The CryoMaze procedure for non-paroxysmal atrial fibrillation in patients undergoing heart valve surgery

In-hospital postoperative period was characterized by frequent paroxysms AF and atrial flutter (50%), AF persistence in 8 patients (36%), stable sinus rhythm in 3 patients (14%) and temporary pacing in more than 50% of cases. Implantation of permanent pacemaker was necessary in two patients (9%). Mean follow-up period was 10.2±3.7 months. Considering additional therapy (drug therapy, electrical cardioversion, catheter ablation), we can emphasize high percentage of sinus rhythm recovery outside the «blind period» after biatrial CryoMaze procedure (16 (73%) patients). At the same time, catheter ablation can increase the effectiveness of CryoMaze procedure.

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Publication Details

Journal
Pirogov Russian Journal of Surgery
Published
2025-04-29
DOI
https://doi.org/10.17116/hirurgia202505165
Primary Topic
Atrial Fibrillation Management and Outcomes
Type
article
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article

The CryoMaze procedure for non-paroxysmal atrial fibrillation in patients undergoing heart valve surgery

A.Yu. Bagdasaryan, T.S. Shcherbinin, М. Л. Гордеев, D. V. Bendov
1 links
Pirogov Russian Journal of Surgery
Atrial Fibrillation Management and Outcomes
article

The CryoMaze procedure for non-paroxysmal atrial fibrillation in patients undergoing heart valve surgery

A.Yu. Bagdasaryan, T.S. Shcherbinin, М. Л. Гордеев, D. V. Bendov
article en

Abstract

In-hospital postoperative period was characterized by frequent paroxysms AF and atrial flutter (50%), AF persistence in 8 patients (36%), stable sinus rhythm in 3 patients (14%) and temporary pacing in more than 50% of cases. Implantation of permanent pacemaker was necessary in two patients (9%). Mean follow-up period was 10.2±3.7 months. Considering additional therapy (drug therapy, electrical cardioversion, catheter ablation), we can emphasize high percentage of sinus rhythm recovery outside the «blind period» after biatrial CryoMaze procedure (16 (73%) patients). At the same time, catheter ablation can increase the effectiveness of CryoMaze procedure.

Pirogov Russian Journal of Surgery(5)
Federal Almazov North-West Medical Research Centre (RU)
Good health and well-being
Openalex Percentile: Top 84%
Atrial Fibrillation Management and Outcomes
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The CryoMaze procedure for non-paroxysmal atrial fibrillation in patients undergoing heart valve surgery — A.Yu. Bagdasaryan, T.S. Shcherbinin, et al. · Pirogov Russian Journal of Surgery (2025) | TGRS Research Map | TGRS