{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T19:34:15Z","timestamp":1782934455500,"version":"3.54.5"},"reference-count":27,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2022,7,29]],"date-time":"2022-07-29T00:00:00Z","timestamp":1659052800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"name":"General Program of the National Natural Science Foundation of China","award":["81770408"],"award-info":[{"award-number":["81770408"]}]},{"DOI":"10.13039\/501100012166","name":"National Key Research and Development Program of China","doi-asserted-by":"publisher","award":["2018YFC1311204"],"award-info":[{"award-number":["2018YFC1311204"]}],"id":[{"id":"10.13039\/501100012166","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,9,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p\/>\n               <jats:sec>\n                  <jats:title>OBJECTIVES<\/jats:title>\n                  <jats:p>The goal of the present study was to determine the safety and efficacy of a modified off-pump biatrial mini-maze procedure to treat long-standing persistent atrial fibrillation (AF).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>Patients with long-standing persistent AF underwent our modified mini-maze procedure using bipolar radiofrequency ablation. Those patients first underwent a mini-maze procedure using the Dallas lesion set protocol. Second, a purse-string suture was performed on the right atrium, and then 4 ablation lesions were made to the superior vena cava, the inferior vena cava, the appendix of the right atrium and the tricuspid valve annulus from the purse-string suture point by the bipolar radiofrequency clamp. After the operation, the patients were followed up at 3, 6 and 12\u2009months and every year thereafter.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>A total of 102 patients were included in the study. There were no deaths, no surgical re-exploration for bleeding and no permanent pacemaker implants. The intraoperative cardioversion rate was 42.2% (43\/102). A follow-up at intervals of 3, 6, 12, 24, 36 and 48\u2009months showed that a success rate free from long-standing persistent AF was 95.1% (97\/102), 94.4% (85\/90), 94.8% (73\/77), 91.5% (54\/59), 90.3% (28\/31) and 86.4% (19\/22), whereas freedom from AF in patients off antiarrhythmic drugs was 88.2% (90\/102), 85.6% (77\/90), 81.8% (63\/77), 78.0% (46\/59), 74.2% (23\/31) and 68.2% (15\/22), respectively.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>The modified biatrial mini-maze procedure proved to be safe and feasible. Early follow-up demonstrated an acceptable success rate free from AF.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ejcts\/ezac400","type":"journal-article","created":{"date-parts":[[2022,7,29]],"date-time":"2022-07-29T15:11:03Z","timestamp":1659107463000},"source":"Crossref","is-referenced-by-count":2,"title":["An off-pump biatrial mini-maze procedure for long-standing persistent atrial fibrillation"],"prefix":"10.1093","volume":"62","author":[{"given":"Tao","family":"Yan","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, Zhongshan Hospital, Fudan University , Shanghai, 200032, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shijie","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Zhongshan Hospital, Fudan University , Shanghai, 200032, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nan","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Zhongshan Hospital, Fudan University , Shanghai, 200032, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miao","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Zhongshan Hospital, Fudan University , Shanghai, 200032, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kai","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Zhongshan Hospital, Fudan University , Shanghai, 200032, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lai","family":"Wei","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Zhongshan Hospital, Fudan University , Shanghai, 200032, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chunsheng","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Zhongshan Hospital, Fudan University , Shanghai, 200032, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Changfa","family":"Guo","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Zhongshan Hospital, Fudan University , Shanghai, 200032, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2022,7,29]]},"reference":[{"key":"2022092812112890200_ezac400-B1","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1016\/j.jacc.2019.01.011","article-title":"2019 AHA\/ACC\/HRS Focused Update of the 2014 AHA\/ACC\/HRS Guideline for the Management of Patients With Atrial Fibrillation: A Report of the American College of Cardiology\/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society","volume":"74","author":"January","year":"2019","journal-title":"J Am Coll Cardiol"},{"key":"2022092812112890200_ezac400-B2","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1093\/eurheartj\/ehaa612","article-title":"2020 ESC Guidelines for the diagnosis and management of atrial fibrillation developed in collaboration with the European Association for Cardio-Thoracic Surgery (EACTS)","volume":"42","author":"Hindricks","year":"2021","journal-title":"Eur Heart J"},{"key":"2022092812112890200_ezac400-B3","doi-asserted-by":"crossref","first-page":"531","DOI":"10.1093\/ejcts\/ezu536","article-title":"A systematic review of minimally invasive surgical treatment for atrial fibrillation: a comparison of the Cox-maze procedure, beating-heart epicardial ablation, and the hybrid procedure on safety and efficacy","volume":"48","author":"Je","year":"2015","journal-title":"Eur J Cardiothorac Surg"},{"key":"2022092812112890200_ezac400-B4","doi-asserted-by":"crossref","first-page":"1941","DOI":"10.1253\/circj.CJ-13-0721","article-title":"Surgical techniques used for the treatment of atrial fibrillation","volume":"77","author":"Robertson","year":"2013","journal-title":"Circ J"},{"key":"2022092812112890200_ezac400-B5","doi-asserted-by":"crossref","first-page":"1284","DOI":"10.1093\/ejcts\/ezr222","article-title":"Treatment of lone atrial fibrillation: a look at the past, a view of the present and a glance at the future","volume":"41","author":"Gelsomino","year":"2012","journal-title":"Eur J Cardiothorac Surg"},{"key":"2022092812112890200_ezac400-B6","doi-asserted-by":"crossref","first-page":"521","DOI":"10.1016\/j.jtcvs.2008.11.031","article-title":"Point: minimally invasive bipolar radiofrequency ablation of lone atrial fibrillation: early multicenter results","volume":"137","author":"Beyer","year":"2009","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2022092812112890200_ezac400-B7","doi-asserted-by":"crossref","first-page":"569","DOI":"10.1016\/S0022-5223(19)36684-X","article-title":"The surgical treatment of atrial fibrillation. 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