Minimaze Procedure - Surgical Results

Surgical Results

Long-term success of the minimaze procedures awaits a consensus. Attaining a consensus is hindered by several problems; perhaps the most important of these is incomplete or inconsistent post-procedure follow-up to determine if atrial fibrillation has recurred, although many reasons have been considered. It has been clearly demonstrated that longer or more intensive follow-up identifies much more recurrent atrial fibrillation, hence a procedure with more careful follow-up will appear to be less successful. In addition, procedures continue to evolve rapidly, so long follow-up data do not accurately reflect current procedural methods. For more recent minimaze procedures, only relatively small and preliminary reports are available. With those caveats in mind, it can be said that reported short-term freedom from atrial fibrillation following the radiofrequency ("Wolf") procedure ranges from 67% to 91% with longer-term results in a similar range, but limited primarily to patients with paroxysmal atrial fibrillation.

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