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December 13, 2025Expert Review of Cardiovascular Therapy

Prioritizing surgical ablation for atrial fibrillation during coronary artery bypass grafting: new evidence, old debate

Ely Erez John J. Squiers Cody Dorton Jasjit K. Banwait Alessandro Gasparini Michael J. Mack J Michael DiMai Justin Schaffer

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Key Points

The research aims to evaluate the effectiveness of surgical ablation for atrial fibrillation during coronary artery bypass grafting.
Analysis of randomized and observational studies
Utilized national database analyses for long-term survival association
Examined treatment types using propensity-score risk adjustment
Proposed a trial comparing different lesion sets for optimal SA implementation
Surgical ablation restores sinus rhythm post-CABG
Rhythm restoration correlates with improved survival rates
Surgical ablation associated with reduced thromboembolic events

Implication

Shows that surgical ablation restores sinus rhythm in atrial fibrillation during CABG, suggesting improved outcomes.

Discussion

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Cite This Study

Erez et al. (2025) studied this question.

synapsesocial.com/papers/694018f82d562116f28f5dee https://doi.org/10.1080/14779072.2025.2603981

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Keep reading

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

1Influence of concomitant ablation of nonparoxysmal atrial fibrillation during coronary artery bypass grafting on mortality and readmissionscohort · 2023 · 4 citations
2One-year mortality and costs associated with surgical ablation for atrial fibrillation concomitant to coronary artery bypass grafting†cohort · 2017 · 37 citations
3Management of Atrial Fibrillation in Patients Undergoing Coronary Artery Bypass Graftingsystematic_review · 2018 · 13 citations
4Efficiency and safety of ablation procedure for the treatment of atrial fibrillation in valve surgery: A PRISMA-compliant cumulative systematic review and meta-analysis.meta-analysis · 2021 · 2 citations
5Biatrial ablation vs. left atrial concomitant surgical ablation for treatment of atrial fibrillation: a meta-analysismeta-analysis · 2014 · 62 citations