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Register a new userAblation of Atrial Fibrillation with Microwave -The Early Experience
إزالة الرجفان الأذيني باستخدام طاقة الأمواج القصيرة – الخبرة المبكرة
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Added by
Damascus University ورقة بحثية
Publication date
2005
fields
Medicine
and research's language is
العربية
Authors
غسان مراد( باحث )
Created by
Shamra Editor
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تم إجراء (55) تداخلاً جراحياً لمرضى مصابين برجفان أذيني في المدة الواقعة ما بـين 12 كانون الثاني 2002 – و 29 كانون الثاني 2003 ، و ذلك باستخدام طاقة الأمواج القصيرة فقد كان عدد المرضى الإناث خمس و ثلاثين (35) مريضة. تراوحت أعمار المرضى بين 20 – 72 سنة، و متوسط العمر 3.44 سنة . تم تطبيق الأمواج من الداخل (cardial Endo9) في 46 مريضاً، و من الخارج ( Epicardial ) في 9 مرضى.
Surgical ablation of atrial fibrillation (AF) has been gaining ground as the preferred method of treatment of this potentially lethal arrhythmia affecting 1/3-1/2 of patients with mitral valve diseases. It is specially suited for patients undergoing an operative procedure. Between Dec 12,2002 and Dec 29,2003 ,fifty five operative patients with chronic AF were subjected to AF ablation with microwave energy at Damascus University Cardiovascular Surgical Center . Thirty five patients were female; age ranged between 20 and 72 years. All of them had chronic AF.
Artificial intelligence review:
Research summary
تناول البحث تجربة مبكرة لاستئصال الرجفان الأذيني باستخدام طاقة الميكروويف في مركز جراحة القلب والأوعية الدموية بجامعة دمشق. شملت الدراسة 55 مريضًا يعانون من الرجفان الأذيني المزمن، وأجريت العمليات بين ديسمبر 2002 وديسمبر 2003. كانت نسبة نجاح استعادة النظم الجيبي بعد الجراحة 81.8%، واستمرت نسبة النجاح عند 81.3% بعد متابعة 6 أشهر. بلغ معدل الوفيات الجراحية 3.6%. قورنت طرق العلاج المختلفة للرجفان الأذيني، وأظهرت النتائج أن الاستئصال الجراحي يعد الأكثر فعالية واستدامة مقارنة بالعلاج الدوائي والعلاج بالتدخل الكهربائي.
Critical review
دراسة نقدية: الدراسة قدمت نتائج واعدة لاستخدام طاقة الميكروويف في استئصال الرجفان الأذيني، ولكن هناك بعض النقاط التي تحتاج إلى توضيح. أولاً، لم يتم توضيح تفاصيل كافية حول المعايير المستخدمة لاختيار المرضى، مما قد يؤثر على تعميم النتائج. ثانيًا، فترة المتابعة كانت قصيرة نسبيًا (6 أشهر)، ومن المهم متابعة المرضى لفترات أطول لتقييم الاستدامة الحقيقية للعلاج. أخيرًا، لم يتم مقارنة النتائج بشكل مباشر مع طرق الاستئصال الأخرى مثل التجميد أو الترددات الراديوية، مما يجعل من الصعب تحديد التفوق النسبي لطاقة الميكروويف بشكل قاطع.
Questions related to the research
-
ما هي نسبة نجاح استعادة النظم الجيبي بعد الجراحة باستخدام طاقة الميكروويف؟
كانت نسبة النجاح 81.8% بعد الجراحة.
-
ما هو معدل الوفيات الجراحية في الدراسة؟
بلغ معدل الوفيات الجراحية 3.6%.
-
ما هي فترة المتابعة التي تم استخدامها لتقييم استدامة العلاج؟
تمت متابعة المرضى لمدة 6 أشهر بعد الجراحة.
-
ما هي الطرق الأخرى التي تم مقارنتها مع استئصال الرجفان الأذيني باستخدام طاقة الميكروويف؟
تمت مقارنة الاستئصال الجراحي باستخدام طاقة الميكروويف مع العلاج الدوائي والعلاج بالتدخل الكهربائي.
References used
Giardina EG.Atrial fibrillation and stroke:elucidating a newly discovered risk factor. Am J Cardiol 1997;80:11-18
Nattel S., New ideas about atrial fibrillation50 years and on. Nature.2003,415: 216-219
Cox JL, Ad N, New surgical and catheter-based modifications of the Maze procedure. Semin Thorac Cardiovasc Surg 2000;12:68-73
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