ArticleAnnals of thoracic surgery short reports2026
Initial Experience of Non-Atriotomy Surgical Ablation During Coronary Artery Bypass Grafting With Preexisting Atrial Fibrillation: A Multicenter Study.
Article in Annals of thoracic surgery short reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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14 authors.
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Abstract
Background: Guideline concordance with surgical ablation in patients undergoing isolated coronary artery bypass grafting (CABG) is poor. Additional atriotomy and safety concerns are barriers to ablation. We sought to evaluate the initial safety and associated rhythm outcomes of a novel non-atriotomy surgical ablation (NASA) left atrial box lesion in patients undergoing isolated CABG. Methods: A multicenter retrospective review included all concomitant NASA in patients with preexisting atrial fibrillation undergoing isolated CABG. The primary outcome was NASA-related intraoperative complications. Associated rhythm outcomes were per the Heart Rhythm Society definition of freedom from atrial fibrillation, atrial flutter, and atrial tachycardia (FFAF) <30 seconds at 12 months off class I or III antiarrhythmic medications by >24-hour continuous monitoring. Data are reported as median (interquartile range). Results: Ninety-seven patients were analyzed. The median age was 73 (68-76) years; CHA Conclusions: In patients with mostly paroxysmal atrial fibrillation undergoing isolated CABG surgery, concomitant NASA was safe and associated with favorable restoration of normal sinus rhythm at 1 year.
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