دورية أكاديمية
Real-world data meta-analysis: procedural success and clinical outcomes after radiofrequency ablation of atrial fibrillation in South America.
| العنوان: | Real-world data meta-analysis: procedural success and clinical outcomes after radiofrequency ablation of atrial fibrillation in South America. |
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| المؤلفون: | Boissonnet CP; Health Economics and Technology Assessment Unit, Instituto Universitario CEMIC and Centro de Educación Médica E Investigaciones Clínicas 'Norberto Quirno' CEMIC, Buenos Aires, Argentina.; Cardiology Section. Department of Internal Medicine, Centro de Educación Médica e Investigaciones Clínicas 'Norberto Quirno' CEMIC, Buenos Aires, Argentina., Giorgi MA; Health Economics and Technology Assessment Unit, Instituto Universitario CEMIC and Centro de Educación Médica E Investigaciones Clínicas 'Norberto Quirno' CEMIC, Buenos Aires, Argentina.; Cardiology Section. Department of Internal Medicine, Centro de Educación Médica e Investigaciones Clínicas 'Norberto Quirno' CEMIC, Buenos Aires, Argentina.; Department of Pharmacology, Instituto Universitario CEMIC, Buenos Aires, Argentina., Köhler GC; Department of Pharmacology, Instituto Universitario CEMIC, Buenos Aires, Argentina., García Roura L; Department of Pharmacology, Instituto Universitario CEMIC, Buenos Aires, Argentina., Ginestar JM; Department of Pharmacology, Instituto Universitario CEMIC, Buenos Aires, Argentina. |
| المصدر: | Hospital practice (1995) [Hosp Pract (1995)] 2022 Oct; Vol. 50 (4), pp. 259-266. Date of Electronic Publication: 2022 Sep 01. |
| نوع المنشور: | Journal Article; Meta-Analysis |
| اللغة: | English |
| بيانات الدورية: | Publisher: Taylor & Francis Country of Publication: England NLM ID: 101268948 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2154-8331 (Print) Linking ISSN: 21548331 NLM ISO Abbreviation: Hosp Pract (1995) Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2015- : Abingdon : Taylor & Francis Original Publication: Minneapolis : McGraw-Hill Healthcare Publications, 1995- |
| مواضيع طبية MeSH: | Atrial Fibrillation*/epidemiology , Atrial Fibrillation*/surgery , Cardiac Tamponade* , Catheter Ablation*/adverse effects , Catheter Ablation*/methods, Humans ; Male ; Middle Aged ; Recurrence ; Treatment Outcome |
| مستخلص: | Objective: To profile patients' characteristics, in-hospital results, and recurrence rates after radiofrequency ablation of atrial fibrillation (RAAF) in South America. Methods: We comprehensively searched for single-center studies from South America with ≥10 patients receiving RAAF, published or presented from January 1, 2010, through June 29, 2020, excluding those reports aimed to specific populations such as permanent atrial fibrillation, structural cardiopathies, or re-do procedures. Results: Main pooled estimates from a random-effects meta-analysis that included 3909 patients from 27 cohorts (from 5 countries): a) Patients characteristics: age 57.6 years (95% CI 55.7-59.5), male gender 71.5% (95% CI 67.0-75.6%), hypertension 54.2% (95% CI 45.4-62.8%), paroxysmal atrial fibrillation 79.8% (95% CI 71.3-94.5%), CHADS score 1.2 (95% CI 0.5-1.9), b) Acute procedural success 91.1% (95% CI 82.2-95.8%), c) In-hospital complications: stroke 0.6% (95% CI 0.3-1.2%), cardiac tamponade 2.3% (95% CI 1.4-3.7), hematoma 3.5% (95% CI 2.0-6.1), pseudoaneurysm 1.2% (95% CI 0.6-2.3), arteriovenous fistula 2.5% (95% CI 1.6-4.1). There were no cases of esophageal-atrial fistula nor death. Pooled estimate for arrhythmia recurrence (excluded 3-months blanking period) at 12 months was 19.9% (95% CI 17.0-23.1). Conclusion: In-hospital results of RAAF reported for South American centers were worse than published international registries, even when included populations profile was of lower risk, as reflected in younger age and less prevalence of non-paroxysmal AF. Late recurrence rates seemed appropriate. This study provides a real-life framework for the analysis of the performance of this technology in the region. |
| فهرسة مساهمة: | Keywords: Atrial fibrillation; meta-analysis; outcomes research; radiofrequency catheter ablation |
| تواريخ الأحداث: | Date Created: 20220901 Date Completed: 20220928 Latest Revision: 20220928 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1080/21548331.2022.2114721 |
| PMID: | 36047648 |
| قاعدة البيانات: | MEDLINE |
PDF full text from Publisher | تدمد: | 2154-8331 |
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| DOI: | 10.1080/21548331.2022.2114721 |