Commentary: Do teach old dogs new tricks.

L. Sternik

Published 2020 in Journal of Thoracic and Cardiovascular Surgery

ABSTRACT

L T about 10% of patients having only left-sided lesions (an increase in proportion compared with their 2015 paper). However, this did allow study of the impact on permanent pacemaker needs, with biatrial lesions having a 3.61 odds ratio of pacemaker placement. Also of note is the 38% loss to follow-up at 10 years. Only 42 patients had complete follow-up in years 1-10, and only 31% to 39% had prolonged monitoring in post-ablation years 8-10. Thus, long-term data remain limited. Third, reintervention is often considered a factor in defining procedural failure. Unlike aortic or valve surgery, patients who undergo surgical ablation are rarely treated with repeat surgery for AF recurrence. In the current study, data on postsurgical catheter-based therapies for recurrence were not collected. Thus, to attribute ablation success solely to the surgical CM-IV may be an overreach. This would be especially important in counseling patients on the efficacy of the procedure.

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