Pulse Brain · Growing Health Evidence Index
Tier 2 — RCT / large cohortPeer-reviewed

Biatrial maze procedure versus pulmonary vein isolation for atrial fibrillation during mitral valve surgery: New analytical approaches and end points

Eugene H. Blackstone, Helena Chang, Jeevanantham Rajeswaran, Michael K. Parides, Hemant Ishwaran, Liang Li, John Ehrlinger, Annetine C. Gelijns, Alan J. Moskowitz, Michael Argenziano, Joseph J. DeRose, Jean-Phillipe Couderc, Dan Balda, François Dagenais, Michael J. Mack, Gorav Ailawadi, Peter K. Smith, Michael A. Acker, Patrick T. O’Gara, A. Marc Gillinov, Marissa A. Miller, Wendy C. Taddei‐Peters, Dennis Buxton, A. Connolly, Nancy L. Geller, David Gordon, Neal Jeffries, Albert Lee, Claudia S. Moy, Ilana Kogan Gombos, Jennifer Ralph, Richard D. Weisel, Timothy J. Gardner, Patrick T. O’Gara, Eric A. Rose, Annetine C. Gelijns, Michael K. Parides, Deborah D. Ascheim, Alan J. Moskowitz, Emilia Bagiella, Ellen Moquete, Helena Chang, Melissa Chase, Seth Goldfarb, Lopa Gupta, Katherine Kirkwood, Edlira Kumbarce, Ron Levitan, Karen O’Sullivan, Jessica Overbey, Milerva Santos, Michael Weglinski, Paula Williams, Carrie A. Wood, Xia Ye, Michael J. Mack, Tracine Adame, Natalie Settele, Jenny Adams, William H. Ryan, Robert L. Smith, Paul Grayburn, Frederick Y. Chen, Anju Nohria, Lawrence Cohn, Prem Shekar, Sary F. Aranki, Gregory Couper, Michael Davidson, R. Morton Bolman, Anne Burgess, Debra Conboy, Ray A. Blackwell, Roger Kerzner, Michael K. Banbury, Andrea M. Squire, A. Marc Gillinov, Eugene H. Blackstone, Bruce W. Lytle, Tomislav Mihaljevic, Pamela Lackner, Leoma Berroteran, Diana Dolney, Suzanne Fleming, Roberta Palumbo, Christine Whitman, Kathy Sankovic, Denise Kosty Sweeney, Gregory Pattakos, Michael Argenziano, Mathew Williams, Lyn Goldsmith, Craig R. Smith, Yoshifumi Naka, Allan Stewart, Allan Schwartz, Daniel Bell, Danielle Van Patten, S. Sreekanth, Peter K. Smith

Journal of Thoracic and Cardiovascular Surgery · 2018

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Summary

This randomised controlled trial, as suggested by the title and journal context, examines two competing surgical strategies for managing atrial fibrillation in patients requiring mitral valve surgery. The study employed novel analytical approaches to evaluate comparative effectiveness and clinical end points. The findings contribute to evidence on optimal concomitant arrhythmia management during structural heart surgery, though the specific results cannot be determined from metadata alone.

UK applicability

The findings are relevant to UK cardiothoracic surgical practice and the National Health Service's management of concomitant atrial fibrillation and mitral valve disease, though applicability depends on trial population characteristics and UK resource availability for both surgical approaches.

Key measures

Atrial fibrillation recurrence, freedom from atrial fibrillation, procedural outcomes, and quality of life measures

Outcomes reported

The study compared efficacy and safety of biatrial maze procedure versus pulmonary vein isolation in patients undergoing concurrent mitral valve surgery, using new analytical methods and clinical end points.

Theme
General food systems / other
Subject
Other / interdisciplinary
Study type
Research
Study design
Randomised controlled trial
Source type
Peer-reviewed study
Status
Published
Geography
United States
System type
Human clinical
DOI
10.1016/j.jtcvs.2018.06.093
Catalogue ID
BFmovi2556-zehzyp

Topic tags

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