迷宫手术治疗房颤的研究进展
|
摘要
迷宫手术是心房颤动的主要外科治疗手段,经历了数代改进,由迷宫Ⅰ式发展到广泛应用的迷宫Ⅲ式,以及应用射频消融和冷冻等新能源并简化术式的迷宫Ⅳ式,不断增加房颤的治愈率、减少手术时间、降低围术期死亡率。本文主要结合国内外迷宫手术的开展情况对迷宫手术的疗效及安全性作一综述。
引文
[1]Moe G K,Rheinboldt W C,Abildskov S A,et al.Acomputer model of atrial fibrillation[J].Am Heart J,1964,67:200.
[2]Cox J L,Schuessler R B,Boineau J P.The development of the maze procedure for the treatment of atrial fibrillation[J].Semin Thorac Cardiovasc Surg,2000,12(1):2-14.
[3]Cox J L,The first maze procedure[J].J Thorac Cardiovasc Surg,2011,141(5):1093-1097.
[4]Prasad S M,Maniar H S,Camillo C J,et al.The Cox maze III procedure for atrial fibrillation:long-term efficacy in patients undergoing lone versus concomitant procedures[J].J Thorac Cardiovasc Surg,2003,126(6):1822-1827.
[5]Handa N,Schaff H V,Morris J J,et al.Outcome of valve repair and the Cox maze procedure for mitral regurgitation and associated atrial fibrillation[J].JThorac Cardiovasc Surg,1999,118(4):628-635.
[6]Cox J L,Ad N,Palazzo T.Impact of the maze procedure on the stroke rate in patients with atrial fibrillation[J].J Thorac Cardiovasc Surg,1999,118(5):833-840.
[7]庾华东,陶凉,陈绪发.心内直视手术中射频消融改良迷宫术治疗心房纤颤[J].中国微创外科杂志,2009,9(8):691-693.
[8]Gomes G G,Gali W L,Sarabanda A V L,et al.Late results of Cox maze III procedure in patients with atrial fibrillation associated with structural heart disease[J].Arq Bras Cardiol,2017,109(1):14-22.
[9]马南,姜兆磊,陈飞,等.梅氏微创消融术治疗心房颤动207例[J].中国胸心血管外科临床杂志,2015,22(11):996-999.
[10]富智,黄苏,潘俊.心内直视联合射频消融迷宫手术治疗心房纤颤患者的疗效分析[J].中国循证心血管医学杂志,2016,8(11):1366-1368.
[11]Hwang S K,Yoo J S,Kim J B,et al.Long-term outcomes of the maze procedure combined with mitral valve repair:risk of thromboembolism without anticoagulation therapy[J].Ann Thorac Surg,2015,100(3):840-843.
[12]Damiano RJ Jr,Gaynor S L,Bailey M,et al.The longterm outcome of patients with coronary disease and atrial fibrillation undergoing the Cox maze procedure[J].J Thorac Cardiovasc Surg,2003,126(6):2016-2021.
[13]Lall S C,Melby S J,Voeller R K,et al.The effect of ablation technology on surgical outcomes after the Coxmaze procedure:apropensity analysis[J].J Thorac Cardiovasc Surg,2007,133(2):389-396.
[14]滕晏丰,程颖,郭海涛.双极射频消融与冷冻消融治疗心房颤动的动物试验对比研究[J].中国临床研究,2017,30(7):968-970.
[15]Damiano RJ Jr,Schwartz F H,Bailey M S,et al.The Cox maze IV procedure:predictors of late recurrence[J].J Thorac Cardiovasc Surg,2011,141(1):113-121.
[16]Philpott J M,Zemlin C W,Cox J L,et al.The AB-LATE Trial:safety and efficacy of Cox maze-IV using a bipolar radiofrequency ablation system[J].Ann Thorac Surg,2015,100(5):1541-1546.
[17]Weimar T,Schena S,Bailey M S,et al.The Cox-maze procedure for lone atrial fibrillation:a single-center experience over 2decades[J].Circ Arrhythm Electrophysiol,2012,5(1):8-14.
[18]Shi J,Bai Z X,Zhang B G,et al.A modified Cox maze IV procedure:a simpler technique for the surgical treatment of atrial fibrillation[J].Interact Cardiovasc Thorac Surg,2016,23(6):856-860.
[19]Labin J E,Haque N,Sinn L A,et al.The Cox-maze IVprocedure for atrial fibrillation is equally efficacious in patients with rheumatic and degenerative mitral valve disease[J].J Thorac Cardiovasc Surg,2017,154(3):835-844.
[20]浮制坤,张向立,杨慧娟,等.瓣膜手术同期行心房颤动双极射频消融术早期临床疗效分析[J].临床医学,2018,38(1):55-57.
[21]王坚刚,孟旭,李晖,等.左心房与双心房射频消融治疗心房纤颤的对比研究[J].中华医学杂志,2008,88(43):3068-3071.
[22]Murashita T,Rankin J S,Wei L M,et al.Oral anticoagulation may not be necessary for patients discharged in sinus rhythm after the Cox maze IV procedure[J].JThorac Cardiovasc Surg,2018,155(3):997-1006.
[23]Schill M R,Sinn L A,Greenberg J W,et al.A minimally invasive stand-alone Cox-maze procedure is as effective as median sternotomy approach[J].Innovations,2017,3(12):186-191.
[24]Je H G,Shuman D J,Ad N.A systematic review of minimally invasive surgical treatment for atrial fibrillation:a comparison of the Cox-maze procedure,beatingheart epicardial ablation,and the hybrid procedure on safety and efficacy[J].Eur J Cardiothorac Surg,2015,48(4):531-540.
[25]Ad N,Henry L,Friehling T,et al.Minimally invasive stand-alone Cox maze procedure for persistent and longstanding persistent atrial fibrillation[J].Circ Arrhythm Electrophysiol,2017,10(11):792-799.
[26]Lawrance C P,Henn M C,Miller J R,et al.A minimally invasive Cox maze IV procedure is as effective as sternotomy while decreasing major morbidity and hospital stay[J].J Thorac Cardiovasc Surg,2014,148(3):955-961.
[27]张冠鑫,韩林,钟铿,等.经右胸微创切口左房室瓣手术同期单极双房射频消融治疗房颤临床分析[J].第二军医大学学报,2012,33(11):1212-1216.
[28]孟旭.房颤的外科消融治疗进展[J].医学与哲学,2016,37(12B):10-12.
[29]Genev I K,Tompkins L A,Khare M S,et al.Comparison of the efficacy and complication rates of the hybrid maze,complete Cox-maze and catheter ablation in the treatment of atrial fibrillation[J].J Atr Fibrillation JA-FIB,2017,9(5):1-5.
[30]Cox J L.A brief overview of surgery for atrial fibrillation[J].Ann Cardiothorac Surg,2014,3(1):80-88.
[2]Cox J L,Schuessler R B,Boineau J P.The development of the maze procedure for the treatment of atrial fibrillation[J].Semin Thorac Cardiovasc Surg,2000,12(1):2-14.
[3]Cox J L,The first maze procedure[J].J Thorac Cardiovasc Surg,2011,141(5):1093-1097.
[4]Prasad S M,Maniar H S,Camillo C J,et al.The Cox maze III procedure for atrial fibrillation:long-term efficacy in patients undergoing lone versus concomitant procedures[J].J Thorac Cardiovasc Surg,2003,126(6):1822-1827.
[5]Handa N,Schaff H V,Morris J J,et al.Outcome of valve repair and the Cox maze procedure for mitral regurgitation and associated atrial fibrillation[J].JThorac Cardiovasc Surg,1999,118(4):628-635.
[6]Cox J L,Ad N,Palazzo T.Impact of the maze procedure on the stroke rate in patients with atrial fibrillation[J].J Thorac Cardiovasc Surg,1999,118(5):833-840.
[7]庾华东,陶凉,陈绪发.心内直视手术中射频消融改良迷宫术治疗心房纤颤[J].中国微创外科杂志,2009,9(8):691-693.
[8]Gomes G G,Gali W L,Sarabanda A V L,et al.Late results of Cox maze III procedure in patients with atrial fibrillation associated with structural heart disease[J].Arq Bras Cardiol,2017,109(1):14-22.
[9]马南,姜兆磊,陈飞,等.梅氏微创消融术治疗心房颤动207例[J].中国胸心血管外科临床杂志,2015,22(11):996-999.
[10]富智,黄苏,潘俊.心内直视联合射频消融迷宫手术治疗心房纤颤患者的疗效分析[J].中国循证心血管医学杂志,2016,8(11):1366-1368.
[11]Hwang S K,Yoo J S,Kim J B,et al.Long-term outcomes of the maze procedure combined with mitral valve repair:risk of thromboembolism without anticoagulation therapy[J].Ann Thorac Surg,2015,100(3):840-843.
[12]Damiano RJ Jr,Gaynor S L,Bailey M,et al.The longterm outcome of patients with coronary disease and atrial fibrillation undergoing the Cox maze procedure[J].J Thorac Cardiovasc Surg,2003,126(6):2016-2021.
[13]Lall S C,Melby S J,Voeller R K,et al.The effect of ablation technology on surgical outcomes after the Coxmaze procedure:apropensity analysis[J].J Thorac Cardiovasc Surg,2007,133(2):389-396.
[14]滕晏丰,程颖,郭海涛.双极射频消融与冷冻消融治疗心房颤动的动物试验对比研究[J].中国临床研究,2017,30(7):968-970.
[15]Damiano RJ Jr,Schwartz F H,Bailey M S,et al.The Cox maze IV procedure:predictors of late recurrence[J].J Thorac Cardiovasc Surg,2011,141(1):113-121.
[16]Philpott J M,Zemlin C W,Cox J L,et al.The AB-LATE Trial:safety and efficacy of Cox maze-IV using a bipolar radiofrequency ablation system[J].Ann Thorac Surg,2015,100(5):1541-1546.
[17]Weimar T,Schena S,Bailey M S,et al.The Cox-maze procedure for lone atrial fibrillation:a single-center experience over 2decades[J].Circ Arrhythm Electrophysiol,2012,5(1):8-14.
[18]Shi J,Bai Z X,Zhang B G,et al.A modified Cox maze IV procedure:a simpler technique for the surgical treatment of atrial fibrillation[J].Interact Cardiovasc Thorac Surg,2016,23(6):856-860.
[19]Labin J E,Haque N,Sinn L A,et al.The Cox-maze IVprocedure for atrial fibrillation is equally efficacious in patients with rheumatic and degenerative mitral valve disease[J].J Thorac Cardiovasc Surg,2017,154(3):835-844.
[20]浮制坤,张向立,杨慧娟,等.瓣膜手术同期行心房颤动双极射频消融术早期临床疗效分析[J].临床医学,2018,38(1):55-57.
[21]王坚刚,孟旭,李晖,等.左心房与双心房射频消融治疗心房纤颤的对比研究[J].中华医学杂志,2008,88(43):3068-3071.
[22]Murashita T,Rankin J S,Wei L M,et al.Oral anticoagulation may not be necessary for patients discharged in sinus rhythm after the Cox maze IV procedure[J].JThorac Cardiovasc Surg,2018,155(3):997-1006.
[23]Schill M R,Sinn L A,Greenberg J W,et al.A minimally invasive stand-alone Cox-maze procedure is as effective as median sternotomy approach[J].Innovations,2017,3(12):186-191.
[24]Je H G,Shuman D J,Ad N.A systematic review of minimally invasive surgical treatment for atrial fibrillation:a comparison of the Cox-maze procedure,beatingheart epicardial ablation,and the hybrid procedure on safety and efficacy[J].Eur J Cardiothorac Surg,2015,48(4):531-540.
[25]Ad N,Henry L,Friehling T,et al.Minimally invasive stand-alone Cox maze procedure for persistent and longstanding persistent atrial fibrillation[J].Circ Arrhythm Electrophysiol,2017,10(11):792-799.
[26]Lawrance C P,Henn M C,Miller J R,et al.A minimally invasive Cox maze IV procedure is as effective as sternotomy while decreasing major morbidity and hospital stay[J].J Thorac Cardiovasc Surg,2014,148(3):955-961.
[27]张冠鑫,韩林,钟铿,等.经右胸微创切口左房室瓣手术同期单极双房射频消融治疗房颤临床分析[J].第二军医大学学报,2012,33(11):1212-1216.
[28]孟旭.房颤的外科消融治疗进展[J].医学与哲学,2016,37(12B):10-12.
[29]Genev I K,Tompkins L A,Khare M S,et al.Comparison of the efficacy and complication rates of the hybrid maze,complete Cox-maze and catheter ablation in the treatment of atrial fibrillation[J].J Atr Fibrillation JA-FIB,2017,9(5):1-5.
[30]Cox J L.A brief overview of surgery for atrial fibrillation[J].Ann Cardiothorac Surg,2014,3(1):80-88.