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29. A meta‐analysis of the distance between lead‐implanted site and tricuspid valve annulus with postoperative tricuspid regurgitation deterioration in patients with left bundle branch area pacing.

Author

Karwiky, Giky, Kamarullah, William, Pranata, Raymond, Achmad, Chaerul, and Iqbal, Mohammad

Subjects
TRICUSPID valve surgery, RISK assessment, BUNDLE-branch block, ARTIFICIAL implants, META-analysis, MULTIVARIATE analysis, DESCRIPTIVE statistics, SURGICAL complications, SYSTEMATIC reviews, MEDLINE, ODDS ratio, CARDIAC pacing, ONLINE information services, ELECTRODES, TRICUSPID valve diseases, PATIENT aftercare, ECHOCARDIOGRAPHY
Abstract

Tricuspid regurgitation (TR) is a known complication of cardiac implantable electrical devices (CIEDs), with prevalences ranging from 10% to as high as 30%. Despite left bundle branch area pacing (LBBAP) has emerged as an alternative to the limits of His‐bundle pacing (HBP), the long‐term safety of this procedure, notably the worsening of TR after implantation, has yet to be thoroughly investigated. This meta‐analysis sought to determine the frequency of post‐LBBAP TR deterioration and identify the predictors, particularly the distance between lead‐implanted site and the tricuspid valve annulus (lead‐TA‐distance). A systematic literature search was conducted using PubMed, Europe PMC, and ScienceDirect for studies that reported the incidence of deterioration and measurement of TR grade at baseline and follow‐up following LBBAP, in addition to the differences in exposure between short and long lead‐TA‐distances. A total of three studies involving 480 participants were included in this meta‐analysis. The incidence of TR deterioration was 22%. Patients with TR deterioration also demonstrated a significantly shorter lead‐TA‐distance in comparison to the opposing group (MD: −5.74 mm (−0.70, −10.78); p <.001; I2 = 92.6%). The pooled results of three comparative studies suggest that participants in the longer lead‐TA‐distance group had a significant decrement in the likelihood of TR worsening (adjusted OR = 0.59 (0.36–0.96); p =.034; I2 = 79%). Multivariate analysis conducted in each of the included investigations supported the independence of the connection between lead‐TA‐distance and TR deterioration. A shorter lead‐TA‐distance was an independent risk factor for TR deterioration in individuals with post‐LBBAP implantation. [ABSTRACT FROM AUTHOR]

Published
2024
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30. The efficacy and safety of atherectomy combined with drug-coated balloon angioplasty vs. drug-coated balloon angioplasty for the treatment of lower extremity artery disease: a systematic review and meta-analysis.

Author

Ratna Indraswari Suriyanto, Margareta Ginanti, Pranata, Raymond, Kamarullah, William, Santosa Putra, Iwan Cahyo, Wahyudi, Dendi Puji, Karwiky, Giky, Sihite, Teddy Arnold, Akbar, Mohammad Rizki, Martha, Januar Wibawa, and Hidayat, Syarief

Published
2024
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31. The efficacy and safety of atherectomy combined with drug-coated balloon angioplasty vs. drug-coated balloon angioplasty for the treatment of lower extremity artery disease: a systematic review and meta-analysis.

Author

Indraswari Suriyanto, Margareta Ginanti Ratna, Pranata, Raymond, Kamarullah, William, Putra, Iwan Cahyo Santosa, Wahyudi, Dendi Puji, Karwiky, Giky, Sihite, Teddy Arnold, Akbar, Mohammad Rizki, Martha, Januar Wibawa, and Hidayat, Syarief

Published
2024
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32. Slow left atrial conduction velocity in the anterior wall calculated by electroanatomic mapping predicts atrial fibrillation recurrence after catheter ablation—Systematic review and meta‐analysis.

Author

Lukito, Antonia Anna, Raffaello, Wilson Matthew, and Pranata, Raymond

Subjects
ATRIAL fibrillation diagnosis, LEFT heart atrium, BODY surface mapping, DESCRIPTIVE statistics, META-analysis, CHI-squared test, ROUTINE diagnostic tests, HEART conduction system, MEDLINE, SYSTEMATIC reviews, ODDS ratio, DISEASE relapse, CATHETER ablation, DATA analysis software, ONLINE information services, CONFIDENCE intervals
Abstract

Background: This study aimed to investigate and perform diagnostic test meta‐analysis on whether slow left atrial conduction velocity (LACV) in the anterior wall calculated by electroanatomic mapping predicts atrial fibrillation (AF) recurrence after catheter ablation. Methods: Extensive literature search was performed on PubMed, SCOPUS, and EuropePMC up to June 5, 2024. The exposure group included AF patients with slow LACV in the anterior wall, while the control group included AF patients without slow LACV in the anterior wall. Slow LACV in the anterior wall was defined as LACV below study‐specific cut‐off points in m/s, measured by invasive electroanatomic mapping. The primary outcome of this study was AF recurrence, defined as AF/Atrial Flutter/Atrial Tachyarrhythmias lasting over 30 s at least 3 months after the blanking period postablation. Results: This systematic review and meta‐analysis included seven studies, involving a sample size of 1428 patients with mean follow‐up duration were 13 months. Patients with AF recurrence has slower LACV in the anterior wall (mean difference − 0.16 m/s [−0.18, −0.15], p <.001). Slow LACV in the anterior wall defined as LACV below 0.70–0.88 m/s was associated with increased AF (adjusted OR 3.41 [1.55, 7.50], p =.002). Slow LACV in the anterior wall has an AUROC of 0.80 [0.76–0.83], sensitivity of 70% [52, 84], specificity of 76% [67, 83], positive likelihood ratio of 2.9 [2.3, 3.6], negative likelihood ratio of 0.39 [0.25, 0.63] for predicting AF recurrence postablation. Conclusion: Slow LACV in the anterior wall was associated with AF recurrence after catheter ablation. [ABSTRACT FROM AUTHOR]

Published
2024
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