지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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초록· 키워드
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Objectives: In patients with atrial fibrillation (AF), the success rate of pulmonary vein isolation procedure has improved with advances in three-dimensional mapping systems but procedure re- mains complex and time-consuming. AF ablation using a multielectrode catheters enabling both mapping and ablation have been developed to address the technical difficulties. Our objective was to systematically review current knowledge on the efficacy and procedural durability of AF ablation using a multielectrode catheter (MEA), compared to conventional pulmonary vein isolation (CPVI).
Methods: We systematically searched PubMed, EMBASE, Cochrane, and Korean domestic databas- es for studies on MEA and CPVI. Results: Our meta-analysis showed that procedural time [stan- dardized mean difference (SMD)=-1.17, 95% confidence interval (CI): -1.67, -0.67] and fluoroscopic time (SMD=-0.64, 95% CI: -1.04, -0.24) were significantly shorter in MEA. The risk of AF recurrence [relative risk (RR)=0.85, 95% CI: 0.76, 0.94] was significantly lower and repeat procedures (RR=0.73, 95% CI: 0.53, 1.00) tended to be lower in MEA without statistical significance. No significant be- tween-treatment difference in complication rates was evident with a trend toward higher complica- tion rate in MEA (RR=1.04, 95% CI: 0.55, 1.93). Conclusion: In patients undergoing catheter abla- tion to treat AF, the efficacies of MEA and CPVI were comparable in terms of acute procedural success and repeat procedures. However, MEA afforded the benefit of reduced procedure-related time, including procedural time, fluoroscopic time, and radiofrequency application time and lower AF recurrence. MEA was associated with a slightly higher risk of thromboembolism, but nonethe- less afforded patient benefits, when skilled physicians carefully performed all procedures.
목차
등록된 정보가 없습니다.
참고문헌 (34)
참고문헌 신청
Haïssaguerre M / 1998 / Spontaneous initiation of atrial fibrillation by ectopic beats originating in the pulmonary veins / N Engl J Med 339:659~666
Fuster V / 2006 / ACC/AHA/ESC 2006 Guidelines for the Management of Patients with Atrial Fibrillation: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the European Society of Cardiology Committee for Practice Guidelines (Writing Committee to Revise the 2001 Guidelines for the Management of Patients With Atrial Fibrillation): developed in collaboration with the European Heart Rhythm Association and the Heart Rhythm Society / Circulation 114:e257~e354
Calkins H / 2007 / HRS/EHRA/ECAS expert consensus statement on catheter and surgical ablation of atrial fibrillation: recommendations for personnel, policy, procedures and follow-up. A report of the Heart Rhythm Society (HRS) Task Force on Catheter and Surgical Ablation of Atrial Fibrillation developed in partnership with the European Heart Rhythm Association (EHRA) and the European Cardiac Arrhythmia Society (ECAS); in collaboration with the American College of Cardiology (ACC), American Heart Association (AHA), and the Society of Thoracic Surgeons (STS). Endorsed and approved by the governing bodies of the American College of Cardiology, the American Heart Association, the European Cardiac Arrhythmia Society, the European Heart Rhythm Association, the Society of Thoracic Surgeons, and the Heart Rhythm Society / Europace 9:335~379
Birnie D / 2011 / Prevalence and risk factors for cervical and lumbar spondylosis in interventional electrophysiologists / J Cardiovasc Electrophysiol 22:957~960
Estner HL / 2006 / Electrical isolation of pulmonary veins in patients with atrial fibrillation: reduction of fluoroscopy exposure and procedure duration by the use of a non-fluoroscopic navigation system (NavX) / Europace 8:583~587
Fuster V / 2006 / ACC/AHA/ESC 2006 Guidelines for the Management of Patients with Atrial Fibrillation: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the European Society of Cardiology Committee for Practice Guidelines (Writing Committee to Revise the 2001 Guidelines for the Management of Patients With Atrial Fibrillation): developed in collaboration with the European Heart Rhythm Association and the Heart Rhythm Society / Circulation 114:e257~e354
Calkins H / 2007 / HRS/EHRA/ECAS expert consensus statement on catheter and surgical ablation of atrial fibrillation: recommendations for personnel, policy, procedures and follow-up. A report of the Heart Rhythm Society (HRS) Task Force on Catheter and Surgical Ablation of Atrial Fibrillation developed in partnership with the European Heart Rhythm Association (EHRA) and the European Cardiac Arrhythmia Society (ECAS); in collaboration with the American College of Cardiology (ACC), American Heart Association (AHA), and the Society of Thoracic Surgeons (STS). Endorsed and approved by the governing bodies of the American College of Cardiology, the American Heart Association, the European Cardiac Arrhythmia Society, the European Heart Rhythm Association, the Society of Thoracic Surgeons, and the Heart Rhythm Society / Europace 9:335~379
Birnie D / 2011 / Prevalence and risk factors for cervical and lumbar spondylosis in interventional electrophysiologists / J Cardiovasc Electrophysiol 22:957~960
Estner HL / 2006 / Electrical isolation of pulmonary veins in patients with atrial fibrillation: reduction of fluoroscopy exposure and procedure duration by the use of a non-fluoroscopic navigation system (NavX) / Europace 8:583~587
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