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

Introduction: radiofrequency catheter ablation (RFA) is the first-line therapy for symptomatic Wolff Parkinson White (WPW) patients according to the American Heart Association. We conducted this study to assess the success rate, recurrence rate, and rate of complications associated with the utilization of radiofrequency catheter ablation for managing patients with WPW. Method: We searched PubMed, Cochrane library, Web of Science and Scopus databases using all identified keywords and index terms through 4 January 2022. We included all studies conducted on WPW patients who were treated with ablation. We conducted the analysis using Open Meta Analyst and MedCalc version 19.1. Results: Among 2268 unique articles identified, only 11 articles met our inclusion criteria. The pooled effect estimates showed high success rate (94.1%[95%CI:92.3e95.9], p < 0.001)), low recurrence rate (6.2% [95%CI:4.5e7.8, p < 0.001]) and low rate of complications (1%[95%CI:0.4e1.5, p < 0.001]). Conclusion: RFA showed a high success rate, low recurrence rate and low rate of complications in WPW patients

Keywords

WPW-Syndrome, Recurrence, Cryoablation, Radiofrequency ablation, Complications

Citation

Sherdia Abdelrahman Farag Ibrahim Ali, Abdelaal Shadi Alaa, Hasan Mohammed Tarek, Elsayed Esraa, Mare'y Mohamed, Nawar Asmaa Ahmed, Abdelsalam Alaa, Abdelgader Mujtaba Zakria, Adam Alameen, Abozaid Mohamed. The success rate of radiofrequency catheter ablation in Wolff-Parkinson-White-Syndrome patients: A systematic review and meta-analysis. Indian Heart Journal. 2023 Apr; 75(2): 98-107

URI

https://imsear.searo.who.int/handle/123456789/220966

Collections

Indian Heart Journal

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