The Cox-maze procedure remains an effective surgical treatment for atrial fibrillation, with evolving techniques and instruments expanding its applicability.
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Supports Cox-maze consideration in surgical AF; leaves open prospective trials on evolving techniques.
The Cox-maze procedure for the surgical treatment of atrial fibrillation has proven to be the most effective means of addressing the adverse consequences of the disease, including rhythm, hemodynamics, and thromboembolic risk. The indications for its use continue to evolve, as do the operative techniques. Newer instruments have been developed to simplify the existing procedure in order to facilitate surgical ablation of atrial fibrillation, and expand its usefulness to other subgroups of patients.
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Stulak et al. (2005) studied this question.
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