{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,2]],"date-time":"2025-08-02T04:14:38Z","timestamp":1754108078425},"reference-count":30,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Thorac Cardiovasc Surg"],"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003Different ablation devices deliver the same type of energy but use individual control mechanisms to estimate efficacy. We compared patient outcome after the application of radiofrequency ablation systems, using temperature- or resistance-control in paroxysmal and persistent atrial fibrillation (AF).<\/jats:p><jats:p>\n          Methods\u2003This is an unselected all-comers study. Patients underwent standardized left atrial (paroxysmal atrial fibrillation, [PAF] n\u2009=\u200931) or biatrial ablation (persistent atrial fibrillation [persAF] n\u2009=\u200961) with bipolar RF from October 2010 to June 2013. Patients with left atrial dilatation (up to 57\u2009mm), reduced left ventricular (LV) function, and elderly were included. We used resistance-controlled (RC) or temperature-controlled (TC) devices. We amputated atrial appendices and checked intraoperatively for completeness of pulmonary vein exit block. All patients received implantable loop recorders. Follow-up interval was every 6 months. Antiarrhythmic medical treatment endured up to month 6.<\/jats:p><jats:p>\n          Results\u2003We reached 100% freedom from atrial fibrillation (FAF) in PAF. In perAF 19% of the RC but 82% of the TC patients reached FAF (12 months; p\u2009&lt;\u20090.05). TC patients exhibited higher creatine kinase-muscle\/brain (CK-MB) peak values. In persAF, CK-MB-levels correlated to FAF. No and no mortality (30 days) was evident. Twelve-month mortality did not correlate to AF type, AF duration, LV dimension, or function and age. Prolonged need of oral anticoagulants was 90.1% (RC) and 4.5% (TC).<\/jats:p><jats:p>\n          Conclusion\u2003In patients with persAF undergoing RF ablation, TC reached higher FAF than RC. Medical devices are not \u201cthe same\u201d regarding effectiveness even if used according to manufacturer's instructions. Thus, putative application of \u201cthe same\u201d energy is not always \u201cthe same\u201d efficacy.<\/jats:p>","DOI":"10.1055\/s-0039-1698402","type":"journal-article","created":{"date-parts":[[2019,10,11]],"date-time":"2019-10-11T23:01:06Z","timestamp":1570834866000},"page":"124-132","source":"Crossref","is-referenced-by-count":1,"title":["The Same is Not the Same: Device Effect during Bipolar Radiofrequency Ablation of Atrial Fibrillation"],"prefix":"10.1055","volume":"69","author":[{"given":"Bernd","family":"Niemann","sequence":"additional","affiliation":[{"name":"Departement of Adult and Pediatric Cardiovascular Surgery, Giessen University Hospital, Giessen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elisabeth","family":"Dominik","sequence":"additional","affiliation":[{"name":"Departement of Adult and Pediatric Cardiovascular Surgery, Giessen University Hospital, Giessen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susanne","family":"Rohrbach","sequence":"additional","affiliation":[{"name":"Institute of Physiology, Justus-Liebig-University Giessen, Giessen, Hessen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philippe","family":"Grieshaber","sequence":"additional","affiliation":[{"name":"Departement of Adult and Pediatric Cardiovascular Surgery, Giessen University Hospital, Giessen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Roth","sequence":"additional","affiliation":[{"name":"Departement of Adult and Pediatric Cardiovascular Surgery, Giessen University Hospital, Giessen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreas","family":"B\u00f6ning","sequence":"additional","affiliation":[{"name":"Departement of Adult and Pediatric Cardiovascular Surgery, Giessen University Hospital, Giessen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2019,10,11]]},"reference":[{"issue":"03","key":"ref1","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1001\/archinte.158.3.229","article-title":"Impact of atrial fibrillation on mortality, stroke, and medical costs","volume":"158","author":"P A Wolf","year":"1998","journal-title":"Arch Intern Med"},{"issue":"04","key":"ref2","doi-asserted-by":"crossref","first-page":"739","DOI":"10.1016\/S0733-8651(05)70372-6","article-title":"The maze procedure for cure of atrial fibrillation","volume":"15","author":"T M Sundt III","year":"1997","journal-title":"Cardiol Clin"},{"issue":"02","key":"ref3","first-page":"83","article-title":"[Efficacy and safety of various energy sources and application techniques for the surgical treatment of atrial fibrillation]","volume":"18","author":"N Doll","year":"2007","journal-title":"Herzschrittmacherther Elektrophysiol"},{"issue":"05","key":"ref4","doi-asserted-by":"crossref","first-page":"1478","DOI":"10.1016\/j.jtcvs.2013.10.084","article-title":"Surgical ablation for atrial fibrillation for two decades: are the results of new techniques equivalent to the Cox maze III procedure?","volume":"147","author":"J M Stulak","year":"2014","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"01","key":"ref5","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1016\/j.jtcvs.2004.08.042","article-title":"Surgical treatment of atrial fibrillation: predictors of late recurrence","volume":"129","author":"S L Gaynor","year":"2005","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"04","key":"ref6","doi-asserted-by":"crossref","first-page":"860","DOI":"10.1016\/j.jtcvs.2009.12.038","article-title":"Where does atrial fibrillation surgery fail? Implications for increasing effectiveness of ablation","volume":"139","author":"P M McCarthy","year":"2010","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"02","key":"ref7","doi-asserted-by":"crossref","first-page":"200","DOI":"10.1016\/j.jacc.2011.03.023","article-title":"Surgical ablation for atrial fibrillation: not all energy sources are created equal","volume":"58","author":"R Lee","year":"2011","journal-title":"J Am Coll Cardiol"},{"issue":"01","key":"ref8","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1097\/HCO.0000000000000125","article-title":"Surgical ablation for atrial fibrillation: techniques, indications, and results","volume":"30","author":"C P Lawrance","year":"2015","journal-title":"Curr Opin Cardiol"},{"issue":"02","key":"ref9","doi-asserted-by":"crossref","first-page":"502","DOI":"10.1016\/j.athoracsur.2006.02.030","article-title":"Surgery for permanent atrial fibrillation: impact of patient factors and lesion set","volume":"82","author":"A M Gillinov","year":"2006","journal-title":"Ann Thorac Surg"},{"issue":"05","key":"ref10","doi-asserted-by":"crossref","first-page":"461","DOI":"10.1097\/MAT.0b013e3182a394f1","article-title":"Ablation technology for the surgical treatment of atrial fibrillation","volume":"59","author":"S J Melby","year":"2013","journal-title":"ASAIO J"},{"issue":"02","key":"ref11","doi-asserted-by":"crossref","first-page":"453","DOI":"10.1016\/j.jtcvs.2009.06.028","article-title":"Efficacy of a cooled bipolar epicardial radiofrequency ablation probe for creating transmural myocardial lesions","volume":"139","author":"M A Wood","year":"2010","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"06","key":"ref12","doi-asserted-by":"crossref","first-page":"1030","DOI":"10.1053\/j.jvca.2011.06.011","article-title":"Cryoablation of atrial fibrillation in cardiac surgery: outcomes and myocardial injury biomarkers","volume":"25","author":"J Mart\u00ednez-Comendador","year":"2011","journal-title":"J Cardiothorac Vasc Anesth"},{"issue":"04","key":"ref13","doi-asserted-by":"crossref","first-page":"528","DOI":"10.1093\/europace\/eus027","article-title":"2012 HRS\/EHRA\/ECAS expert consensus statement on catheter and surgical ablation of atrial fibrillation: recommendations for patient selection, procedural techniques, patient management and follow-up, definitions, endpoints, and research trial design","volume":"14","author":"H Calkins","year":"2012","journal-title":"Europace"},{"issue":"01","key":"ref14","doi-asserted-by":"crossref","first-page":"168","DOI":"10.1016\/j.jtcvs.2006.03.013","article-title":"A closed biatrial procedure using bipolar radiofrequency ablation","volume":"132","author":"T Miyairi","year":"2006","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"01","key":"ref15","first-page":"80","article-title":"A brief overview of surgery for atrial fibrillation","volume":"3","author":"J L Cox","year":"2014","journal-title":"Ann Cardiothorac Surg"},{"issue":"08","key":"ref16","first-page":"672","article-title":"Freezing equals freezing? Performance of two cryoablation devices in concomitant mitral valve repair","volume":"64","author":"J Goette","year":"2016","journal-title":"Thorac Cardiovasc Surg"},{"issue":"01","key":"ref17","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1016\/j.ejcts.2010.11.016","article-title":"The impact of surgical ablation in patients with low ejection fraction, heart failure, and atrial fibrillation","volume":"40","author":"N Ad","year":"2011","journal-title":"Eur J Cardiothorac Surg"},{"issue":"03","key":"ref18","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1053\/j.semtcvs.2013.09.003","article-title":"Surgical treatment of atrial fibrillation: today's questions and answers","volume":"25","author":"M Gillinov","year":"2013","journal-title":"Semin Thorac Cardiovasc Surg"},{"issue":"22","key":"ref19","doi-asserted-by":"crossref","first-page":"2335","DOI":"10.1016\/j.jacc.2014.02.555","article-title":"Atrial remodeling and atrial fibrillation: recent advances and translational perspectives","volume":"63","author":"S Nattel","year":"2014","journal-title":"J Am Coll Cardiol"},{"issue":"01","key":"ref20","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1016\/j.athoracsur.2009.04.014","article-title":"The Cox-Maze III procedure success rate: comparison by electrocardiogram, 24-hour Holter monitoring and long-term monitoring","volume":"88","author":"N Ad","year":"2009","journal-title":"Ann Thorac Surg"},{"issue":"06","key":"ref21","doi-asserted-by":"crossref","first-page":"1602","DOI":"10.1016\/j.jtcvs.2015.08.105","article-title":"The impact of 6 weeks of atrial fibrillation on left atrial and ventricular structure and function","volume":"150","author":"T Kazui","year":"2015","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"06","key":"ref22","doi-asserted-by":"crossref","first-page":"551","DOI":"10.1007\/s10557-015-6624-3","article-title":"Cardiac remodeling, circulating biomarkers and clinical events in patients with a history of atrial fibrillation. Data from the GISSI-AF Trial","volume":"29","author":"L Staszewsky","year":"2015","journal-title":"Cardiovasc Drugs Ther"},{"key":"ref23","doi-asserted-by":"crossref","first-page":"140","DOI":"10.1186\/1749-8090-8-140","article-title":"Human comparative experimental study of surgical treatment of atrial fibrillation by epicardial techniques","volume":"8","author":"J M El Arid","year":"2013","journal-title":"J Cardiothorac Surg"},{"issue":"01","key":"ref24","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1093\/ejcts\/ezw285","article-title":"MicroRNAs and post-operative atrial fibrillation: a step in the understanding of the mechanism and identifying reliable biomarkers","volume":"51","author":"N Ad","year":"2017","journal-title":"Eur J Cardiothorac Surg"},{"issue":"01","key":"ref25","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1016\/j.athoracsur.2015.07.039","article-title":"Detection of atrial fibrillation after surgical ablation: conventional versus continuous monitoring","volume":"101","author":"R J Damiano Jr","year":"2016","journal-title":"Ann Thorac Surg"},{"key":"ref26","doi-asserted-by":"crossref","first-page":"S177","DOI":"10.1161\/CIRCULATIONAHA.108.838474","article-title":"Twenty-four-hour Holter monitor follow-up does not provide accurate heart rhythm status after surgical atrial fibrillation ablation therapy: up to 12 months experience with a novel permanently implantable heart rhythm monitor device","volume":"120","author":"T Hanke","year":"2009","journal-title":"Circulation"},{"issue":"09","key":"ref27","doi-asserted-by":"crossref","first-page":"914","DOI":"10.1111\/pace.12916","article-title":"Rhythm control and its relation to symptoms during the first two years after radiofrequency ablation for atrial fibrillation","volume":"39","author":"A Bj\u00f6rkenheim","year":"2016","journal-title":"Pacing Clin Electrophysiol"},{"issue":"23","key":"ref28","doi-asserted-by":"crossref","first-page":"2550","DOI":"10.1093\/eurheartj\/ehi507","article-title":"Non-inducibility post-pulmonary vein isolation achieving exit block predicts freedom from atrial fibrillation","volume":"26","author":"V Essebag","year":"2005","journal-title":"Eur Heart J"},{"issue":"04","key":"ref29","doi-asserted-by":"crossref","first-page":"042401","DOI":"10.1103\/PhysRevE.94.042401","article-title":"Myocardial architecture and patient variability in clinical patterns of atrial fibrillation","volume":"94","author":"K A Manani","year":"2016","journal-title":"Phys Rev E"},{"issue":"04","key":"ref30","doi-asserted-by":"crossref","first-page":"276","DOI":"10.1097\/imi.0b013e31822b4d22","article-title":"Tissue temperature feedback control of power: the key to successful ablation","volume":"6","author":"D K Swanson","year":"2011","journal-title":"Innovations (Phila)"}],"container-title":["The Thoracic and Cardiovascular Surgeon"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0039-1698402.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,3,16]],"date-time":"2021-03-16T06:55:16Z","timestamp":1615877716000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0039-1698402"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,10,11]]},"references-count":30,"journal-issue":{"issue":"02","published-online":{"date-parts":[[2021,3,14]]},"published-print":{"date-parts":[[2021,3]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0039-1698402","relation":{},"ISSN":["0171-6425","1439-1902"],"issn-type":[{"type":"print","value":"0171-6425"},{"type":"electronic","value":"1439-1902"}],"subject":[],"published":{"date-parts":[[2019,10,11]]}}}