Pacing and clinical electrophysiology : PACE
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Pacing Clin Electrophysiol · May 2019
Meta AnalysisProphylactic pulmonary vein isolation during cavotricuspid isthmus ablation for atrial flutter: A meta-analysis.
Atrial arrhythmias (AA), including atrial fibrillation (AF), have been reported in patients after cavotricuspid isthmus (CTI) ablation for typical atrial flutter (AFL). Several studies have examined the effect of performing concomitant pulmonary vein isolation (PVI) with CTI on recurrent AA. These studies were analyzed to determine the overall effect of this approach on recurrent AA. ⋯ This meta-analysis shows addition of a prophylactic PVI during CTI ablation significantly reduces recurrent AA at 1 year without significantly increasing major complications.