Catheter vs thoracoscopic ablation for atrial fibrillation: Meta-analysis of randomized trials

被引：4
|
作者：
Wang, Tom Kai Ming [1 ,2 ]
Liao, Yi-Wen [1 ,3 ]
Wang, Michael Tzu Min [1 ]
Martin, Andrew [1 ]
机构：
[1] Auckland City Hosp, Green Lane Cardiovasc Serv, Auckland, New Zealand
[2] Cleveland Clin, Heart Vasc & Thorac Inst, Sect Cardiovasc Imaging, Cleveland, OH 44106 USA
[3] Middlemore Hosp, Dept Cardiol, Auckland, New Zealand
来源：
JOURNAL OF ARRHYTHMIA | 2020年 / 36卷 / 04期
关键词：
arrhythmia; atrial fibrillation; catheter ablation; meta-analysis; thoracoscopic ablation; SURGICAL ABLATION; MANAGEMENT;
D O I：
10.1002/joa3.12394
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Background: We meta-analyzed the efficacy and safety of catheter (CA) vs thoracoscopic (TA) ablation for atrial fibrillation (AF). Methods: PubMed, Embase, and Cochrane databases were searched until 31/12/2019 for relevant randomized trials and subsequent pooled analyses. Results: In six trials totaling 465 patients (254 CA/211 TA), 1-year AF recurrences were higher for CA (46% vs 26%, odds ratio 2.90 [95% CI 1.32-6.38]), whereas total adverse events were lower (10% vs 25%, 0.35 [0.14-0.86], respectively). Conclusion: CA has lower efficacy but higher safety than TA. CA should remain the first-line AF ablation strategy, and TA reserved for selected CA-resistant patients where rhythm control is clinically necessary.
引用
收藏
页码：789 / 793
页数：5
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