Talk:Minimaze procedure

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This article incorporates text from http://www.minimaze.org, which is licensed by Creative Commons Attribution 2.5 License.

References

Excellent article. The references should be wikified. Dlodge 00:14, 18 December 2006 (UTC)[reply]

This is in progress in my sandbox - User:Dlodge/Sandbox/Maze procedure. I will continue the edit and make the new Maze procedure page soon. Dlodge 21:37, 5 January 2007 (UTC)[reply]

Naming minimaze vs. maze procedure

Would this article be better named Maze procedure? Minimaze is the name of a specific type of maze procedure. The Maze procedure has been expanded with different technical procedures, but conceptually, they all fall with Maze. Dlodge 00:14, 18 December 2006 (UTC)[reply]

No response - I will make this move in the near future. Dlodge 06:58, 4 January 2007 (UTC)[reply]

No, I think that this should remain named minimaze. The Maze procedure(s) deserve a separate entry; they continue to be developed in parallel with other curative procedures for atrial fibrillation, such as catheter ablation and the minimaze procedure(s). The distinction is that Maze procedures require cardiopulmonary bypass and median sternotomy; minimaze procedures do not. Also, the "theory" behind the Maze involves many long incisions to block large waves of atrial reentry; the minimaze(s) have few lesions and aren't thought to operate on the same principle (though much is controversial in this field). In fact, some would say that the Wolf version of the minimaze is closer to catheter ablation (similar lesion set) than it is to Maze surgery at all.

The Maze was given a paragraph here mostly for historical purposes, that is, to show how the minimaze procedures arose. That was my intent when I originally developed the minimaze article.

If you were ambitious you could do an article on the Maze procedure(s) and link to it from the Treatment section of the Atrial Fibrillation article, which has just a single paragraph about the Cox Maze. In any case, it seems to me that each of the three main curative approaches (Maze, minimaze, catheter ablation) each deserve separate entries.jamesmcclelland 07:04, 16 January 2007 (UTC)[reply]

I agree on three separate articles for maze, minimaze and catheter ablation. The minimaze procedures duplicate a subset of the Cox Maze procedure - primarily, isolation of the pulmonary veins. I have only been involved with the Wolf minimaze; I have not seen any other type of minimaze performed. Dlodge 06:35, 28 January 2007 (UTC)[reply]

Agreed re: separate articles. I probably won't have time for that myself, but surely there is someone who wants to do one on the Cox Maze.

The microwave minimaze actually came before the Wolf minimaze (see Saltman references); there is a very informative site here. It continues to be performed. Cox is involved with the HIFU minimaze hence that has quite a lot of visibility as well; he continues to be a pioneering arrhythmia surgeon and the biggest name in the field. I have been involved with catheter ablation of AF and the Wolf minimaze directly, but also observed a microwave minimaze. In any case, I think that these different procedures need to be distinguished as clearly as possible, esp. now that patients use Wikipedia and other sources for medical information. It's a confusing area and many patients (docs too!) are confused about the differences between the Cox-Maze and the minimaze(s), and between the various minimaze procedures. It will only get worse as new minimaze-like procedures are developed. jamesmcclelland 04:24, 29 January 2007 (UTC)[reply]

This article is about all types of Maze procedures. I agree with James that we should stick to a general title. It is Wikipedia's task to track the various types of procedures, probably in a historical context and by modality. JFW | T@lk 14:12, 31 January 2008 (UTC)[reply]

Thanks to all who participated in clarifying the relationships between the various procedures. We now have a separate entry for the Cox maze procedure, and there seems to be agreement that these should be separate entries.jamesmcclelland (talk) 23:27, 23 March 2008 (UTC)[reply]

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