Meta-analysis of the effectiveness of catheter treatment of persistent forms of atrial fibrillation
https://doi.org/10.18705/2311-4495-2015-0-2-3-32-38
Abstract
The aim is to reveal the most effective type of catheter ablation of persistent atrial fibrillation with consideration for complications. The data of 24 studies are presented in the article with a total number of 3115 patients. All the catheter procedures were divided according to the technique of ablation. All the complications were divided into two groups: first one included life-threatening complications, second one included complications that are serious but not life-threatening. For this study a special statistical formula was invented. The formula allows to show the most effective catheter ablation technique with the consideration for complications. Conclusion: The most effective and safe type of catheter ablation of atrial fibrillation is wide ablation circumfiration area with additional ablation line
About the Authors
Ju. V. Egaj
Medical centre of the Federal state Autonomous educational institution of higher professional education far Eastern Federal University
Russian Federation
Russian Federation
I. O. Kurlov
Federal state budget scientific institute “Scientific research Institute of cardiology
Russian Federation
Russian Federation
D. S. Lebedev
Federal Almazov North-West Medical Research Centre Ministry Of Health Of Russia
Russian Federation
Russian Federation
V. A. Rodionov
City hospital № 4, Nizhniy Tagil
Russian Federation
Russian Federation
R. B. Tatarskij
Federal Almazov North-West Medical Research Centre Ministry Of Health Of Russia
Russian Federation
Russian Federation
References
1. Wellens H. J. Pulmonary Vein Ablation in Atrial Fibrillation. Hype or Hope?. Circulation. 2000. No. 102. P. 2562-2564
2. Chen S.A, Hsieh MH, Tai CT, Tsai CF, Prakash VS, Yu WC, Hsu TL, Ding YA, Chang MS. Initiation of atrial fibrillation by ectopic beats originating from the pulmonary veins: electrophysiological characteristics, pharmacological responses, and effects of radiofrequency ablation. Circulation. 1999. No. 100. P. 1879-1886.
3. Haissaguerre M, Jais P, Shah DC, Takahashi A, Hocini M, Quiniou G, Garrigue S, Le Mouroux A, Le Metayer N. Spontaneo us initiation of atrial fibrillation by ectopic beats originating in the pulmonary. Engl. J. Med. 1998. No. 339. P. 659-666.
4. Haissaguerre M., Shah D, Jais P, Hocini M, Yamane T, Deisenhofer I, Chauvin M, Garrigue S, Clementy J. Electrophysio logical breakthroughs from the left atrium to the pulmonary veins. Circulation. 2000. No. 102. P. 2463-2465.
5. Jais P, Haissaguerre M, Shah DC, Chouairi S, Gencel L, Hocini M, Clementy J. A focal source of atrial fibrillation treated by discrete radiofrequency ablation. Circulation. 1997. No. 95. P. 572-576.
6. Marchlinski F, Callans D, Dixit S, Gerstenfeld E. Efficacy and safety of targeted focal ablation versus PV isolation assisted by magnetic electroanatomic mapping. J. Cardiovasc. Electrophysiol. 2003. No. 14. P. 358-365.
7. Marrouche NF, Dresing T, Cole C, Bash D, Saad E, Balaban K, Pavia SV, Schweikert R, Saliba W, Abdul-Karim A, Pisano E, Fanelli R, Tchou P, Natale A. Circular mapping and ablation of the pulmonary vein for treatment of atrial fibrillation: impact of different catheter technologies J. Am. Coll. Cardiol. 2002. No. 40. P. 464-474.
8. Oral H, Knight BP, Tada H, Ozaydin M, Chugh A, Hassan S, Scharf C, Lai SW, Greenstein R, Pelosi F Jr, Strickberger SA, Mor ady F. Pulmonar vein isolation for paroxysmal and persistent atrial fibrillation. Circulation. 2002. No. 105. P. 1077-1081.
9. Cappato R, Negroni S, Pecora D, Bentivegna S, Lupo PP, Carolei A, Esposito C, Furlanello F, De Ambroggi L. Prospective assessment of late conduction recurrence across radiofrequency lesions producing electrical disconnection at pulmonary vein ostium in patients with atrial fibrillation. Circulation. 2003. No. 108. P. 1599 -1604.
10. Callans DJ, Gerstenfeld EP, Dixit S, Zado E, Vanderhoff M, Ren JF, Marchlinski FE. Efficacy of repeat pulmonary vein isolation procedures in patients with recurrent atrial fibrillation. J. Cardiovasc. Electrophysiol. 2004. No. 15. P. 1050-1055.
11. Natale A, Raviele A. Atrial fibrillation ablation. 2007. P. 17.
12. Haissaguerre M, Jais P, Shah DC. Spontaneous initiation of atrial fibrillation by ectopic beats originating in the pulmonary veins. N. Engl. Med. 1998. No. 339. P. 659-666.
13. Haissaguerre M, Jais P, Shah DC. Electrophysiological breakthroughs from the left atrium to the pulmonary veins. Circulation. 2000. No. 102. P. 2463-2465. 1 4. Circumferential radiofrequency ablation of pulmonary vein ostia: a new anatomic approach for curing atrial fibrillation. Pappone C, Rosanio S., Overto G. Circulation 2000. No. 102. P. 2619-2628. 1 5. Pappone C, Rosanio S, Overto G. Atrial electroanatomic remodeling after circumferential radiofrequency pulmonary vein ablation: efficacy of an anatomic approach in a large cohort of patients with atrial fibrillation. Circulation 2001. No. 104. P. 2539-2544.
14. http://content.onlinejacc.org/article.aspx? articleid = 1695813
15. Kottkamp H, Hindricks G, Autschbach R. Specific linear left atrial lesions in atrial fibrillation: intraoperative radiofrequency ablation using minimally invasive surgical techniques. JACC 2002. No. 40. P. 475-480. 1 8. Jais P, Shah DC, Haissaguerre M. Efficacy and safety of septal and left-atrial linear ablation for atrial fibrillation. Am. J. Cardiol. 1999. No. 84. P. 134-146. 1 9. Jais P, Hsu LF, Rotter M. Mitral isthmus ablation for atrial fibrillation. J Cardiovascular. Electrophysiol. 2005. No. 16. P. 1157-1159.
16. Hocini M, Jais P, Sanders P. Techniques, evaluation, and consequences of linear block at the left atrial roof in paroxysmal atrial fibrillation: a prospective randomized study. Circulation 2005. No. 112. 3688-3696.
17. Scanavacca M, Pisani CF, Hachul D, Lara S, Hardy C, Darrieux F, Trombetta I, Negrão CE, Sosa E. Selective atrial vagal denervation guided by evoked vagal reflex to treat patients with paroxysmal atrial fibrillation. Circulation. 2006. No. 114(9). P. 876-85
18. http://spo.escardio.org/eslides/view.aspx? eevtid= 33&fp=763
Review
For citations:
Egaj J.V., Kurlov I.O., Lebedev D.S., Rodionov V.A., Tatarskij R.B. Meta-analysis of the effectiveness of catheter treatment of persistent forms of atrial fibrillation. Translational Medicine. 2015;(2-3):32-38. (In Russ.) https://doi.org/10.18705/2311-4495-2015-0-2-3-32-38
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