was used to analyse the data. The primary outcome is the atrial fibrillation ablation rate 3 months, 6 months, 12 months after operation. And secondary outcome is the postoperative quality of life. Results The mi-MAZE group included 42 patients and the os-MAZE group had 65 patients. Three months after surgery, we found that 31 patients (77.5%) in the mi-MAZE group were sinus rhythm and 44 (71.0%) recovered sinus rhythm in the os-MAZE group. We followed up these patients on the phone or in person and scored them on the SF-36 scale. The results were found to be 120.2 ± 8.10 vs 110.6 ± 6.58 (mi-MAZE vs os-MAZE, P < 0.001). Conclusions There was no significant difference of atrial fibrillation ablation rate (sinus rhythm recovery rate) between the mi-MAZE group and the os-MAZE group. The postoperative quality of life in mi-MAZE group was higher than that in os-MAZE group.

Quality of life and patient-centered outcomes following atrial fibrillation ablation: short- and long-term perspectives to improving care

2012 ◽  
Vol 10 (7) ◽  
pp. 889-900 ◽  
Author(s):  
Sanghamitra Mohanty ◽  
Luigi Di Biase ◽  
Rong Bai ◽  
Pasquale Santangeli ◽  
Agnes Pump ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Atrial Fibrillation ◽  
Atrial Fibrillation Ablation ◽  
Patient Centered ◽  
Short And Long Term

scholarly journals Does new-onset postoperative atrial fibrillation after coronary artery bypass grafting affect postoperative quality of life?

2013 ◽  
Vol 146 (1) ◽  
pp. 114-118 ◽  
Author(s):  
Sander Bramer ◽  
F. Joost ter Woorst ◽  
Martijn W.A. van Geldorp ◽  
Krista C. van den Broek ◽  
Jos G. Maessen ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Atrial Fibrillation ◽  
Coronary Artery ◽  
Coronary Artery Bypass Grafting ◽  
Coronary Artery Bypass ◽  
Artery Bypass ◽  
Bypass Grafting ◽  
Postoperative Quality ◽  
New Onset

The Relationship Between Preoperative General Mental Health and Postoperative Quality of Life in Minimally Invasive Lumbar Spine Surgery

Neurosurgery ◽  
2015 ◽  
Vol 76 (6) ◽  
pp. 672-679 ◽  
Author(s):  
Rachel Asher ◽  
Ashley E. Mason ◽  
Joseph Weiner ◽  
Richard G. Fessler
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Minimally Invasive ◽  
Lumbar Spine Surgery ◽  
Lumbar Surgery ◽  
Patient Centered ◽  
Postoperative Patient ◽  
General Mental Health ◽  
Postoperative Quality

Abstract BACKGROUND: In assessing poor lumbar surgery outcomes, researchers continue to investigate psychosocial predictors of patient postoperative quality of life. This is the first study of its kind to investigate this relationship in an exclusively minimally invasive patient sample. OBJECTIVE: To determine the association between preoperative mental health and postoperative patient-centered outcomes in patients undergoing minimally invasive lumbar surgery. METHODS: In 83 adults undergoing single-level minimally invasive lumbar spine surgery, Pearson correlation and partial correlation analyses were conducted between all demographic and clinical baseline variables and Oswestry Disability Index (ODI), Visual Analogue Scale (VAS), and 36-item Short-Form Health Survey Version 2.0 (SF-36v2) scores at 6 to 12 months postoperatively. SF-36v2 mental component summary scores (MCS) were used to assess pre- and postoperative general mental health. Post hoc analysis consisted of Pearson correlations between baseline SF-36v2, ODI, and VAS scores, and an identical set of correlations at outcomes. RESULTS: Preoperative MCS showed no significant association with outcomes VAS, ODI, or physical component summary scores. Baseline disability correlated significantly and more strongly with baseline MCS (P &lt; .001, r = −0.40) than baseline pain levels (VAS back not significant, VAS leg P = .015, r = 0.27). Outcomes disability correlated significantly and more strongly with outcome back and leg pain levels (P &lt; .001, r = 0.60 and 0.66) than outcome MCS (P = .031, r = −0.24). CONCLUSION: In a patient sample with mental health scores comparable to the population mean, there is no relationship between preoperative general mental health and postoperative patient-centered outcomes. Surgeons should consider the dynamic relationships between patient disability, mental health, and pain levels in assessing quality of life at different time points.

How to Improve Atrial Fibrillation Ablation Outcome?

2017 ◽  
Vol 2 (43) ◽  
pp. 14-17
Author(s):  
Artur Fuglewicz
Keyword(s):  
Quality Of Life ◽  
Atrial Fibrillation ◽  
Patient Group ◽  
Atrial Fibrillation Ablation ◽  
Thromboembolic Complications ◽  
Invasive Treatment ◽  
Increased Risk

Atrial fibrillation is associated with a quality of life deterioration, increased risk of hospitalization, stroke and other thromboembolic complications, as well as a significant increase in mortality in this patient group. Invasive treatment is more effective than other’s. The continued growth of population with the atrial fibrillation, and the growing awareness of all these facts among both, physicians and patients, are drivers for searching more effective and safe ways of treatment. This article summarizes issues that have to be taken into consideration when discussing how can we better and safer perform ablation of atrial fibrillation substrats.

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