Multielectrode catheter-based pulsed electric field vs. cryoballoon for atrial fibrillation ablation: a systematic review and meta-analysis Article Swipe
Giampaolo Vetta
,
Domenico G. Della Rocca
,
Antonio Parlavecchio
,
Michele Magnocavallo
,
Antonio Sorgente
,
Luigi Pannone
,
Alvise Del Monte
,
Alexandre Almorad
,
Juan Sieira
,
Lorenzo Marcon
,
Ioannis Doundoulakis
,
Sanghamitra Mohanty
,
Charles Audiat
,
Kazutaka Nakasone
,
Gezim Bala
,
Erwin Ströker
,
Stéphane Combes
,
Ingrid Overeinder
,
Stefano Bianchi
,
Pietro Palmisano
,
Pietro Rossi
,
Serge Bovéda
,
Marc La Meir
,
Andrea Natale
,
Andrea Sarkozy
,
Carlo de Asmundis
,
Gian‐Battista Chierchia
,
Alvise Del Monte
,
Sahar Mouram
,
Cinzia Monaco
,
Ilenia Lombardo
,
Roberto Scacciavillani
,
Kazutaka Nakasone
,
M Cespon Fernandez
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1093/europace/euae293
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1093/europace/euae293
Aims Pulsed field ablation (PFA) is an innovative technology recently adopted for the treatment of atrial fibrillation (AF). Preclinical and clinical studies have reported a remarkable safety profile, as a result of its tissue-specific effect targeting cardiomyocytes and sparing adjacent tissues. Single-shot pentaspline system was the first PFA device to receive regulatory approval. We performed a meta-analysis to compare the efficacy and safety of PFA with the single-shot pentaspline system vs. currently available second-/third-/fourth-generation cryoballoon ablation (CRYO) technologies. Methods and results We systematically searched electronic databases for studies focusing on AF ablation employing the PFA single-shot pentaspline system or second-/third-/fourth-generation CRYO technologies. The primary endpoints were acute procedural success assessed on a vein and patient basis. Safety endpoints included overall periprocedural complications and major periprocedural complications. We also compared procedural, fluoroscopy times, and freedom from atrial tachyarrhythmias (ATs) at follow-up (secondary endpoints). Twenty and 70 studies were included for PFA and CRYO, respectively. Pulsed field ablation demonstrated greater acute procedural success on a vein basis (99.9% vs. 99.1%; P < 0.001), as well as per patient (99.5% vs. 98.4%; P < 0.001). Pulsed field ablation yielded lower overall periprocedural complications (3.1% vs. 5.6%; P < 0.001), shorter procedural time (75.9 min vs. 105.6 min; P < 0.001), and fluoroscopy time (14.2 min vs. 18.9 min; P < 0.001) compared with CRYO. No differences were found for major periprocedural complications (1.2% vs. 1.0%; P = 0.46) and freedom from ATs at 1 year (82.3% vs. 80.3%; log-rank P = 0.61). Conclusion Pulsed field ablation contributed to higher acute procedural success and safety compared with CRYO. No statistically significant differences in AT recurrence at 1-year follow-up were observed.
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Metadata
- Type
- review
- Language
- en
- Landing Page
- https://doi.org/10.1093/europace/euae293
- https://academic.oup.com/europace/advance-article-pdf/doi/10.1093/europace/euae293/60799928/euae293.pdf
- OA Status
- hybrid
- Cited By
- 9
- References
- 32
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4404647756
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4404647756Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1093/europace/euae293Digital Object Identifier
- Title
-
Multielectrode catheter-based pulsed electric field vs. cryoballoon for atrial fibrillation ablation: a systematic review and meta-analysisWork title
- Type
-
reviewOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2024Year of publication
- Publication date
-
2024-11-23Full publication date if available
- Authors
-
Giampaolo Vetta, Domenico G. Della Rocca, Antonio Parlavecchio, Michele Magnocavallo, Antonio Sorgente, Luigi Pannone, Alvise Del Monte, Alexandre Almorad, Juan Sieira, Lorenzo Marcon, Ioannis Doundoulakis, Sanghamitra Mohanty, Charles Audiat, Kazutaka Nakasone, Gezim Bala, Erwin Ströker, Stéphane Combes, Ingrid Overeinder, Stefano Bianchi, Pietro Palmisano, Pietro Rossi, Serge Bovéda, Marc La Meir, Andrea Natale, Andrea Sarkozy, Carlo de Asmundis, Gian‐Battista Chierchia, Alvise Del Monte, Sahar Mouram, Cinzia Monaco, Ilenia Lombardo, Roberto Scacciavillani, Kazutaka Nakasone, M Cespon FernandezList of authors in order
- Landing page
-
https://doi.org/10.1093/europace/euae293Publisher landing page
- PDF URL
-
https://academic.oup.com/europace/advance-article-pdf/doi/10.1093/europace/euae293/60799928/euae293.pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
hybridOpen access status per OpenAlex
- OA URL
-
https://academic.oup.com/europace/advance-article-pdf/doi/10.1093/europace/euae293/60799928/euae293.pdfDirect OA link when available
- Concepts
-
Medicine, Fluoroscopy, Atrial fibrillation, Pulmonary vein, Ablation, Catheter ablation, Cardiology, Internal medicine, Clinical endpoint, Single shot, Catheter, Radiology, Randomized controlled trial, Physics, OpticsTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
9Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 8, 2024: 1Per-year citation counts (last 5 years)
- References (count)
-
32Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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