Back to Search
Start Over
Hybrid versus catheter ablation in patients with persistent and longstanding persistent atrial fibrillation
- Source :
- European Journal of Cardio-Thoracic Surgery. 56(3):433-443
- Publication Year :
- 2019
-
Abstract
- Summary As the mechanisms underlying persistent atrial fibrillation (AF) are still incompletely understood, a ‘gold standard’ strategy for ablation is lacking. The results of catheter ablation, independent of the ablation strategy applied, are disappointing. Hybrid ablation, combining a thoracoscopic epicardial and transvenous endocardial approach, has shown more favourable outcomes. To date, studies comparing both techniques are lacking. Therefore, we conducted a systematic review and meta-analysis of hybrid versus catheter ablation in patients with persistent or longstanding persistent AF. A systematic literature search of studies reporting on catheter and hybrid ablation of persistent or longstanding persistent AF was performed in the PubMed database. All identified articles were screened and checked for eligibility. A meta-analysis was performed on inter-study heterogeneity and pooled correlation between baseline characteristics, primary and secondary outcomes of hybrid and catheter studies. From the 520 articles identified by the search, 34 articles could be included in the analysis. Hybrid ablation resulted in higher freedom of atrial arrhythmias in patients with persistent and longstanding-persistent AF than catheter ablation (70.7% vs 49.9%, P
- Subjects :
- Pulmonary and Respiratory Medicine
medicine.medical_specialty
CLINICAL-OUTCOMES
STRATEGIES
medicine.medical_treatment
Systematic review and meta-analysis
Catheter ablation
030204 cardiovascular system & hematology
GANGLIONATED PLEXUS ABLATION
law.invention
03 medical and health sciences
APPENDAGE
0302 clinical medicine
Hybrid ablation
Randomized controlled trial
law
Internal medicine
Atrial Fibrillation
medicine
Humans
Sinus rhythm
030212 general & internal medicine
PULMONARY VEIN ISOLATION
RECURRENCE
LESIONS
business.industry
LINEAR ABLATION
ELECTROPHYSIOLOGICAL FINDINGS
General Medicine
Cardiac Ablation
Ablation
ENDOCARDIAL ABLATION
Catheter
Treatment Outcome
Meta-analysis
Cardiology
Longstanding persistent atrial fibrillation
Surgery
Persistent atrial fibrillation
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- Language :
- English
- ISSN :
- 10107940
- Volume :
- 56
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- European Journal of Cardio-Thoracic Surgery
- Accession number :
- edsair.doi.dedup.....09ecc0a97a6e5cdc78ad894e210699c1