Division of Cardiothoracic Surgery, University of Alabama at Birmingham, UAB Hospital, Birmingham, Alabama, USA.
ASAIO J. 2013 Sep-Oct;59(5):461-8. doi: 10.1097/MAT.0b013e3182a394f1.
The Cox maze procedure for the surgical treatment of atrial fibrillation has been simplified from its original cut-and-sew technique. Various energy sources now exist which create linear lines of ablation that can be used to replace the original incisions, greatly facilitating the surgical approach. This review article describes the anatomy of the atria that must be considered in choosing a successful energy source. Furthermore the device characteristics, safety profile, mechanism of tissue injury, and ability to create transmural lesions of the various energy sources that have been used in the Cox maze procedure, along with the strengths and weaknesses of each device is discussed.
Cox 迷宫手术已从最初的切割和缝合技术简化为治疗心房颤动的手术。目前有各种能源可以产生消融线，可用于替代原始切口，极大地简化了手术方法。本文回顾了在选择成功的能源时必须考虑的心房解剖结构。此外，还讨论了在 Cox 迷宫手术中使用的各种能源的设备特性、安全性概况、组织损伤机制以及创建透壁病变的能力，以及每种设备的优缺点。
