The success rate of radiofrequency catheter ablation in Wolff-Parkinson-White-Syndrome patients: A systematic review and meta-analysis

Sherdia, Abdelrahman Farag Ibrahim Ali; Abdelaal, Shadi Alaa; Hasan, Maruf; Elsayed, Esraa; Mare'y, Mohamed; Nawar, Asmaa Ahmed; Abdelsalam, Alaa; Abdelgader, Mujtaba Zakria; Adam, Alameen; Abozaid, Mohamed

doi:10.1016/j.ihj.2023.02.001

Cited by 9 publications

(18 citation statements)

References 32 publications

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“…Also there was no difference between both groups (EMS vs. EMS + FIM) in the PT (66−66 min p:1.0) In a German registry study in which the conventional procedure was used predominantly, the median total PT was reported to be 100 min (70−150 min) 22 . In a meta‐analysis of AP catheter ablation characteristics, the mean total PT was 92.8 (35.0−150.5 min) 8 . In our study, the median PT was 50 min for the conventional method and 64 min for the FIM method.…”

Section: Discussionmentioning

confidence: 97%

“…As the depth of the mitral and tricuspid annulus are slightly longer than the tip of the ablation catheter, it is usually not necessary to construct the full atrial anatomy. High‐density, multi‐electrode mapping catheters and open‐window mapping techniques provide accurate mapping of the location of the APs 7,8 . Despite the increase in cost and duration of the procedure, finding the exact location of the APs don't change the success rate 7,8 .…”

Section: Introductionmentioning

confidence: 99%

“…Unfortunately, the cost limits their usage. Another disadvantage is that it increases the number of steps and complexity of the procedure without affecting the success rate 8 …”

Section: Introductionmentioning

confidence: 99%

“…High-density, multi-electrode mapping catheters and open-window mapping techniques provide accurate mapping of the location of the APs. 7,8 Despite the increase in cost and duration of the procedure, finding the exact location of the APs don't change the success rate. 7,8 The main advantage of EMS is the reduction of radiation exposure to both patients and medical staff.…”

Section: Introductionmentioning

confidence: 99%

“…7,8 Despite the increase in cost and duration of the procedure, finding the exact location of the APs don't change the success rate. 7,8 The main advantage of EMS is the reduction of radiation exposure to both patients and medical staff. The use of radiation involves non-negligible stochastic and deterministic risks.…”

Section: Introductionmentioning

confidence: 99%

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Combining conventional technique with fluoroscopy integration module in accessory pathway ablation

Ozcan,

Turan,

Yilancioğlu

et al. 2023

Cardiovasc electrophysiol

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IntroductionAccessory pathway (AP) ablation is a straightforward approach with high success rates, but the fluoroscopy time (FT) is significantly longer in conventional technique. Electroanatomical mapping systems (EMS), reduce the FT, but anatomical and activation mapping may prolong the procedure time (PT). The fluoroscopy integration module (FIM) uses prerecorded fluoroscopy images and allows ablation similar to conventional technique without creating an anatomical map. In this study, we investigated the effects of combining the FIM with traditional technique on PT, success, and radiation exposure.MethodsA total of 131 patients who had undergone AP ablation were included in our study. In 37 patients, right and left anterior oblique (RAO‐LAO) images were acquired after catheter placement and integrated with the FIM. The ablation procedure was then similar to the conventional technique, but without the use of fluoroscopy. For the purpose of acceleration, anatomical and activation maps have not been created. Contact‐force catheters were not used. 94 patients underwent conventional ablation using fluoroscopy only.ResultsFIM into AP ablation procedures led to a significant reduction in radiation exposure, lowering FT from 7.4 to 2.8 min (p < .001) and dose‐area product from 12.47 to 5.8 μGym² (p < .001). While the FIM group experienced a reasonable longer PT (69 vs. 50 min p < .001). FIM reduces FT regardless of operator experience and location of APsConclusionCombining FIM integration with conventional AP ablation offers reduced radiation exposure without compromising success rates and complication.

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Section: Discussionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

“…Unfortunately, the cost limits their usage. Another disadvantage is that it increases the number of steps and complexity of the procedure without affecting the success rate 8 …”

Section: Introductionmentioning

confidence: 99%