Clinical outcomes of adjunctive posterior wall isolation in persistent atrial fibrillation: A meta-analysis
| Autor: | Mohsin Salih, Mohammad Al-Akchar, Cameron Koester, Claude S. Elayi, Mukul Bhattarai, Mohammad Ayan, Abdisamad M. Ibrahim, Yousef Darrat, Mohamed Labedi |
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| Rok vydání: | 2020 |
| Předmět: |
Tachycardia
Male medicine.medical_specialty Time Factors medicine.medical_treatment Action Potentials 030204 cardiovascular system & hematology Risk Assessment Disease-Free Survival Pulmonary vein 03 medical and health sciences 0302 clinical medicine Heart Rate Recurrence Risk Factors Physiology (medical) Internal medicine Atrial Fibrillation medicine Humans 030212 general & internal medicine Aged business.industry Atrial fibrillation Middle Aged Ablation medicine.disease Confidence interval Pulmonary Veins Relative risk Meta-analysis Cardiology Catheter Ablation Female medicine.symptom Cardiology and Cardiovascular Medicine business Atrial flutter |
| Zdroj: | Journal of cardiovascular electrophysiologyREFERENCES. 31(6) |
| ISSN: | 1540-8167 |
| Popis: | BACKGROUND Pulmonary vein isolation (PVI) is the cornerstone of atrial fibrillation (AF) ablation but the recurrence rate remains relatively high in persistent patients with AF. Therefore, posterior wall isolation (PWI) in addition to PVI has been proposed to increase freedom from AF. OBJECTIVE To evaluate the success of adjunctive PWI in persistent AF. METHODS We searched electronic database using specific terms. The primary outcomes are recurrence rate of AF and recurrence of atrial arrhythmias. The secondary outcomes were atrial flutter/tachycardia (AFL/AT), procedure time, fluoroscopy time, and procedure related complications. Estimated risk ratios (RRs) and 95% confidence intervals (CIs) were evaluated. RESULTS Six studies were included (1334 patients with persistent AF). Adjunctive PWI resulted in a significant reduction in the recurrence rate of AF compared with patients who had PVI only (19.8% vs 29.1%; RR, 0.64; 95% CI, 0.42-0.97; P |
| Databáze: | OpenAIRE |
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