Zero and Minimal Fluoroscopic Approaches During Ablation of Supraventricular Tachycardias A Systematic Review and Meta-Analysis /
Catheter ablations for cardiac arrhythmias are conventionally performed under fluoroscopic guidance. To guide these procedures, zero/minimal fluoroscopy (Z/MF) approaches have become available, using three-dimensional electroanatomical mapping systems. Our aim was to conduct a meta-analysis comparin...
Elmentve itt :
| Szerzők: | |
|---|---|
| Dokumentumtípus: | Cikk |
| Megjelent: |
2022
|
| Sorozat: | FRONTIERS IN CARDIOVASCULAR MEDICINE
9 |
| Tárgyszavak: | |
| doi: | 10.3389/fcvm.2022.856145 |
| mtmt: | 32800047 |
| Online Access: | http://publicatio.bibl.u-szeged.hu/24674 |
| LEADER | 02818nab a2200277 i 4500 | ||
|---|---|---|---|
| 001 | publ24674 | ||
| 005 | 20220708124720.0 | ||
| 008 | 220708s2022 hu o 0|| Angol d | ||
| 022 | |a 2297-055X | ||
| 024 | 7 | |a 10.3389/fcvm.2022.856145 |2 doi | |
| 024 | 7 | |a 32800047 |2 mtmt | |
| 040 | |a SZTE Publicatio Repozitórium |b hun | ||
| 041 | |a Angol | ||
| 100 | 1 | |a Debreceni Dorottya | |
| 245 | 1 | 0 | |a Zero and Minimal Fluoroscopic Approaches During Ablation of Supraventricular Tachycardias |h [elektronikus dokumentum] : |b A Systematic Review and Meta-Analysis / |c Debreceni Dorottya |
| 260 | |c 2022 | ||
| 300 | |a Terjedelem: 10-Azonosító: 856145 | ||
| 490 | 0 | |a FRONTIERS IN CARDIOVASCULAR MEDICINE |v 9 | |
| 520 | 3 | |a Catheter ablations for cardiac arrhythmias are conventionally performed under fluoroscopic guidance. To guide these procedures, zero/minimal fluoroscopy (Z/MF) approaches have become available, using three-dimensional electroanatomical mapping systems. Our aim was to conduct a meta-analysis comparing these two different methods for the treatment of paroxysmal supraventricular tachycardia (SVT).Electronic databases were searched and systematically reviewed for studies comparing procedural parameters and outcomes of conventional, fluoroscopy-guided vs. Z/MF approaches in patients undergoing electrophysiology (EP) procedures for SVTs. The random-effects model was used to derive mean difference (MD) and risk ratios (RRs) with 95% confidence interval (CI).Twenty-four studies involving 9,074 patients met our inclusion criteria. There was no difference between the groups in terms of acute success rate (RR = 1.00, 95% CI, 0.99-1.01; p = 0.97) and long-term success rate (RR: 1.01, 95% CI, 1.00-1.03; p = 0.13). Compared to the conventional method, zero-and-minimal fluoroscopy (Z/MF) ablation significantly reduced fluoroscopic time [MD: -1.58 min (95% CI, -2.21 to -0.96 min; p < 0.01)] and ablation time [MD: -25.23 s (95% CI: -42.04 to -8.43 s; p < 0.01)]. No difference could be detected between the two groups in terms of the procedure time [MD: 3.06 min (95% CI: -0.97 to 7.08; p = 0.14)] and the number of ablation applications [MD: 0.13 (95% CI: -0.86 to 1.11; p = 0.80)]. The complication rate was 1.59% in the entire study population and did not differ among the groups (RR: 0.68, 95% CI: 0.45-1.05; p = 0.08).The Z/MF approach for the catheter ablation of SVTs is a feasible method that reduces radiation exposure and ablation time without compromising the acute and long-term success or complication rates. | |
| 650 | 4 | |a Klinikai orvostan | |
| 700 | 0 | 1 | |a Jánosi Kristóf |e aut |
| 700 | 0 | 1 | |a Vámos Máté |e aut |
| 700 | 0 | 1 | |a Komócsi András |e aut |
| 700 | 0 | 1 | |a Simor Tamás |e aut |
| 700 | 0 | 1 | |a Kupó Péter |e aut |
| 856 | 4 | 0 | |u http://publicatio.bibl.u-szeged.hu/24674/1/Debreceni.pdf |z Dokumentum-elérés |