2004Modern Medical JournalRequires access

The clinical outcomes of saline-irrigated radiofrequency modified maze III procedure for atrial fibrillation in valve replacement operation

Junjie Du

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Abstract

Objective To evaluate the outcomes of saline irrigated radiofrequency modified maze Ⅲ procedure (IRFMM) for treating atrial fibrillation with valve replacememt. Methods In 6 months from December 2003, Medtronic Cardioblate TM was used to perform IRFMM for 5 patients with valve replacement and atrial fibrillation (AF). In the modified maze Ⅲ procedure, 5 out of 18 incisions were “cut and suture” technique, 13 left were radiofrequency ablation lines. Results AF was disappeared in all 5 patients. In the 1 to 5 month follow-up, 4 patients remained in sinus rhythm and 1 in node rhythm. Conclusions Saline irrigated radiofrequency modified maze Ⅲ procedure is a safe, simple and effective method for treating AF combined with valve replacement for rheumatic valve diseases.

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What this paper is about

Objective To evaluate the outcomes of saline irrigated radiofrequency modified maze Ⅲ procedure (IRFMM) for treating atrial fibrillation with valve replacememt. Methods In 6 months from December 2003, Medtronic Cardioblate TM was used to perform IRFMM for 5 patients with valve replacement and atrial fibrillation (AF). In the modified maze Ⅲ procedure, 5 out of 18 incisions were “cut and suture” technique, 13 left were radiofrequency ablation lines. Results AF was disappeared in all 5 patients. In the 1 to 5 month follow-up, 4 patients remained in sinus rhythm and 1 in node rhythm. Conclusions Saline irrigated radiofrequency modified maze Ⅲ procedure is a safe, simple and effective method for treating AF combined with valve replacement for rheumatic valve diseases.

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Available abstract

Objective To evaluate the outcomes of saline irrigated radiofrequency modified maze Ⅲ procedure (IRFMM) for treating atrial fibrillation with valve replacememt. Methods In 6 months from December 2003, Medtronic Cardioblate TM was used to perform IRFMM for 5 patients with valve replacement and atrial fibrillation (AF). In the modified maze Ⅲ procedure, 5 out of 18 incisions were “cut and suture” technique, 13 left were radiofrequency ablation lines. Results AF was disappeared in all 5 patients. In the 1 to 5 month follow-up, 4 patients remained in sinus rhythm and 1 in node rhythm. Conclusions Saline irrigated radiofrequency modified maze Ⅲ procedure is a safe, simple and effective method for treating AF combined with valve replacement for rheumatic valve diseases.

Key concepts: Medicine, Atrial fibrillation, Sinus rhythm, Radiofrequency ablation, Saline, Normal Sinus Rhythm, Surgery, Ablation

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