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Comparing efficacy ...
Comparing efficacy and safety in catheter ablation strategies for atrial fibrillation: a network meta-analysis
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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 Cite, 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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- Rizas, Konstantinos D. (författare)
- Ludwig Maximilians Univ Munchen, Germany
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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)
- Linköpings universitet,Institutionen för hälsa, medicin och vård,Medicinska fakulteten,Region Östergötland, Kardiologiska kliniken US
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- Schwieler, Jonas (författare)
- Karolinska Univ Hosp, Sweden
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- Tsartsalis, Dimitrios (författare)
- Hippokrateion Hosp, Greece
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- Sideris, Skevos (författare)
- Natl & Kapodistrian Univ Athens, Greece
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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 Cite, France
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(creator_code:org_t)
- 2022-05-31
- 2022
- Engelska.
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Ingår i: BMC Medicine. - : BMC. - 1741-7015. ; 20:1
- Relaterad länk:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Background: There is no consensus on the most efficient catheter ablation (CA) strategy for patients with atrial fibrillation (AF). The objective of this study was to compare the efficacy and safety of different CA strategies for AF ablation through network meta-analysis (NMA). Methods: A systematic search of PubMed, Web of Science, and CENTRAL was performed up to October 5th, 2020. Randomized controlled trials (RCT) comparing different CA approaches were included. Efficacy was defined as arrhythmia recurrence after CA and safety as any reported complication related to the procedure during a minimum follow-up time of 6 months. Results: In total, 67 RCTs (n = 9871) comparing 19 different CA strategies were included. The risk of recurrence was significantly decreased compared to pulmonary vein isolation (PVI) alone for PVI with renal denervation (RR: 0.60, CI: 0.38-0.94), PVI with ganglia-plexi ablation (RR: 0.62, CI: 0.41-0.94), PVI with additional ablation lines (RR: 0.8, CI: 0.68-0.95) and PVI in combination with bi-atrial modification (RR: 0.32, CI: 0.11-0.88). Strategies including PVI appeared superior to non-PVI strategies such as electrogram-based approaches. No significant differences in safety were observed. Conclusions: This NMA showed that PVI in combination with additional CA strategies, such as autonomic modulation and additional lines, seem to increase the efficacy of PVI alone. These strategies can be considered in treating patients with AF, since, additionally, no differences in safety were observed. This study provides decision-makers with comprehensive and comparative evidence about the efficacy and safety of different CA strategies.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Nyckelord
- Network meta-analysis; Atrial fibrillation; Catheter ablation; Efficacy; Safety; Antiarrhythmic drugs
Publikations- och innehållstyp
- ref (ämneskategori)
- art (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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Rizas, Konstanti ...
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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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Tsartsalis, Dimi ...
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Sideris, Skevos
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Dragioti, Elena
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Fragakis, Nikola ...
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Chaimani, Anna
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