The Effect of Arrhythmia Surgery on Quality of Life in Patients With Atrial Fibrillation Undergoing Cardiac Surgery
Atrial Fibrillation
About this trial
This is an interventional treatment trial for Atrial Fibrillation focused on measuring Atrial fibrillation, Health related Quality of Life, Add-on surgery, Ablation, Randomised controlled trial, SF-36, EuroQoL, MFI-20
Eligibility Criteria
Inclusion Criteria:
- Patients undergo valvular surgery and/ or coronary surgery,
- All patients have documented chronic atrial fibrillation of paroxysmal atrial fibrillation.
- Patients have given written informed consent.
Exclusion Criteria:
- Patients who do not speak Dutch or can not read Dutch.
- Patients with a Sick Sinus Syndrome.
- Patients with contraindications for oral anticoagulant agents.
- Incompetent to act for oneself
Sites / Locations
- Dept. of Cardiothoracic Surgery, University Hospital Maastricht
Arms of the Study
Arm 1
Experimental
Add-on arrhythmia surgery
Adjuvant anti-arrhythmic surgery consists of a beating heart epicardial "box" isolation of all pulmonary veins using microwave energy (Flex 4 or Flex 10 ablation probes and Microwave generator by Guidant/Afix, Fremont, CA, USA). The surgical ablation procedure is the first step during surgery and is performed before institution of cardiopulmonary bypass allowing off-pump beating heart ablation. In addition excision or exclusion of the left atrial appendage is performed in both the treated as the control group.