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dc.contributor.authorColwell, E.M.
dc.contributor.authorEncarnacion, C.O.
dc.contributor.authorRein, L.E.
dc.date.accessioned2019-05-21T18:56:26Z
dc.date.available2019-05-21T18:56:26Z
dc.date.issued2018
dc.identifier.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85048791354&doi=10.1186%2fs13019-018-0746-1&partnerID=40&md5=7e30f96f16a095bed2c512f075cd60e8
dc.identifier.urihttp://hdl.handle.net/10713/9299
dc.description.abstractBackground: There have been numerous studies regarding atrial fibrillation (AF) associated with cardiac and pulmonary surgery; however, studies looking at esophagectomy and atrial fibrillation are sparse. The goal of this study was to review our institution's atrial fibrillation rate following esophagectomy in order to better define the incidence and predisposing factors in this patient population. Methods: A retrospective chart review of all patients undergoing esophagectomy with transcervical endoscopic mobilization of the esophagus (TEEM) at the Medical College of Wisconsin and Affiliated Hospitals from July 2009 through December 2012. Results: Seventy-one patients underwent TEEM esophagectomy during the study period. Of those, 23 (32.4%) patients developed new atrial fibrillation postoperatively. ICU (Intensive Care Unit) length of stay was 7.1 days for those that did not receive amiodarone, compared to 5.3 days for those that did receive amiodarone (p < 0.025). Those that went into AF spent on average 9.3 days in the ICU compared to 4.7 days for their counterparts that did not go into AF (p < 0.006). Total length of stay was not statistically different between populations [15.1 +/- 11.3 days compared to 13.5 +/- 9.4 days for those who did not go into AF (p < 0.281)]. Receiving preoperative amiodarone was found to reduce the overall incidence of AF. There was a trend towards decreased risk of going into AF in those who received preoperative amiodarone with an adjusted hazard ratio of 0.555 (p = 0.057). Conclusion: Similar to data reported in previous literature, postoperative atrial fibrillation was found to increase ICU length of stay as well as overall length of hospital stay. Preoperative amiodarone administration displayed a trend toward decreasing the rates of atrial fibrillation in patients undergoing TEEM. Copyright 2018 The Author(s).en_US
dc.description.urihttps://dx.doi.org/10.1186/s13019-018-0746-1en_US
dc.language.isoen-USen_US
dc.publisherBioMed Central Ltd.en_US
dc.relation.ispartofJournal of Cardiothoracic Surgery
dc.subjectAmiodaroneen_US
dc.subjectAtrial Fibrillationen_US
dc.subjectEsophagectomyen_US
dc.titleAtrial fibrillation after transhiatal esophagectomy with transcervical endoscopic esophageal mobilization: One institution's experienceen_US
dc.typeArticleen_US
dc.identifier.doi10.1186/s13019-018-0746-1
dc.identifier.pmid29921284


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