The impact of left common pulmonary vein on cryoballoon ablation of atrial fibrillation. A meta-analysis
INTRODUCTION: Conflicting results regarding the impact of left common pulmonary vein (LCPV) on clinical outcome of atrial fibrillation (AF) ablation with cryoballoon technology have been reported. METHODS: We systematically searched PubMed and Cochrane library for articles that compared the arrhythm...
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ftpubmed:oai:pubmedcentral.nih.gov:7517585 2023-05-15T15:09:30+02:00 The impact of left common pulmonary vein on cryoballoon ablation of atrial fibrillation. A meta-analysis Vincenzo, Gionti Palma, Tartaglione Massimo, Longobardi Claudia, Negro Maria Cesare Giacomo, Storti 2020-06-10 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7517585/ http://www.ncbi.nlm.nih.gov/pubmed/32531425 https://doi.org/10.1016/j.ipej.2020.06.001 en eng Elsevier http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7517585/ http://www.ncbi.nlm.nih.gov/pubmed/32531425 http://dx.doi.org/10.1016/j.ipej.2020.06.001 © 2020 Indian Heart Rhythm Society. Production and hosting by Elsevier B.V. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). CC-BY-NC-ND Indian Pacing Electrophysiol J Original Article Text 2020 ftpubmed https://doi.org/10.1016/j.ipej.2020.06.001 2020-10-04T00:48:42Z INTRODUCTION: Conflicting results regarding the impact of left common pulmonary vein (LCPV) on clinical outcome of atrial fibrillation (AF) ablation with cryoballoon technology have been reported. METHODS: We systematically searched PubMed and Cochrane library for articles that compared the arrhythmia recurrence rate after cryoballoon ablation between patients with normal pattern PVs and patients with LCPV. Studies of first ablation for persistent and paroxysmal AF using the 28 mm Arctic Front Advance, Medtronic cryoballoon (CB-A) reporting clinical success rates at a mean follow-up of ≥12 months were included. Data were analyzed by applying a random effects model. RESULTS: A total of 5 studies with a total of 1178 patients met our predefined inclusion criteria. After a mean follow-up of 18.4 months, the overall success rate of CB-A ablation among patients with persistent and paroxysmal AF was 57%; in the LCPV group the success rate was 46% and in the normal anatomical pattern group it was 61%. No significant heterogeneity was noted among the studies (I(2) = 35.8%; Q (df = 3) = 6.23 p-value = 0.18). Arrhythmia recurrence after CB-A ablation was not statistically significant between the two groups (LogOR 0.24; 95% CI [-0.16-0.63]; p-value = 0.23). No significant difference in PNI was observed between the two groups (p-value = 0.693). CONCLUSION: The presence of LCPV does not affect the long-term outcome of paroxysmal and persistent atrial fibrillation ablation with 28 mm CB-A compared to normal left PVs pattern. Text Arctic PubMed Central (PMC) Arctic Indian Pacing and Electrophysiology Journal 20 5 178 183 |
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Original Article Vincenzo, Gionti Palma, Tartaglione Massimo, Longobardi Claudia, Negro Maria Cesare Giacomo, Storti The impact of left common pulmonary vein on cryoballoon ablation of atrial fibrillation. A meta-analysis |
topic_facet |
Original Article |
description |
INTRODUCTION: Conflicting results regarding the impact of left common pulmonary vein (LCPV) on clinical outcome of atrial fibrillation (AF) ablation with cryoballoon technology have been reported. METHODS: We systematically searched PubMed and Cochrane library for articles that compared the arrhythmia recurrence rate after cryoballoon ablation between patients with normal pattern PVs and patients with LCPV. Studies of first ablation for persistent and paroxysmal AF using the 28 mm Arctic Front Advance, Medtronic cryoballoon (CB-A) reporting clinical success rates at a mean follow-up of ≥12 months were included. Data were analyzed by applying a random effects model. RESULTS: A total of 5 studies with a total of 1178 patients met our predefined inclusion criteria. After a mean follow-up of 18.4 months, the overall success rate of CB-A ablation among patients with persistent and paroxysmal AF was 57%; in the LCPV group the success rate was 46% and in the normal anatomical pattern group it was 61%. No significant heterogeneity was noted among the studies (I(2) = 35.8%; Q (df = 3) = 6.23 p-value = 0.18). Arrhythmia recurrence after CB-A ablation was not statistically significant between the two groups (LogOR 0.24; 95% CI [-0.16-0.63]; p-value = 0.23). No significant difference in PNI was observed between the two groups (p-value = 0.693). CONCLUSION: The presence of LCPV does not affect the long-term outcome of paroxysmal and persistent atrial fibrillation ablation with 28 mm CB-A compared to normal left PVs pattern. |
format |
Text |
author |
Vincenzo, Gionti Palma, Tartaglione Massimo, Longobardi Claudia, Negro Maria Cesare Giacomo, Storti |
author_facet |
Vincenzo, Gionti Palma, Tartaglione Massimo, Longobardi Claudia, Negro Maria Cesare Giacomo, Storti |
author_sort |
Vincenzo, Gionti |
title |
The impact of left common pulmonary vein on cryoballoon ablation of atrial fibrillation. A meta-analysis |
title_short |
The impact of left common pulmonary vein on cryoballoon ablation of atrial fibrillation. A meta-analysis |
title_full |
The impact of left common pulmonary vein on cryoballoon ablation of atrial fibrillation. A meta-analysis |
title_fullStr |
The impact of left common pulmonary vein on cryoballoon ablation of atrial fibrillation. A meta-analysis |
title_full_unstemmed |
The impact of left common pulmonary vein on cryoballoon ablation of atrial fibrillation. A meta-analysis |
title_sort |
impact of left common pulmonary vein on cryoballoon ablation of atrial fibrillation. a meta-analysis |
publisher |
Elsevier |
publishDate |
2020 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7517585/ http://www.ncbi.nlm.nih.gov/pubmed/32531425 https://doi.org/10.1016/j.ipej.2020.06.001 |
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Indian Pacing Electrophysiol J |
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7517585/ http://www.ncbi.nlm.nih.gov/pubmed/32531425 http://dx.doi.org/10.1016/j.ipej.2020.06.001 |
op_rights |
© 2020 Indian Heart Rhythm Society. Production and hosting by Elsevier B.V. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
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CC-BY-NC-ND |
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https://doi.org/10.1016/j.ipej.2020.06.001 |
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Indian Pacing and Electrophysiology Journal |
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20 |
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5 |
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178 |
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183 |
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1766340691781222400 |