Abstract
It is well known that the most important factor in the success of the Cox maze procedure is the correct performance of the lesion set. Multiple ablation devices are commercially available. It is important to use each ablation device correctly to eliminate gaps in the ablation lines, which can render the maze ineffective.1 The maze procedure historically was done with a cut-and-sew lesion set, but most of the cuts can and have been replaced with bipolar radiofrequency ablations, using a clamp. However, a few lesions of the Cox maze procedure have always required cryoablation (namely, the valve annulus lesions) to preserve the valve tissue.
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