We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Atrial fibrillation after lung cancer surgery: incidence, severity, and risk factors.
- Authors
Muranishi, Yusuke; Sonobe, Makoto; Menju, Toshi; Aoyama, Akihiro; Chen-Yoshikawa, Toyohumi; Sato, Toshihiko; Date, Hiroshi
- Abstract
Purpose: Atrial fibrillation (Af) is a common post-operative cardiac complication after lung cancer surgery; however, the type of lung cancer surgery being performed has evolved, remarkably, into minimally invasive surgical procedures. The purpose of this study was to quantify the incidence and severity of post-operative Af and to identify the risk factors for Af, using a recent cohort of lung cancer surgery patients. Methods: We reviewed, retrospectively, the medical records of 593 patients, who underwent lung cancer surgery between 2011 and 2013, for the development of post-operative Af. Results: The overall incidence of post-operative Af in our study was 6.4 % (38/593). Three (8 %) of these 38 patients, subsequently, suffered brain infarction. Multivariate analysis revealed that mediastinal lymph node dissection (OR ND-2/ND-0-1 = 3.06; 95 % CI 1.06-10.9) was associated with the development of post-operative Af. Conclusion: Omission of mediastinal lymph dissection for patients with early stage lung cancer and a high risk of Af should be considered to prevent post-operative Af.
- Subjects
ATRIAL fibrillation; LUNG surgery complications; LUNG cancer treatment; ONCOLOGIC surgery; LYMPHADENECTOMY
- Publication
Surgery Today, 2017, Vol 47, Issue 2, p252
- ISSN
0941-1291
- Publication type
Article
- DOI
10.1007/s00595-016-1380-y