The superiority of high‐power short‐duration radiofrequency catheter ablation strategy for atrial fibrillation treatment: A systematic review and meta‐analysis study
Abstract Background Radiofrequency catheter ablation (RFCA) using the high‐power short duration (HPSD) results in better ablation lesion formation in the swine model. This systematic review and meta‐analysis purposed to investigate the safety and efficacy profile between HPSD and low‐power long‐dura...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2021-08-01
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| Series: | Journal of Arrhythmia |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/joa3.12590 |
| _version_ | 1819145169763565568 |
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| author | Yoga Waranugraha Ardian Rizal Achmad J. Firdaus Fransiska A. Sihotang Akita R. Akbar Defyna D. Lestari Muhammad Firdaus Akhmad I. Nurudinulloh |
| author_facet | Yoga Waranugraha Ardian Rizal Achmad J. Firdaus Fransiska A. Sihotang Akita R. Akbar Defyna D. Lestari Muhammad Firdaus Akhmad I. Nurudinulloh |
| author_sort | Yoga Waranugraha |
| collection | DOAJ |
| description | Abstract Background Radiofrequency catheter ablation (RFCA) using the high‐power short duration (HPSD) results in better ablation lesion formation in the swine model. This systematic review and meta‐analysis purposed to investigate the safety and efficacy profile between HPSD and low‐power long‐duration (LPLD) ablation strategies to treat atrial fibrillation (AF) patients. Methods We completed the literature review after identifying the relevant articles comparing HPSD and LPLD ablation methods for AF recorded in ClinicalTrials.com, CENTRAL, PubMed, and ScienceDirect until February 2021. The overall effects were calculated using pooled risk ratio (RR) and mean difference (MD) for categorical and continuous data, respectively. We also estimated the 95% confidence interval (CI). Results The HPSD strategy took shorter procedure time (MD = −33.75 min; 95% CI = −44.54 to −22.97; P < .01), fluoroscopy time (MD = −5.73 min; 95% CI = −8.77 to −2.70; P < .001), and ablation time (MD = −17.71; 95% CI = −21.02 to −14.41) than LPLD strategy. The HPSD RFCA was correlated with lower risk of esophageal thermal injury (RR = 0.75; 95% CI = 0.59 to 0.94; P = .02). The HPSD method resulted in higher first‐pass pulmonary vein isolation (PVI) (RR = 1.36; 95% CI = 1.13 to 1.64; P < .01), lower PV reconnection (RR = 0.47; 95% CI = 0.34 to 0.64; P < .01), and lower recurrent AF (RR = 0.72; 95% CI = 0.54 to 0.96; P = .02) than LPLD strategy. Conclusion HPSD RFCA was superior to the conventional LPLD RFCA in terms of safety and efficacy in treating AF patients. |
| first_indexed | 2024-12-22T12:53:46Z |
| format | Article |
| id | doaj.art-0e21c79cb37f4ec389149013023465e4 |
| institution | Directory Open Access Journal |
| issn | 1880-4276 1883-2148 |
| language | English |
| last_indexed | 2024-12-22T12:53:46Z |
| publishDate | 2021-08-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Arrhythmia |
| spelling | doaj.art-0e21c79cb37f4ec389149013023465e42022-12-21T18:25:10ZengWileyJournal of Arrhythmia1880-42761883-21482021-08-0137497598910.1002/joa3.12590The superiority of high‐power short‐duration radiofrequency catheter ablation strategy for atrial fibrillation treatment: A systematic review and meta‐analysis studyYoga Waranugraha0Ardian Rizal1Achmad J. Firdaus2Fransiska A. Sihotang3Akita R. Akbar4Defyna D. Lestari5Muhammad Firdaus6Akhmad I. Nurudinulloh7Department of Cardiology and Vascular Medicine Faculty of Medicine Universitas Brawijaya, Dr. Saiful Anwar General Hospital Malang IndonesiaDepartment of Cardiology and Vascular Medicine Faculty of Medicine Universitas Brawijaya, Dr. Saiful Anwar General Hospital Malang IndonesiaDepartment of Cardiology and Vascular Medicine Faculty of Medicine Universitas Brawijaya, Dr. Saiful Anwar General Hospital Malang IndonesiaDepartment of Cardiology and Vascular Medicine Faculty of Medicine Universitas Brawijaya, Dr. Saiful Anwar General Hospital Malang IndonesiaDepartment of Cardiology and Vascular Medicine Faculty of Medicine Universitas Brawijaya, Dr. Saiful Anwar General Hospital Malang IndonesiaDepartment of Cardiology and Vascular Medicine Faculty of Medicine Universitas Brawijaya, Dr. Saiful Anwar General Hospital Malang IndonesiaDepartment of Cardiology and Vascular Medicine Faculty of Medicine Universitas Brawijaya, Dr. Saiful Anwar General Hospital Malang IndonesiaDepartment of Cardiology and Vascular Medicine Faculty of Medicine Universitas Brawijaya, Dr. Saiful Anwar General Hospital Malang IndonesiaAbstract Background Radiofrequency catheter ablation (RFCA) using the high‐power short duration (HPSD) results in better ablation lesion formation in the swine model. This systematic review and meta‐analysis purposed to investigate the safety and efficacy profile between HPSD and low‐power long‐duration (LPLD) ablation strategies to treat atrial fibrillation (AF) patients. Methods We completed the literature review after identifying the relevant articles comparing HPSD and LPLD ablation methods for AF recorded in ClinicalTrials.com, CENTRAL, PubMed, and ScienceDirect until February 2021. The overall effects were calculated using pooled risk ratio (RR) and mean difference (MD) for categorical and continuous data, respectively. We also estimated the 95% confidence interval (CI). Results The HPSD strategy took shorter procedure time (MD = −33.75 min; 95% CI = −44.54 to −22.97; P < .01), fluoroscopy time (MD = −5.73 min; 95% CI = −8.77 to −2.70; P < .001), and ablation time (MD = −17.71; 95% CI = −21.02 to −14.41) than LPLD strategy. The HPSD RFCA was correlated with lower risk of esophageal thermal injury (RR = 0.75; 95% CI = 0.59 to 0.94; P = .02). The HPSD method resulted in higher first‐pass pulmonary vein isolation (PVI) (RR = 1.36; 95% CI = 1.13 to 1.64; P < .01), lower PV reconnection (RR = 0.47; 95% CI = 0.34 to 0.64; P < .01), and lower recurrent AF (RR = 0.72; 95% CI = 0.54 to 0.96; P = .02) than LPLD strategy. Conclusion HPSD RFCA was superior to the conventional LPLD RFCA in terms of safety and efficacy in treating AF patients.https://doi.org/10.1002/joa3.12590atrial fibrillationcatheter ablationhigh‐power short durationlow‐power long‐durationmeta‐analysis |
| spellingShingle | Yoga Waranugraha Ardian Rizal Achmad J. Firdaus Fransiska A. Sihotang Akita R. Akbar Defyna D. Lestari Muhammad Firdaus Akhmad I. Nurudinulloh The superiority of high‐power short‐duration radiofrequency catheter ablation strategy for atrial fibrillation treatment: A systematic review and meta‐analysis study Journal of Arrhythmia atrial fibrillation catheter ablation high‐power short duration low‐power long‐duration meta‐analysis |
| title | The superiority of high‐power short‐duration radiofrequency catheter ablation strategy for atrial fibrillation treatment: A systematic review and meta‐analysis study |
| title_full | The superiority of high‐power short‐duration radiofrequency catheter ablation strategy for atrial fibrillation treatment: A systematic review and meta‐analysis study |
| title_fullStr | The superiority of high‐power short‐duration radiofrequency catheter ablation strategy for atrial fibrillation treatment: A systematic review and meta‐analysis study |
| title_full_unstemmed | The superiority of high‐power short‐duration radiofrequency catheter ablation strategy for atrial fibrillation treatment: A systematic review and meta‐analysis study |
| title_short | The superiority of high‐power short‐duration radiofrequency catheter ablation strategy for atrial fibrillation treatment: A systematic review and meta‐analysis study |
| title_sort | superiority of high power short duration radiofrequency catheter ablation strategy for atrial fibrillation treatment a systematic review and meta analysis study |
| topic | atrial fibrillation catheter ablation high‐power short duration low‐power long‐duration meta‐analysis |
| url | https://doi.org/10.1002/joa3.12590 |
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