Cryoablation for atrial fibrillation in association with other cardiac surgery
Summary
The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on cryoablation for atrial fibrillation in association with other cardiac surgery.
Description
Atrial fibrillation is the irregular and rapid beating of the upper two chambers of the heart (the atria). It may be classified as paroxysmal, persistent or permanent. Patients with atrial fibrillation may be asymptomatic or they may have symptoms including palpitations, dizziness and breathlessness. They also have an increased risk of stroke as a result of blood clots forming in the left atrium and then embolising to the brain. Although atrial fibrillation may occur in the absence of other heart disease, it is particularly common in patients with mitral valve disease.
Cryoablation of the atria can be performed via a catheter introduced through a femoral vein but surgical cryoablation for atrial fibrillation is typically carried out in patients undergoing concomitant open-heart surgery, including mitral valve replacement or repair. A cryoprobe is used to freeze tissue along a pattern of lines rather than the incisions created in the traditional Cox maze surgery.
OPCS code:
Details
Surgical procedures
Society of Cardiothoracic Surgeons of Great Britain and Ireland
British Pacing and Electrophysiology Group
Contact details:
(for general enquiries or comments)
(for procedure specific enquiries or comments)
ip@nice.org.uk
Interventional Procedures Programme
National Institute for Health and Clinical Excellence
MidCity Place
71 High Holborn
London
WC1V 6NA
