Percutaneous ventricular assist device in ventricular tachycardia ablation: a systematic review and meta-analysis

Autor: Tawseef Dar, Andrea Natale, Luigi Di Biase, Jalaj Garg, Venkat Vuddanda, Mohit K. Turagam, Bharath Yarlagadda, Arash Aryana, Scott Koerber, Dhanunjaya Lakkireddy
Rok vydání: 2018
Předmět:
Zdroj: Journal of Interventional Cardiac Electrophysiology. 55:197-205
ISSN: 1572-8595
1383-875X
DOI: 10.1007/s10840-018-0477-1
Popis: There is a lack of compelling data regarding the benefit of percutaneous ventricular assist devices (PVAD) in patients undergoing ventricular tachycardia (VT) ablation. The study aims to conduct a meta-analysis comparing the safety and efficacy of PVAD versus no-PVAD (N-PVAD) during VT ablation. Studies meeting criteria were systematically reviewed. Baseline characteristics and clinical outcomes were extracted and analyzed. A meta-analysis was performed using random-effects model to calculate risk ratio (RR) and mean difference (MD) with 95% confidence interval (CI). The meta-analysis included five retrospective, observational studies consisting of 2026 patients (PVAD group—284 patients versus N-PVAD group—1742 patients). The PVAD group was sicker with significantly higher VT storm, lower LVEF and greater proportion of NYHA class ≥ III than N-PVAD (p
Databáze: OpenAIRE