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Book Cover
E-book
Author Philpott, Jonathan

Title Surgical Treatment of Atrial Fibrillation : a Comprehensive Guide to Performing the Cox Maze IV Procedure
Published San Diego : Elsevier Science, 2017
Online access available from:
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Description 1 online resource (340 pages)
Contents Cover; Title page; Copyright page; Contents; Foreword; Preface; Acknowledgments; Uniform Abbreviation List; Chapter 1 -- Foundations and Fundamentals; 1 -- Triumph and tragedy of the maze; 2 -- Demystify the Maze-It's all about circuit interruption; 3 -- Understanding macroreentrant circuits (MRCs); 4 -- Interrupting MRCs; 4.1 -- The Line Must Be Complete; 4.2 -- The Line Must Be Anchored to a Nonconductive Structure; 5 -- One MRC produces atrial flutter, two or more produce AF; 6 -- Ventricular tachycardia: a brief aside; 7 -- Understand that the Maze is a strategic option for AF; 7.1 -- Scar and MRCs
11.1.1 -- Surgeon 1
14.3.3 -- Zones of Slow Conduction and How They Work to Promote Iatrogenic Flutter15 -- The Maze is a House of Cards-A single break in just one line can result in a failure of the entire procedure; 16 -- Triggers versus MRCs define the AF categories and treatment: the important difference between paroxysmal and nonparoxy ... ; 16.1 -- The Evolution of AF From Paroxysmal AF to Nonparoxysmal AF; 16.2 -- The Adaptability of the Atrium; 16.3 -- Treating PAF With PVI; 16.4 -- Triggers Versus MRCs; PAF Versus N-PAF; 16.5 -- PVI will be Ineffective in the Treatment of N-PAF
17 -- Understanding Maze evolution and nomenclature18 -- Unintended benefits now commonly associated with the Maze; 18.1 -- Triggers and the Pulmonary Veins; 18.2 -- Ganglionic Plexi; 19 -- Fundamental principles needed for a successful Maze; References; Chapter 2 -- Outcome Tracking is Critical to Success-and a Mandatory Part of the Procedure; 1 -- To increase success rates you must know your outcomes; 2 -- Why precise surgical ablation documentation is critically important; 3 -- Surgeon-driven mandatory follow-up; 4 -- Sample post-Maze management and outcome tracking; 4.1 -- 1 Week Postoperative
4.2 -- 1 Month Postoperative: Surgeon Follow-Up4.3 -- 3 Month Office Visit to Discuss Event Monitor Results; 4.4 -- 6 Month Follow-Up Surgeons Office to Discuss the Event Monitor; 4.5 -- 1 Year Follow-Up With Surgeon After EM; 4.6 -- Lifelong Yearly Follow-Up With Surgeon After EM; 5 -- Failure: AF versus atrial flutter; 6 -- Outcome tracking: homemade solutions, registry information, and database participation; 7 -- Defining success; 8 -- Dealing with failures; 9 -- Concomitant intervention rate (CIR) tracking; 10 -- Failure analysis; 11 -- Surgical program performance improvement; 11.1 -- CIR
8 -- The six lines of scar in the Maze III/IV9 -- The final Maze structure; 10 -- Maze Underground-a method to understand how the Maze lines sometimes share segments and anchors; 11 -- Lessons from the pioneers; 12 -- Atlas nomenclature and illustration conventions; 12.1 -- Lesion/Line Nomenclature; 12.2 -- Illustration Conventions; 13 -- Antiarrhythmic drugs and MRCs; 14 -- Making Maze lines using thermal ablation: the good, the bad, and the ugly; 14.1 -- The Good; 14.2 -- The Bad; 14.3 -- The Ugly; 14.3.1 -- Broken Lines; 14.3.2 -- The Porous Line-Multiple Breaks
Notes Print version record
Subject Atrial fibrillation -- Surgery -- Technique.
Intraoperative Complications -- prevention & control.
Atrial Fibrillation -- physiopathology.
Atrial Fibrillation -- surgery.
Cardiac Surgical Procedures -- methods.
Form Electronic book
Author Damiano, Ralph J.
Zemlin, Christian
ISBN 0128046724 (electronic bk.)
9780128046722 (electronic bk.)