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Albåge, Anders
Publications (6 of 6) Show all publications
Albåge, A. (2018). An important piece of the puzzle for understanding the benefits of concomitant ablation of atrial fibrillation in cardiac surgery. Annals of Translational Medicine, 6(11), Article ID 223.
Open this publication in new window or tab >>An important piece of the puzzle for understanding the benefits of concomitant ablation of atrial fibrillation in cardiac surgery
2018 (English)In: Annals of Translational Medicine, ISSN 2305-5839, E-ISSN 2305-5847, Vol. 6, no 11, article id 223Article in journal, Editorial material (Other academic) Published
National Category
Surgery
Identifiers
urn:nbn:se:uu:diva-368921 (URN)10.21037/atm.2018.04.18 (DOI)000435615200025 ()30023386 (PubMedID)
Available from: 2018-12-11 Created: 2018-12-11 Last updated: 2018-12-11Bibliographically approved
Flam, B. & Albåge, A. (2018). Large Inferolateral Left Ventricular Aneurysm. Annals of Cardiac Anaesthesia, 21(1), 68-70
Open this publication in new window or tab >>Large Inferolateral Left Ventricular Aneurysm
2018 (English)In: Annals of Cardiac Anaesthesia, ISSN 0971-9784, E-ISSN 0974-5181, Vol. 21, no 1, p. 68-70Article in journal (Refereed) Published
Abstract [en]

The majority of cardiac left ventricular aneurysms involve the anterior and/or apical wall. We present a case of a 50-year-old man with heart failure caused by a large inferolateral left ventricular aneurysm and associated mitral regurgitation, managed by aneurysmectomy, mitral valvuloplasty, and surgical revascularization.

Place, publisher, year, edition, pages
MEDKNOW PUBLICATIONS & MEDIA PVT LTD, 2018
Keywords
Cardiac surgery, heart aneurysm, left ventricular aneurysm, myocardial infarction
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:uu:diva-343390 (URN)10.4103/aca.ACA_89_17 (DOI)000423118000016 ()29336397 (PubMedID)
Available from: 2018-03-01 Created: 2018-03-01 Last updated: 2018-03-01Bibliographically approved
Albåge, A., Sartipy, U., Kenneback, G., Johansson, B., Schersten, H. & Jidéus, L. (2017). Long-Term Risk of Ischemic Stroke After the Cox-Maze III Procedure for Atrial Fibrillation. Annals of Thoracic Surgery, 104(2), 523-529
Open this publication in new window or tab >>Long-Term Risk of Ischemic Stroke After the Cox-Maze III Procedure for Atrial Fibrillation
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2017 (English)In: Annals of Thoracic Surgery, ISSN 0003-4975, E-ISSN 1552-6259, Vol. 104, no 2, p. 523-529Article in journal (Refereed) Published
Abstract [en]

Background. The long-term risk of stroke after surgical treatment of atrial fibrillation is not well known. We performed an observational cohort study with long follow-up after the "cut-and-sew" Cox-maze III procedure (CM-III), including left atrial appendage excision. The aim was to analyze the incidence of stroke/transient ischemic attack (TIA) and the association to preoperative CHA(2)DS(2)-VASc (age in years, sex, congestive heart failure history, hypertension history, stroke/TIA, thromboembolism history, vascular disease history, diabetes mellitus) score. Methods. Preoperative and perioperative data were collected in 526 CM-III patients operated in four centers 1994 to 2009, 412 men, mean age of 57.1 +/- 8.3 years. The incidence of any stroke/TIA was identified through analyses of the Swedish National Patient and Cause-ofDeath Registers and from review of individual patient records. The cumulative incidence of stroke/TIA and association with CHA(2)DS(2)-VASc score was estimated using methods accounting for the competing risk of death. Results. Mean follow-up was 10.1 years. There were 29 patients with any stroke/TIA, including 6 with intracerebral bleedings (2 fatal) and 4 with perioperative strokes (0.76%). The remaining 13 ischemic strokes and six TIAs occurred at a mean of 7.1 +/- 4.0 years postoperatively, with an incidence of 0.36% per year (19 events per 5,231 patient-years). In all CHA(2)DS(2)-VASc groups, observed ischemic stroke/TIA rate was lower than predicted. A higher risk of ischemic stroke/TIA was seen in patients with CHA(2)DS(2)-VASc score 2 or greater compared with score 0 or 1 (hazards ratio 2.15, 95% confidence interval: 0.87 to 5.32) but no difference by sex or stand-alone versus concomitant operation. No patient had ischemic stroke as cause of death. Conclusions. This multicenter study showed a low incidence of perioperative and long-term postoperative ischemic stroke/TIA after CM-III. Although general risk of ischemic stroke/TIA was reduced, patients with CHA(2)DS(2)-VASc score 2 or greater had a higher risk compared with score 0 or 1. Complete left atrial appendage excision may be an important reason for the low ischemic stroke rate. (C) 2017 by The Society of Thoracic Surgeons

National Category
Surgery
Identifiers
urn:nbn:se:uu:diva-333509 (URN)10.1016/j.athoracsur.2016.11.065 (DOI)000406781200052 ()28242081 (PubMedID)
Available from: 2017-11-14 Created: 2017-11-14 Last updated: 2017-11-14Bibliographically approved
Albåge, A. (2017). Postoperative chylothorax: a cause for concern. Acta Neurochirurgica, 159(10), 2023-2024
Open this publication in new window or tab >>Postoperative chylothorax: a cause for concern
2017 (English)In: Acta Neurochirurgica, ISSN 0001-6268, E-ISSN 0942-0940, Vol. 159, no 10, p. 2023-2024Article in journal, Editorial material (Other academic) Published
National Category
Surgery
Identifiers
urn:nbn:se:uu:diva-346497 (URN)10.1007/s00701-017-3297-7 (DOI)000409907500028 ()28812163 (PubMedID)
Available from: 2018-03-19 Created: 2018-03-19 Last updated: 2018-03-19Bibliographically approved
Albåge, A., Johansson, B., Kenneback, G., Källner, G., Schersten, H. & Jideus, L. (2016). Long-Term Follow-Up of Cardiac Rhythm in 320 Patients After the Cox-Maze III Procedure for Atrial Fibrillation. Annals of Thoracic Surgery, 101(4), 1443-1449
Open this publication in new window or tab >>Long-Term Follow-Up of Cardiac Rhythm in 320 Patients After the Cox-Maze III Procedure for Atrial Fibrillation
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2016 (English)In: Annals of Thoracic Surgery, ISSN 0003-4975, E-ISSN 1552-6259, Vol. 101, no 4, p. 1443-1449Article in journal (Refereed) Published
Abstract [en]

Background. The Cox-maze III (CM-III) procedure is the gold standard for surgical treatment of atrial fibrillation (AF). Excellent short-term results have been reported, but long-term outcomes are lesser known. The aim was to evaluate current cardiac rhythm in a nationwide cohort of CM-III patients with very long follow-up.

Methods. Perioperative characteristics were retrospectively analyzed in 536 "cut-and-sew" CM-III patients operated on from 1994 to 2009 in 4 centers. Of these, 54 patients had died and 20 were unavailable at follow-up. The remaining 462 patients received a survey concerning arrhythmia symptoms, rhythm, and medication; of these, 320 patients (69%), comprising 252 men, with a mean age of 67 years (range, 47 to 87 years), and 83% with stand-alone CM-III, returned a current 12-lead electrocardiogram. Long-term monitoring was evaluated in 40 sinus rhythm patients. Postoperative stroke/transient ischemic attack was evaluated by register analysis.

Results. Mean follow-up was 111 44 months (range, 36-223 months). Electrocardiogram analysis showed sinus rhythm in 219 of 320 patients (68%), and regular supraventricular rhythm (sinus, nodal, or atrial pacing) in 262 (82%), with 75% off class I/III antiarrhythmic medication. This group had lower arrhythmia symptom scores and medication use. Rhythm outcome did not differ by gender, age, type of AF, or stand-alone vs concomitant operation. Patients with more than 10 years of follow-up had a lower rate of regular supraventricular rhythm (69% vs 91%, p = 0.02). Long-term monitoring showed freedom from AF/atrial flutter in 38 of 40 patients (95%). The incidence of stroke/transient ischemic attack was 0.37% per year (11 patients).

Conclusions. In a single-moment electrocardiogram evaluation 9 years after the cut-and-sew CM-III, 82% of patients were in sinus rhythm or other regular supraventricular rhythm. These findings support a long-lasting positive effect of the CM-III procedure, which is relevant when evaluating current nonpharmacologic therapies for AF. (C) 2016 by The Society of Thoracic Surgeons

National Category
Clinical Medicine
Identifiers
urn:nbn:se:uu:diva-294681 (URN)10.1016/j.athoracsur.2015.09.066 (DOI)000372522700040 ()26654727 (PubMedID)
Funder
Swedish Heart Lung Foundation
Available from: 2016-06-01 Created: 2016-05-26 Last updated: 2017-11-30Bibliographically approved
Albåge, A., Jideus, L., Liden, H. & Schersten, H. (2014). The Berglin apical stitch: a simple technique to straighten things out in atrial fibrillation surgery. Interactive Cardiovascular and Thoracic Surgery, 19(4), 685-686
Open this publication in new window or tab >>The Berglin apical stitch: a simple technique to straighten things out in atrial fibrillation surgery
2014 (English)In: Interactive Cardiovascular and Thoracic Surgery, ISSN 1569-9293, E-ISSN 1569-9285, Vol. 19, no 4, p. 685-686Article in journal (Refereed) Published
Abstract [en]

In the Cox-Maze IV procedure, or in endocardial left atrial ablation, correct positioning of the surgical ablation probe within the left atrium might be difficult due to bulging or folds in the posterior left atrial wall. The Berglin apical stitch is a simple trick of the trade to create a smooth surface in the posterior left atrium that facilitates performing a safe transmural lesion and, consequently, may increase antiarrhythmic efficiency.

Keywords
Atrial fibrillation, Ablation techniques, Cryosurgery
National Category
Cardiac and Cardiovascular Systems
Identifiers
urn:nbn:se:uu:diva-237316 (URN)10.1093/icvts/ivu220 (DOI)000343318800030 ()24997186 (PubMedID)
Note

Group Author(s): Swedish Arrhythmia Surg Grp

Available from: 2014-12-01 Created: 2014-12-01 Last updated: 2017-12-05Bibliographically approved
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