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Article ; Online: Surgical Treatment of Atrial Fibrillation.

Wolf, Randall K

Methodist DeBakey cardiovascular journal

2021 Volume 17, Issue 1, Page(s) 56–64

Abstract: The surgical treatment of atrial fibrillation (AF) has evolved significantly over the last 20 years and even more so in the last 5 years. There are now many clinically successful surgical procedures focused on eliminating AF and AF-related stroke. This ... ...

Abstract	The surgical treatment of atrial fibrillation (AF) has evolved significantly over the last 20 years and even more so in the last 5 years. There are now many clinically successful surgical procedures focused on eliminating AF and AF-related stroke. This review discusses the current types of surgical AF procedures, including minimally invasive and hybrid, and may assist clinicians in understanding the various surgical AF options available to patients today.
MeSH term(s)	Ablation Techniques/adverse effects ; Action Potentials ; Anti-Arrhythmia Agents/therapeutic use ; Atrial Fibrillation/diagnosis ; Atrial Fibrillation/physiopathology ; Atrial Fibrillation/surgery ; Autonomic Denervation/adverse effects ; Autonomic Nervous System/physiopathology ; Autonomic Nervous System/surgery ; Heart Atria/innervation ; Heart Rate ; Humans ; Maze Procedure ; Stroke/diagnostic imaging ; Stroke/physiopathology ; Stroke/prevention & control ; Treatment Outcome
Chemical Substances	Anti-Arrhythmia Agents
Language	English
Publishing date	2021-03-25
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	2544079-2
ISSN	1947-6108 ; 1947-6094
ISSN (online)	1947-6108
ISSN	1947-6094
DOI	10.14797/VNDG5944
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: A perspicacious view.

Wolf, Randall K

Innovations (Philadelphia, Pa.)

2012 Volume 1, Issue 1, Page(s) 1–2

Language	English
Publishing date	2012-02-24
Publishing country	United States
Document type	Journal Article
ISSN	1556-9845
ISSN	1556-9845
DOI	10.1177/155698450500100101
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Treatment of lone atrial fibrillation: minimally invasive pulmonary vein isolation, partial cardiac denervation and excision of the left atrial appendage.

Wolf, Randall K

Annals of cardiothoracic surgery

2014 Volume 3, Issue 1, Page(s) 98–104

Abstract: ... of AF (Wolf technique). From our experience in over 1,000 cases there have been many lessons learned ... 1 to 9 years out from the Wolf technique. The patients' ages ranged from 15 to 87 years old. The AF ... The follow-up included 7-day continuous monitoring. There were no deaths (personal review). The Wolf ...

Abstract	Since 1999, my colleagues and I have diligently pursued a minimally invasive surgical, beating-heart, left atrial isolation technique that is offered to patients with lone atrial fibrillation (AF). We began clinical cases in 2003. In 2005, we reported our initial experience with video-assisted bilateral pulmonary vein (PV) isolation and left atrial appendage (LAA) exclusion for the minimally invasive treatment of AF (Wolf technique). From our experience in over 1,000 cases there have been many lessons learned in the evaluation, selection and minimally invasive surgical treatment of patients with lone AF. In our experience we have had zero mortality and no conversions to sternotomy. Recently we reviewed 157 patients who are now 1 to 9 years out from the Wolf technique. The patients' ages ranged from 15 to 87 years old. The AF-free rate for paroxysmal AF was 92%, for persistent AF 85%, and for long-standing persistent AF 75%. The follow-up included 7-day continuous monitoring. There were no deaths (personal review). The Wolf technique is a safe and effective treatment for selected patients with lone AF.
Language	English
Publishing date	2014-02-03
Publishing country	China
Document type	Journal Article
ZDB-ID	2713627-9
ISSN	2304-1021 ; 2225-319X
ISSN (online)	2304-1021
ISSN	2225-319X
DOI	10.3978/j.issn.2225-319X.2014.01.06
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Ultralow energy cardioversion in a pig model of atrial fibrillation: A feasibility study.

Elgalad, Abdelmotagaly / Moctezuma-Ramirez, Angel / de Oliveira Cardoso, Cristiano / John, Mathews / Pergolizzi, Joseph / Wolf, Randall K

Heart rhythm

2022 Volume 19, Issue 6, Page(s) 1008–1010

MeSH term(s)	Animals ; Atrial Fibrillation/therapy ; Electric Countershock ; Feasibility Studies ; Swine
Language	English
Publishing date	2022-01-21
Publishing country	United States
Document type	Journal Article
ZDB-ID	2229357-7
ISSN	1556-3871 ; 1547-5271
ISSN (online)	1556-3871
ISSN	1547-5271
DOI	10.1016/j.hrthm.2022.01.023
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Zs.A 6278: Show issues

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Article: Minimally invasive surgery for atrial fibrillation-Wolf Mini Maze procedure.

Wolf, Randall K / Burgess, Sandra

Annals of cardiothoracic surgery

2014 Volume 3, Issue 1, Page(s) 122–123

Language	English
Publishing date	2014-02-03
Publishing country	China
Document type	Journal Article ; Review
ZDB-ID	2713627-9
ISSN	2304-1021 ; 2225-319X
ISSN (online)	2304-1021
ISSN	2225-319X
DOI	10.3978/j.issn.2225-319X.2014.01.09
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Article ; Online: Expert Opinions on the Debate of Pericardial Reconstruction in Cardiovascular Surgery: To Close or Not to Close?

Rego, Alfredo / Boyd, W Douglas / Gongora, Enrique / Johnson Iii, William E / Munfakh, Nabil A / Pirris, John / Wolf, Randall K

The heart surgery forum

2022 Volume 25, Issue 1, Page(s) E008–E019

Abstract: Background: As of 2019, pericardial closure was performed in only a small portion of the over 320,000 cardiac surgeries performed annually. However, evidence regarding the benefits of pericardial closure or reconstruction has been accruing, particularly ...

Abstract	Background: As of 2019, pericardial closure was performed in only a small portion of the over 320,000 cardiac surgeries performed annually. However, evidence regarding the benefits of pericardial closure or reconstruction has been accruing, particularly with the publication of the RECON study in 2019. Methods: This group of authors convened to try to arrive at consensus expert opinion regarding pericardial reconstruction. Structured topic questions initially were used to stimulate discussion. Subsequently, a survey of proposed expert opinion statements was conducted among the authors. Based on that survey, consensus expert opinion statements and recommendations were compiled. Results: The expert opinions encompass various topics relating to pericardial reconstruction, including definitions, benefits/risks, and technique. Observed benefits include reductions in: (1) adhesions; (2) postoperative pericardial effusion, atrial fibrillation, and bleeding; and (3) readmissions and length of hospital stay. Expert opinion recommendations regarding surgical technique are compiled into a single chart. Complete pericardial reconstruction should be performed, using native pericardial tissue if available and viable; if not feasible, a patch may be used. Patches that stimulate the formation of site-specific tissue in situ (such as natural extracellular matrix) may have additional benefits (including bioregenerative properties and lack of inflammatory response). Closure should be taut, but tension-free. Adequate drainage of the closed pericardium must be ensured. Conclusions: Based on available data and collective surgical experience, we endorse pericardial reconstruction as standard approach in appropriately selected patients. We also endorse adoption of standardized pericardial reconstruction techniques to optimize patient outcomes and improve evidence quality in future studies.
MeSH term(s)	Cardiac Surgical Procedures/methods ; Expert Testimony ; Humans ; Pericardial Effusion/surgery ; Pericardium/surgery ; Reconstructive Surgical Procedures
Language	English
Publishing date	2022-01-13
Publishing country	United States
Document type	Journal Article
ZDB-ID	2069188-9
ISSN	1522-6662 ; 1098-3511
ISSN (online)	1522-6662
ISSN	1098-3511
DOI	10.1532/hsf.3943
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Zs.A 5745: Show issues

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Je nach Verfügbarkeit (siehe Angabe bei Bestand)
bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
Jg. 1995 - 2021: Lesesall (2.OG)
ab Jg. 2022: Lesesaal (EG)

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Article ; Online: Invited commentary.

Wolf, Randall K

The Annals of thoracic surgery

2008 Volume 86, Issue 5, Page(s) 1663

MeSH term(s)	Aged ; Animals ; Atrial Fibrillation/diagnostic imaging ; Atrial Fibrillation/surgery ; Catheter Ablation ; Disease Models, Animal ; Dogs ; Echocardiography ; Ethanol/administration & dosage ; Female ; Ganglionectomy ; Humans ; Male
Chemical Substances	Ethanol (3K9958V90M)
Language	English
Publishing date	2008-11
Publishing country	Netherlands
Document type	Journal Article ; Comment
ZDB-ID	211007-6
ISSN	1552-6259 ; 0003-4975
ISSN (online)	1552-6259
ISSN	0003-4975
DOI	10.1016/j.athoracsur.2008.07.014
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Zs.A 252: Show issues

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Jg. 1995 - 2021: Lesesall (1.OG)
ab Jg. 2022: Lesesaal (EG)

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Article: The Future of Surgery and ISMICS.

Wolf, Randall K

Innovations (Philadelphia, Pa.)

2006 Volume 1, Issue 6, Page(s) 285–292

Language	English
Publishing date	2006
Publishing country	United States
Document type	Journal Article
ISSN	1556-9845
ISSN	1556-9845
DOI	10.1097/IMI.0b013e31802f43d8
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Minimally invasive surgical treatment of atrial fibrillation.

Wolf, Randall K

Seminars in thoracic and cardiovascular surgery

2007 Volume 19, Issue 4, Page(s) 311–318

Abstract: Surgical ablation for atrial fibrillation (AF) can now be successfully performed utilizing minimally invasive techniques, as surgeon experience with these approaches has increased, and technologic advances in minimally invasive instrumentation have been ... ...

Abstract	Surgical ablation for atrial fibrillation (AF) can now be successfully performed utilizing minimally invasive techniques, as surgeon experience with these approaches has increased, and technologic advances in minimally invasive instrumentation have been made. Surgical management of atrial fibrillation, as well as our minimally invasive approach, will be discussed in depth.
MeSH term(s)	Atrial Fibrillation/physiopathology ; Atrial Fibrillation/surgery ; Cardiac Surgical Procedures/instrumentation ; Cardiac Surgical Procedures/methods ; Electrophysiology ; Humans ; Minimally Invasive Surgical Procedures/instrumentation ; Minimally Invasive Surgical Procedures/methods
Language	English
Publishing date	2007
Publishing country	United States
Document type	Journal Article
ZDB-ID	1038278-1
ISSN	1532-9488 ; 1043-0679
ISSN (online)	1532-9488
ISSN	1043-0679
DOI	10.1053/j.semtcvs.2007.12.006
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Zs.A 2747: Show issues

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Article ; Online: Dynamic Response of Donor-Derived Cell-Free DNA Following Treatment of Acute Rejection in Kidney Allografts.

Wolf-Doty, Theresa K / Mannon, Roslyn B / Poggio, Emilio D / Hinojosa, Randall J / Hiller, David / Bromberg, Jonathan S / Brennan, Daniel C

Kidney360

2021 Volume 2, Issue 4, Page(s) 729–736

Abstract: Background: The quantification of rejection treatment efficacy has been insufficient using traditional markers due, in part, to the lagging response of serum creatinine and histologic alterations on biopsy specimens. Donor-derived cell-free DNA (dd- ... ...

Abstract	Background: The quantification of rejection treatment efficacy has been insufficient using traditional markers due, in part, to the lagging response of serum creatinine and histologic alterations on biopsy specimens. Donor-derived cell-free DNA (dd-cfDNA) is a molecular marker of injury that may assess allograft injury after rejection. Methods: Retrospective review of the DART study identified 70 patients who had a clinically indicated biopsy, simultaneous dd-cfDNA measurement, and at least one follow-up dd-cfDNA within 3 months post-treatment. Thirty-five patients had no biopsy-proven rejection and no rejection treatment (NR), 16 patients had no biopsy-proven rejection but did receive rejection treatment (CR), 9 patients had diagnosis of ABMR/mixed rejection on biopsy and received rejection treatment (ABMR), and 10 patients had diagnosis of TCMR and received rejection treatment (TCMR). The CR, ABMR, and TCMR groups combined to form a rejection (R) group. Results: In the R group, median dd-cfDNA values at baseline and 1 month were 0.62% and 0.35% (n=21 pairs, p=0.34), and at baseline and 2-3 months were 0.77% and 0.21% (n=23 pairs, p=0.002). In TCMR, median dd-cfDNA values at baseline and 1 month were 1.13% and 0.37% (n=5 pairs, p=0.63), and at baseline and 2-3 months were 0.25% and 0.12% (n=9 pairs, p=0.004). In ABMR, median dd-cfDNA values at baseline and 1 month were 1.61% and 1.2 % (n=6 pairs, p>0.99), and at baseline and 2-3 months were 3.85% and 1.32% (n=6 pairs, p=0.09). In CR, median dd-cfDNA values at baseline and 1 month were 0.31% and 0.29% (n=10 pairs, p=0.38), and at baseline and 2-3 months were 0.38% and 0.17% (n=8 pairs, p=0.31). Lastly, in NR, median dd-cfDNA values at baseline and 1 month were 0.23% and 0.18% (n=21 pairs, p=0.10), and at baseline and 2-3 months were 0.33% and 0.17% (n=26 pairs, p=0.003). Changes in serum creatinine across 1 month and 2-3 months following rejection were similar. Conclusions: dd-cfDNA may be a useful dynamic biomarker to assess the health of the kidney allograft following rejection treatment.
MeSH term(s)	Allografts ; Cell-Free Nucleic Acids ; Graft Rejection/diagnosis ; Humans ; Kidney/surgery ; Kidney Transplantation/adverse effects
Chemical Substances	Cell-Free Nucleic Acids
Language	English
Publishing date	2021-02-03
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ISSN	2641-7650
ISSN (online)	2641-7650
DOI	10.34067/KID.0000042021
Database	MEDical Literature Analysis and Retrieval System OnLINE

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