Safety and efficacy of catheter ablation for atrial fibrillation in patients with percutaneous atrial septal closure device: Electrophysiology Collaborative Consortium for Meta-analysis-ELECTRAM Investigators.

Journal of Cardiovascular Electrophysiology
Jalaj GargDhanunjaya Lakkireddy

Abstract

Transseptal puncture (TSP) is challenging in patients with prior percutaneous atrial septal defect (ASD) occluder. We aimed to perform a systematic review and meta-analysis of the safety and efficacy of catheter ablation for atrial fibrillation (AF) in patients with percutaneous ASD occluder. We searched PubMed, Medline, Embase, Ovid, and Cochrane for studies reporting results of AF ablation (freedom from AF, fluoroscopy/procedure time, and complications) in patients with percutaneous ASD occluders. Three studies with a total of 64 patients met inclusion criteria. The success rate of TSP was 100%. All patients (but one) underwent TSP under fluoroscopic and intracardiac echocardiography guidance. Freedom from AF was achieved in 77.7% (95% confidence interval [CI]: 65.7-86.3) patients. In the subgroup analysis, comparing septal versus device puncture, no significant difference in recurrence of AF was observed (23.07% vs. 16.66%; risk ratio: 1.18; 95% CI: 0.35-4.00; p = .79, respectively). The total fluoroscopy time was not significantly different in patients with TSP via native septum or device (43.50 vs. 70.67 min; p = .44), total procedural time was significantly longer with TSP via the closure device (237.3 vs. 180 min; p = .0...Continue Reading

References

Nov 1, 1970·British Heart Journal·M Campbell
May 1, 1968·Circulation·R J Craig, A Selzer
Aug 24, 1995·The New England Journal of Medicine·S KonstantinidesW Kasper
Sep 1, 1996·Journal of Cardiovascular Electrophysiology·T Satoh, D P Zipes
Dec 12, 2001·Journal of the American College of Cardiology·F AttieJ Calderón
Sep 23, 2008·The American Journal of Cardiology·Christian SpiesRainer Schräder
Jul 23, 2009·Annals of Internal Medicine·David MoherUNKNOWN PRISMA Group
Oct 20, 2011·BMJ : British Medical Journal·Julian P T HigginsUNKNOWN Cochrane Statistical Methods Group

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Citations

Jun 13, 2020·Journal of Cardiovascular Electrophysiology·Marco Schiavone, Giovanni Battista Forleo

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