Atrial Fibrillation Services - Specialized Procedures
This page provides information about a featured electrophysiologist, cardiologist, cardiothoracic surgeon, hospital, heart hospital, arrhythmia center, or atrial fibrillation center.
On this page you will find information about this atrial fibrillation patient services provider's specialized atrial fibrillation treatments, such as catheter ablation, maze surgery, or the mini maze procedure, as well as the provider's afib procedure results, if available.
The link back to the Full Profile will take you to a profile of this provider that has background, an overview of the atrial fibrillation treatments provided, and a link to reviews by other afib patients, if available.
Thomas E. Gaines, MD
1940 Alcoa Highway, Suite E260
Knoxville, Tennessee
865-637-6392
Visit Web Site
Specialized Procedures and Results
The University of Tennessee Medical Center is the only hospital in East Tennessee to offer the Mini-Maze procedure. Experience to date, indicates that the Mini-Maze surgery eliminates atrial fibrillation in more than 85 percent of patients who undergo the surgery.
The procedure, also called the Wolf MiniMaze, was developed by Randall Wolf, MD, from University Hospital in Cincinnati. It is performed using minimally invasive devices all navigated by a miniature camera so physicians can see and operate on the heart without making large incisions in the chest. Patients can return to normal activity more quickly after the procedure and note less pain than with the traditional approach. In fact, hospital stays often are only two days instead of seven or more with conventional surgery.
The Mini-Maze procedure involves the use of thoracoscopy, whereby a video telescope is inserted into the chest and instruments specially designed for the procedure are inserted via small ports or “keyhole” incisions. This means there are only small incisions and no division of bones or spreading of ribs. Surgeons are able to burn lines in the heart, isolating areas where the irregular signal starts. The damaged tissue can no longer conduct electrical impulses, interrupting the transmission of the abnormal signal and allowing the rest of the chamber to resume beating normally. In addition the left atrial appendage, a fingerlike structure where clots form, is removed. This significantly reduces the stroke risk faced by patients on a daily basis.
