[HSF] A. Fib.

[erdinç naseri]

Hal,
Can we have your paper if it is not accepted for publication.
Previously I used monopolar electrocautery for the treatment of AF in mitral cases( much different patient group than lone AF) then  a company provided us by atricure (bipolar RF ) but I am not comfortable with the line attaching the pulmonary vein window to the mid PML. It needs a stab incision in the left atrial wall which although very simple makes me nervous because I can't see the other blade behind the LA.Any comments?
erdinc> From: Hgrmd at aol.com> Date: Sat, 7 Jul 2007 13:18:06 -0400> Subject: Re: [HSF] A. Fib.> To: OpenHeart-L at lists.hsforum.com> CC: > > Ajit,> Excellent points. Nobody wants to have their chest split to get their AF > cured. The key is being able to offer a full set of lesions via a minimally > invasive approach. I can do that. I just submitted an abstract to the STS > that outlines my methods and results in 107 patients. Knowing the politics of > AF, I'll be surprised if it is accepted. What I mean by that is the current > big names in AF are on the payroll of certain device companies. It's an > uphill battle to get power sources from companies who don't play the game > published, even though they may be the most effective in my opinion. If I'm being > oblique and murky, I hope you can read between the lines (I'm becoming a > little more diplomatic in my old age.).> Your point about the "success" rate after a surgical maze is quite apt. > Cox's original papers showing a 95% success rate were based on telephone > interviews of the patients in which they asked the patient if they still had > palpitations and an irregular heartbeat. It is well known that patients often > lose the ability to perceive AF, presumably due to denervation. > My personal success rate is gauged on spot ECG's, 24 hr Holters, or pacer > checks. Only the last method is truly reliable in assessing the AF burden. > Because of my interest in this field, I'm now striving getting 24hr Holters > every 6 months for life. As you know, a small, but steady erosion in results > occurs with time.> > Hal> > > > ************************************** See what's free at http://www.aol.com.> _______________________________________________> OpenHeart-L mailing list> > Send postings to:> OpenHeart-L at lists.hsforum.com> > To UNSUBSCRIBE, to CHANGE email address, or to view archives:> http://mmp.cjp.com/mailman/listinfo/openheart-l> > All messages transmitted by the OpenHeart-L are subject to the policies and > disclaimers posted at:> http://www.hsforum.com/listdisclaim> -----------------------------------------