Ablation of mitral annular flutter ablation utilizing a left atrial anterior line versus a lateral mitral isthmus line: a systematic review and meta-analysis.
Ablation of mitral annular flutter ablation utilizing a left atrial anterior line versus a lateral mitral isthmus line: a systematic review and meta-analysis.
复制标题
DOI：
10.1007/s10840-021-00943-x
复制
发表时间：
2022-01
期刊：
影响因子：
--
通讯作者：
Hsu JC
中科院分区：
文献类型：
--
作者：
Aldaas OM;Lupercio F;Lin AY;Han FT;Hoffmayer KS;Raissi F;Ho G;Krummen D;Feld GK;Hsu JC
Mitral annular flutter (MAF) is a common arrhythmia after atrial fibrillation ablation. We sought to compare the efficacy and safety of catheter ablation utilizing either a left atrial anterior wall (LAAW) line or a lateral mitral isthmus (LMI) line. We performed a systematic review for all studies that compared LAAW versus LMI lines. Risk ratio (RR) and mean difference (MD) 95% confidence intervals were measured for dichotomous and continuous variables, respectively. Four studies with a total of 594 patients were included, one of which was a randomized control trial. In the LMI ablation group, 40% of patients required CS ablation. There were no significant differences in bidirectional block (RR 1.26; 95% CI, 0.94–1.69) or ablation time (MD −1.5; 95% CI, −6.11–3.11), but LAAW ablation was associated with longer ablation line length (MD 11.42; 95% CI, 10.69–12.14) and longer LAA activation delay (MD 67.68; 95% CI, 33.47–101.89.14) when compared to LMI. There was no significant difference in pericardial effusions (RR 0.36; 95% CI, 0.39–20.75) between groups and more patients were maintained sinus rhythm (RR 1.19; 95% CI, 1.03–1.37, p = 0.02) who underwent LAAW compared to LMI. Ablation of mitral annular flutter with a LAAW line compared to a LMI line showed no difference in rates of acute bidirectional block, ablation time, or pericardial effusion. However, LAAW ablation required a longer ablation line length, resulted in greater LAA activation delayed and was associated with more sinus rhythm maintenance, with the added advantage of avoiding ablation in the CS.
登录
查看更多内容
影响因子：
15.8
作者：
Moher D;Liberati A;Tetzlaff J;Altman DG;PRISMA Group
通讯作者：
PRISMA Group
DOI：
10.1111/j.1540-8167.2011.02112.x
发表时间：
2011-12-01
影响因子：
2.7
作者：
Matsuo, Seiichiro;Yamane, Teiichi;Yoshimura, Michihiro
通讯作者：
Yoshimura, Michihiro
影响因子：
5.5
作者：
Sanders, P;Jaïs, P;Haïssaguerre, M
通讯作者：
Haïssaguerre, M
影响因子：
5.5
作者：
Chan, Chin Pang;Wong, Wai Shun;Chugh, Aman
通讯作者：
Chugh, Aman
DOI：
10.1007/s10840-015-0033-1
发表时间：
2015-11-01
影响因子：
1.8
作者：
Huemer, Martin;Wutzler, Alexander;Haverkamp, Wilhelm
通讯作者：
Haverkamp, Wilhelm