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Comparing Efficacy ...
Comparing Efficacy and Safety in Catheter Ablation Strategies for Paroxysmal Atrial Fibrillation : A Network Meta-Analysis of Randomized Controlled Trials
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- Charitakis, Emmanouil (författare)
- Linköpings universitet,Avdelningen för diagnostik och specialistmedicin,Medicinska fakulteten,Region Östergötland, Kardiologiska kliniken US
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- Metelli, Silvia (författare)
- Univ Paris, France
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- Karlsson, Lars (författare)
- Linköpings universitet,Avdelningen för diagnostik och specialistmedicin,Medicinska fakulteten,Region Östergötland, Kardiologiska kliniken US
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- Antoniadis, Antonios P. (författare)
- Aristotle Univ Thessaloniki, Greece
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- Liuba, Ioan (författare)
- Linköpings universitet,Avdelningen för diagnostik och specialistmedicin,Medicinska fakulteten,Region Östergötland, Kardiologiska kliniken US
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- Almroth, Henrik (författare)
- Linköpings universitet,Institutionen för hälsa, medicin och vård,Medicinska fakulteten,Region Östergötland, Kardiologiska kliniken US
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- Jönsson, Anders Hassel (författare)
- Region Östergötland, Kardiologiska kliniken US
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- Schwieler, Jonas (författare)
- Karolinska Univ Hosp, Sweden
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- Sideris, Skevos (författare)
- Hippokrateion Hosp, Greece
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- Tsartsalis, Dimitrios (författare)
- Region Östergötland, Fysiologiska kliniken US
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- Dragioti, Elena (författare)
- Linköpings universitet,Avdelningen för prevention, rehabilitering och nära vård,Medicinska fakulteten,Region Östergötland, Smärt och rehabiliteringscentrum
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- Fragakis, Nikolaos (författare)
- Aristotle Univ Thessaloniki, Greece
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- Chaimani, Anna (författare)
- Univ Paris, France
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(creator_code:org_t)
- 2022-02-09
- 2022
- Engelska.
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Ingår i: Diagnostics. - : MDPI. - 2075-4418. ; 12:2
- Relaterad länk:
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https://liu.diva-por... (primary) (Raw object)
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https://www.mdpi.com...
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https://urn.kb.se/re...
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https://doi.org/10.3...
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Abstract
Ämnesord
Stäng
- Although catheter ablation (CA) is an established treatment for paroxysmal atrial fibrillation (PAF), there is no consensus regarding the most efficient CA strategy. The objective of this network meta-analysis (NMA) was to compare the efficacy and safety of different CA strategies for PAF. A systematic search was performed in PubMed, Web of Science, and CENTRAL until the final search date, 5 October 2020. Randomised controlled trials (RCT) comparing different CA strategies and methods for pulmonary vein isolation (PVI) were included. Efficacy was defined as lack of arrhythmia recurrence after CA and safety as any reported complication related to the procedure during a minimum follow-up time of six months. In total, 43 RCTs comparing 11 different CA strategies involving 6701 patients were included. The risk of recurrence was significantly decreased in comparison with PVI with radiofrequency only for the following treatments: PVI with adjuvant ablation (RR: 0.79, CI: 0.65-0.97) and PVI with sympathetic modulation (RR: 0.64, CI: 0.46-0.88). However, PVI with radiofrequency was superior to non-PVI strategies (RR: 1.65, CI: 1.2-2.26). No statistically significant difference was found in safety between different CA strategies. Concerning different PVI strategies, no difference was observed either in efficacy or in safety between tested strategies. This NMA suggests that different PVI strategies are generally similar in terms of efficacy, while PVI with additional ablation or sympathetic modulation may be more effective than PVI alone. This study provides decision-makers with insights into the efficacy and safety of different CA strategies.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Neurologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Neurology (hsv//eng)
Nyckelord
- network meta-analysis; paroxysmal atrial fibrillation; catheter ablation; antiarrhythmic drugs
Publikations- och innehållstyp
- ref (ämneskategori)
- for (ämneskategori)
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Till lärosätets databas
- Av författaren/redakt...
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Charitakis, Emma ...
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Metelli, Silvia
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Karlsson, Lars
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Antoniadis, Anto ...
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Liuba, Ioan
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Almroth, Henrik
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Jönsson, Anders ...
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Schwieler, Jonas
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Sideris, Skevos
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Tsartsalis, Dimi ...
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Dragioti, Elena
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Fragakis, Nikola ...
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Chaimani, Anna
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- Om ämnet
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Neurologi
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Diagnostics
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