Background: Currently, the bipolar radiofrequency ablation forceps manufactured by are the main instrument for surgical ablation in patients with rheumatic heart disease (RHD) concomitant with atrial fibrillation (AF). The bipolar radiofrequency ablation forceps by has a greater advantage in price compared with . However, few studies have been reported on the comparison of their clinical efficacy. The aim of this study is to compare the short-term clinical efficacy of the two ablation forceps for RHD concomitant with AF.
Methods: Clinical data of 167 patients with RHD concomitant with AF admitted to the Department of Cardiac Major Vascular Surgery, Affiliated Hospital of North Sichuan Medical College, were retrospectively analyzed, and the restoration efficacy of sinus rhythm (SR) and cardiac function after surgery were compared with two ablation forceps.
Results: The end-systolic diameter of the right atrium and the end-systolic diameter of the left atrium in the patients of both groups at each postoperative time point decreased compared with that of the preoperative period ( < 0.05), and the left ventricular ejection fraction started to improve significantly at 6 months after surgery compared with that of the preoperative period (< 0.05). There was no difference between the two groups of patients in the comparison of the aforementioned indicators at different points in time ( > 0.05). At 12 months postoperatively, the SR maintenance rate in using the ablation forceps by (73.3%) was lower than that for (86.4%) and the cumulative recurrence rate of AF in using the ablation forceps was greater than that for .
Conclusions: The two bipolar radiofrequency ablation forceps compared in the study are safe and effective in treating patients of RHD concomitant with AF, and the ablation forceps by may be more effective in restoring SR in the short term.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11071666 | PMC |
| http://dx.doi.org/10.3389/fcvm.2024.1335407 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Pushing the Boundaries of Minimally Invasive Surgery: Fully Laparoscopic Left Hepatectomy Extended to Segment 8 for Bilobar Colorectal Liver Metastases.
Cureus
November 2024
Department of Hepatobiliary and Pancreatic Surgery, Pontificia Universidad Católica de Chile, Santiago, CHL.
The surgical management of hepatic metastases from colorectal cancer may range from segmental resections to major or extended hepatectomies. The aim is to achieve complete removal of metastatic lesions while preserving adequate liver function. We present the case of a 42-year-old male patient with a history of glucose intolerance who presented with altered bowel movements and abdominal pain.
View Article and Find Full Text PDFIntraoperative patient-specific volumetric reconstruction and 3D visualization for laparoscopic liver surgery.
Healthc Technol Lett
December 2024
Despite the benefits of minimally invasive surgery, interventions such as laparoscopic liver surgery present unique challenges, like the significant anatomical differences between preoperative images and intraoperative scenes due to pneumoperitoneum, patient pose, and organ manipulation by surgical instruments. To address these challenges, a method for intraoperative three-dimensional reconstruction of the surgical scene, including vessels and tumors, without altering the surgical workflow, is proposed. The technique combines neural radiance field reconstructions from tracked laparoscopic videos with ultrasound three-dimensional compounding.
View Article and Find Full Text PDFUtilizing the Ellik bladder evacuator during cystoscopic retrieval of urocystoliths in 12 dogs.
J Vet Intern Med
December 2024
North Carolina Veterinary Hospital, College of Veterinary Medicine, North Carolina State University, Raleigh, North Carolina, USA.
Background: Urocystolithiasis is a common problem in dogs; many canine uroliths are resistant to medical dissolution. Novel management options would expand, and in some cases improve, current urolith retrieval strategies.
Hypothesis/objectives: To describe a previously unreported technique by the Ellik bladder evacuator (EE) to assist in minimally invasive, cystoscopic retrieval of canine cystoliths.
Innovative management of peritoneal catheter malfunction caused by omental wrapping: exploration the modified low-temperature plasma ablation blade and .
Ren Fail
December 2024
Department of Nephrology, 900th Hospital of Joint Logistics Support Force, Fuzhou, Fujian Province, China.
Article Synopsis
- - Omental wrapping is a complication in peritoneal dialysis that leads to catheter malfunction; a study evaluated the use of a Modified Low-Temperature Plasma Ablation (MLTPA) blade to address this issue.
- - The study involved experiments with nine beagles, comparing outcomes between the MLTPA blade and Gastroscopic Biopsy Forceps (GBF), which showed that the MLTPA blade significantly improved catheter function without causing damage.
- - Results indicated a 100% success rate in catheter recanalization using the MLTPA blade and no significant complications, suggesting it is a safe and effective treatment for omental-wrapped catheters.
Clinical Efficacy of Unilateral Biportal Endoscopy with Unilateral Laminotomy for Bilateral Decompression.
World Neurosurg
November 2024
Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, PR China. Electronic address:
Unilateral biportal endoscopy (UBE) with unilateral laminotomy for bilateral decompression (ULBD) is an essential neurosurgical procedure for the treatment of lumbar spinal stenosis. This technique offers significant advantages over traditional full laminectomy and spinal fusion fixation, providing surgeons with greater operational freedom and precision in decompression. The UBE-ULBD procedure stands out because of its distinct working and observation channels, which significantly augment the surgeon's maneuverability.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!