Comparison of the Outcomes of Monopolar and Bipolar Radiofrequency Ablation in Surgical Treatment of Atrial Fibrillation

Wei-zhao Huang; Ying-meng Wu; Hong-yu Ye; Hai-ming Jiang

首页> 外文期刊>中国医学科学杂志（英文版） >Comparison of the Outcomes of Monopolar and Bipolar Radiofrequency Ablation in Surgical Treatment of Atrial Fibrillation

【24h】

Comparison of the Outcomes of Monopolar and Bipolar Radiofrequency Ablation in Surgical Treatment of Atrial Fibrillation

机译：心房纤颤外科手术中单极和双极射频消融疗效的比较

获取原文

获取原文并翻译 | 示例

掌桥外文数据库（机构版） >>

开具论文收录证明 >>

页面导航

摘要
著录项
相关主题

摘要

Objective To compare the therapeutic effects and safety of monopolar and bipolar radiofrequency (RF) ablation used during cardiac surgery to treat atrial fibrillation. Methods We retrospectively studied a total of 81 patients with chronic atrial fibrillation who underwent open cardiac surgery with concomitant RF ablation between January 2007 and March 2011. Fifty-eight patients received bipolar RF ablation and 23 received monopolar RF ablation, respectively. The sinus rhythm restoration rate, the procedural duration, the frequency of severe perioperative complications, and mortality were compared between the two groups. Results The sinus rhythm restoration rate did not differ significantly between the two groups after follow-up of 15.1 ± 12.6 months (P=0.199). The frequencies of severe perioperative complications and mortality were also similar in the two groups. The total procedural time using bipolar RF ablation was significantly shorter than that using monopolar ablation (19.7±4.6 minutes vs. 28.1±8.5 minutes, P<0.001). Conclusions Both monopolar and bipolar RF ablation are safe and effective in treating chronic atrial fibrillation patients during open cardiac surgery, but bipolar RF ablation is more convenient in practice.

机译：目的比较心脏手术中单极和双极射频（RF）消融治疗房颤的疗效和安全性。方法我们回顾性研究了2007年1月至2011年3月间接受心脏直视手术并伴有RF消融的81例慢性心房颤动患者。58例接受了双极RF消融的患者和23例接受了单极RF消融的患者。比较两组的窦性心律恢复率，手术时间，严重的围手术期并发症发生率和死亡率。结果随访15.1±12.6个月后，两组的窦性心律恢复率无显着差异（P = 0.199）。两组的严重围手术期并发症发生率和死亡率也相似。使用双极射频消融的总手术时间明显短于使用单极射频消融的总程序时间（19.7±4.6分钟vs. 28.1±8.5分钟，P <0.001）。结论结论单极和双极射频消融治疗开放性心脏手术中的慢性心房纤颤患者都是安全有效的，但双极射频消融在实践中更为方便。

著录项

来源
《中国医学科学杂志（英文版）》 |2014年第1期|28-32|共5页
作者
Wei-zhao Huang; Ying-meng Wu; Hong-yu Ye; Hai-ming Jiang;
展开▼
作者单位

Cardiothoracic Surgery Department, Zhongshan People’s Hospital Zhongshan Hospital of Sun Yat-sen University, Zhongshan 528403, China;

Cardiothoracic Surgery Department, Zhongshan People’s Hospital Zhongshan Hospital of Sun Yat-sen University, Zhongshan 528403, China;

Cardiothoracic Surgery Department, Zhongshan People’s Hospital Zhongshan Hospital of Sun Yat-sen University, Zhongshan 528403, China;

Cardiothoracic Surgery Department, Zhongshan People’s Hospital Zhongshan Hospital of Sun Yat-sen University, Zhongshan 528403, China;

展开▼
收录信息中国科学引文数据库(CSCD);中国科技论文与引文数据库(CSTPCD);
原文格式 PDF
正文语种 eng
中图分类
关键词

Comparison of the Outcomes of Monopolar and Bipolar Radiofrequency Ablation in Surgical Treatment of Atrial Fibrillation

摘要

著录项

相关主题

期刊订阅