Document Detail


Surgical approaches for atrial fibrillation.
MedLine Citation:
PMID:  17579306     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The Cox Maze procedure, a cardiac intervention that was developed by James Cox, MD, was first performed in 1988 to surgically cure atrial fibrillation. Over the years, changes in techniques of the classic maze were made, culminating in the Cox Maze III procedure, the Gold Standard. Modifications in the original procedure included simplifying the procedure to a minimally invasive approach. As a result of some of these modifications, the initial maze-like series of surgical atrial incisions has been reduced with the use of alternate energy sources that create hyperthermic lesion lines of conduction block that isolate and interrupt the abnormal impulses. The minimize, a minimally invasive thorascopic approach, can be performed off pump, thus avoiding a median sternotomy and cardiopulmonary bypass and cardioplegic arrest intraoperatively and ensuring a shorter, less painful recovery.
Authors:
Barbara Schouchoff
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Critical care nursing quarterly     Volume:  30     ISSN:  0887-9303     ISO Abbreviation:  Crit Care Nurs Q     Publication Date:    2007 Jul-Sep
Date Detail:
Created Date:  2007-06-20     Completed Date:  2007-10-11     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8704517     Medline TA:  Crit Care Nurs Q     Country:  United States    
Other Details:
Languages:  eng     Pagination:  233-42; quiz 243-4     Citation Subset:  N    
Affiliation:
West Penn Allegheny Health System, Allegheny General Hospital, Pittsburgh, Pa, USA. bschouch@wpahs.org
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MeSH Terms
Descriptor/Qualifier:
Aftercare / methods
Atrial Fibrillation / etiology,  nursing,  surgery*
Cardiac Surgical Procedures / adverse effects,  methods*,  nursing
Catheter Ablation / adverse effects,  methods*,  nursing
Critical Care / methods
Cryosurgery
Humans
Laser Therapy
Microwaves / therapeutic use
Patient Discharge
Patient Selection
Postoperative Care / methods,  nursing
Pulmonary Veins / surgery
Risk Factors
Surgical Procedures, Minimally Invasive / methods
Thoracoscopy / methods
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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