{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T13:45:48Z","timestamp":1772372748887,"version":"3.50.1"},"reference-count":14,"publisher":"Georg Thieme Verlag KG","issue":"08","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Thorac Cardiovasc Surg"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Objective\u2003The main purpose of this article is to evaluate an impact of epicardial ligation of the left atrial appendage (LAA) in patients with atrial fibrillation (AF) undergoing off-pump coronary artery bypass grafting (OPCAB) on the development of ischemic stroke and mortality.<\/jats:p><jats:p>\n          Methods\u2003From 2009 to 2013, a total of 125 patients (86.4% men, mean age 64\u2009\u00b1\u20097 years, 95% confidence interval: 61\u201365 years) received a combined OPCAB and LAA ligation because of coronary artery disease and AF. All the subjects were divided into two groups: group 1 (n\u2009=\u200957)\u2014LAA ligation during OPCAB, group 2 (n\u2009=\u200968) without LAA ligation during OPCAB. Primary endpoints were postoperative incidence of ischemic stroke and mortality.<\/jats:p><jats:p>\n          Results\u2003No difference in the number of ischemic stroke (0 vs. 5.9%) and death (0 vs. 4.4%) in both groups during the hospital period (p\u2009&gt;\u20090.05). Median overall follow-up was 41 (22\u201361) months: without difference for groups (p\u2009&gt;\u20090.05). During follow-up, there was a difference in the number of ischemic stroke (0 vs. 17.6%, p\u2009&lt;\u20090.001), while there was no difference in mortality in two study groups (5.3 vs. 16.2%, p\u2009&gt;\u20090.05).<\/jats:p><jats:p>\n          Conclusion\u2003Epicardial ligation of LAA during OPCAB in patients with AF may reduce the risk of ischemic stroke in long-term follow-up and does not affect the mortality.<\/jats:p>","DOI":"10.1055\/s-0039-1695758","type":"journal-article","created":{"date-parts":[[2019,9,10]],"date-time":"2019-09-10T23:00:17Z","timestamp":1568156417000},"page":"695-699","source":"Crossref","is-referenced-by-count":6,"title":["Ligation of Left Atrial Appendage during Off-Pump Coronary Surgery"],"prefix":"10.1055","volume":"68","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8376-3104","authenticated-orcid":false,"given":"Soslan","family":"Enginoev","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Federal Center for Cardiovascular Surgery, Astrakhan, Russia"},{"name":"Department of Cardiac Surgery, Astrakhan State Medical University, Astrakhan, Russia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dmitry","family":"Koz'min","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Federal Center for Cardiovascular Surgery, Astrakhan, Russia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gasan","family":"Magomedov","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Federal Center for Cardiovascular Surgery, Astrakhan, Russia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sergey","family":"Makeev","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Federal Center for Cardiovascular Surgery, Astrakhan, Russia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Igor","family":"Chernov","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Federal Center for Cardiovascular Surgery, Astrakhan, Russia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nikolay","family":"Ilov","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Federal Center for Cardiovascular Surgery, Astrakhan, Russia"},{"name":"Department of Cardiac Surgery, Astrakhan State Medical University, Astrakhan, Russia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dmiry","family":"Tarasov","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Federal Center for Cardiovascular Surgery, Astrakhan, Russia"},{"name":"Department of Cardiac Surgery, Astrakhan State Medical University, Astrakhan, Russia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6440-3736","authenticated-orcid":false,"given":"Konstantin","family":"Zhigalov","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, European Medical School Oldenburg-Groningen, Carl von Ossietzky University Oldenburg, Oldenburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Weymann","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, European Medical School Oldenburg-Groningen, Carl von Ossietzky University Oldenburg, Oldenburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2019,9,10]]},"reference":[{"issue":"05","key":"ref1","doi-asserted-by":"crossref","first-page":"469","DOI":"10.1001\/archinte.1995.00430050045005","article-title":"Prevalence, age distribution, and gender of patients with atrial fibrillation. 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