ReviewCurrent opinion in cardiology2015
Surgical ablation for atrial fibrillation: techniques, indications, and results.
Review in Current opinion in cardiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.
- Hybrid ablation for atrial fibrillation: a systematic review.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2016Pooled it
- Trial
- Evolution of Energy Sources in Surgical Ablation of Atrial Fibrillation: Current Technology and Future Directions.Reviews in cardiovascular medicine · 2026Review
- Tailored bi-atrial linear ablation guided by electrophysiological mapping for persistent atrial fibrillation.BMC cardiovascular disorders · 2024Article
- Hybrid Endo-Epicardial Therapies for Advanced Atrial Fibrillation.Journal of clinical medicine · 2024Review
- Three Ablation Techniques for Atrial Fibrillation during Concomitant Cardiac Surgery: A Systematic Review and Network Meta-Analysis.Journal of clinical medicine · 2023Review
- Effect of perioperative intravenous amiodarone on cardioversion of atrial fibrillation early after video-assisted thoracoscopic surgical ablation: Study protocol for a double-blind randomized controlled trial.Contemporary clinical trials communications · 2022Article
- Results of Surgical Ablation for Atrial Fibrillation in Patients with Rheumatic Heart Disease.Journal of the Saudi Heart Association · 2022Article
- Comparison between biparietal bipolar and uniparietal bipolar radio frequency ablation techniques in a simultaneous procedural setting.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2021Article
- Robotic surgical ablation of atrial fibrillation in mitral valve surgery.Anatolian journal of cardiology · 2021Article
- Surgical Treatment of Atrial Fibrillation: Cutting Through the Edges.Brazilian journal of cardiovascular surgery · 2020Review
- Translational anatomy of the left atrium and esophagus as relevant to the pulmonary vein antral isolation for atrial fibrillation.Surgical and radiologic anatomy : SRA · 2020Article
- Small bowel obstruction secondary to diaphragmatic herniation following transabdominal cardiac ablation.Annals of the Royal College of Surgeons of England · 2020Article
- Right minithoracotomy versus conventional median sternotomy for patients undergoing mitral valve surgery and Cox-maze IV ablation with entirely bipolar radiofrequency clamp.Heart and vessels · 2018Article
- The Cox-maze IV procedure in its second decade: still the gold standard?European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2018Review
- One-stage Approach for Hybrid Atrial Fibrillation Treatment.Arrhythmia & electrophysiology review · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 1 institution in 1 country.
Funding
Abstract
purpose of reviewThe aim of this review is to focus specifically on the indications, evolution of technique, and results of surgical ablation for atrial fibrillation. RECENT
findingsWith the introduction of the Cox-Maze IV procedure utilizing bipolar radiofrequency ablation and cryoablation, long-term studies have demonstrated a significant decrease in aortic cross-clamp times and major complications with a comparable rate of restoration of sinus rhythm. New hybrid approaches utilizing both catheter-based ablation and minimally invasive surgical approaches have been developed, but have not been standardized. Early studies have demonstrated reasonable success rates of hybrid procedures, with advantages that include confirmation of conduction block, decreased surgical morbidity, and possibly reduced morbidity. However, hybrid approaches have the disadvantage of significantly increased operative times. SUMMARY: The Cox-Maze IV is currently the gold standard for surgical treatment of atrial fibrillation. New hybrid approaches have potential advantages with promising early results, but a standard lesion set, improvement in operative times, and long-term results still need to be evaluated.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.