Henry Linda, Ad Niv
Cardiac Surgery Research Department, Inova Heart and Vascular Institute, Inova Fairfax Hospital, Falls Church, VA, USA.
Rambam Maimonides Med J. 2013 Jul 25;4(3):e0021. doi: 10.5041/RMMJ.10121. Print 2013 Jul.
The Cox maze procedure developed originally in 1987 by Dr James Cox has evolved from a "cut and sew" surgical procedure, where the maze was applied using multiple surgical cuts, to an extensive use of surgical ablation technology where ablation lesions are placed with alternative energy sources (radiofrequency, cryothermy, microwave, and high-frequency ultrasound). Furthermore, the procedure has changed from a median sternotomy approach only to one that can be performed minimally invasively and robotically. The purpose of this paper is to review the current available technology for the ablation of atrial fibrillation as well as the different procedural approaches for the surgical ablation of atrial fibrillation.
詹姆斯·考克斯博士于1987年最初研发的考克斯迷宫手术，已从一种“切割与缝合”的外科手术（即通过多次手术切口应用迷宫术）演变为广泛使用手术消融技术，即使用替代能源（射频、冷冻疗法、微波和高频超声）放置消融病灶。此外，该手术已从中段胸骨切开术入路，转变为可以通过微创和机器人方式进行的手术。本文的目的是回顾目前用于房颤消融的可用技术，以及房颤外科消融的不同手术入路。
