A comparative meta-analysis of addition of ganglionic plexus ablation versus no ganglionic plexus ablation to pulmonary vein isolation for atrial fibrillation

Chugh SS, Havmoeller R, Narayanan K, et al. Worldwide epidemiology of atrial fibrillation: a Global Burden of Disease 2010 Study. Circulation. 2014;129:837–47. https://pubmed.ncbi.nlm.nih.gov/24345399.

Article  PubMed  Google Scholar 

Stulak JM, Sundt TM, Dearani JA, Daly RC, Orsulak TA, Schaff HV. Ten-year experience with the Cox-maze procedure for atrial fibrillation: how do we define success? Ann Thorac Surg. 2007;83:1319–24. https://pubmed.ncbi.nlm.nih.gov/17383333/.

Article  PubMed  Google Scholar 

Kearney K, Stephenson R, Phan K, Chan WY, Huang MY, Yan TD. A systematic review of surgical ablation versus catheter ablation for atrial fibrillation. Ann Cardiothorac Surg. 2014;3:159–29. https://www.annalscts.com/article/view/3233.

Google Scholar 

Haïssaguerre M, Jaïs P, Shah DC, et al. Electrophysiological end point for catheter ablation of atrial fibrillation initiated from multiple pulmonary venous foci. Circulation. 2000;101:1409–17. https://pubmed.ncbi.nlm.nih.gov/10736285/.

Article  PubMed  Google Scholar 

Morillo CA, Verma A, Connolly SJ, et al. Radiofrequency ablation vs antiarrhythmic drugs as first-line treatment of paroxysmal atrial fibrillation (RAAFT-2): a randomized trial. JAMA. 2014;311:692–700. https://doi.org/10.1001/jama.2014.467.

Article  CAS  PubMed  Google Scholar 

Kuck KH, Brugada J, Fürnkranz A, et al. Cryoballoon or radiofrequency ablation for paroxysmal atrial fibrillation. J Cardiopulm Rehabil Prev. 2016;36:393–4. https://doi.org/10.1056/NEJMoa1602014.

Article  Google Scholar 

Verma A, Jiang C, Betts TR, et al. Approaches to catheter ablation for persistent atrial fibrillation. N Engl J Med. 2015;372:1812–22. https://doi.org/10.1056/NEJMoa1408288.

Article  PubMed  Google Scholar 

Kistler PM, Chieng D, Sugumar H, et al. Effect of catheter ablation using pulmonary vein isolation with vs without posterior left atrial wall isolation on atrial arrhythmia recurrence in patients with persistent atrial fibrillation: the CAPLA randomized clinical trial. JAMA. 2023;329:127–35. https://jamanetwork.com/journals/jama/fullarticle/2800186.

Article  PubMed  PubMed Central  Google Scholar 

Pappone C, Santinelli V, Manguso F, et al. Pulmonary vein denervation enhances long-term benefit after circumferential ablation for paroxysmal atrial fibrillation. Circulation. 2004;109:327–34. https://pubmed.ncbi.nlm.nih.gov/14707026/.

Article  PubMed  Google Scholar 

Pokushalov E, Romanov A, Katritsis DG, et al. Ganglionated plexus ablation vs linear ablation in patients undergoing pulmonary vein isolation for persistent/long-standing persistent atrial fibrillation: a randomized comparison. Hear Rhythm. 2013;10:1280–6. https://pubmed.ncbi.nlm.nih.gov/23608592/.

Article  Google Scholar 

Katritsis DG, Pokushalov E, Romanov A, et al. Autonomic denervation added to pulmonary vein isolation for paroxysmal atrial fibrillation: a randomized clinical trial. J Am Coll Cardiol. 2013;62:2318–25. https://doi.org/10.1016/j.jacc.2013.06.053.

Article  PubMed  Google Scholar 

Katritsis DG, Giazitzoglou E, Zografos T, Pokushalov E, Po SS, Camm AJ. Rapid pulmonary vein isolation combined with autonomic ganglia modification: a randomized study. Hear Rhythm. 2011;8:672–8.

Article  Google Scholar 

Sakamoto SI, Ishii Y, Otsuka T, et al. Multicenter randomized study evaluating the outcome of ganglionated plexi ablation in maze procedure. Gen Thorac Cardiovasc Surg. 2022;70:908–15.

Article  PubMed  Google Scholar 

Driessen AHG, Berger WR, Krul SPJ, et al. Ganglion plexus ablation in advanced atrial fibrillation: the AFACT study. J Am Coll Cardiol. 2016;68:1155–65.

Article  PubMed  Google Scholar 

Mamchur SE, Mamchur IN, Khomenko EA, Bokhan NS, Scherbinina DA. ‘Electrical exclusion’ of a critical myocardial mass by extended pulmonary vein antrum isolation for persistent atrial fibrillation treatment. Interv Med Appl Sci IMAS. 2014;6:31–9. https://akjournals.com/view/journals/1646/6/1/article-p31.xml.

PubMed  Google Scholar 

Kim M-Y, Coyle C, Tomlinson DR, et al. Ectopy-triggering ganglionated plexuses ablation to prevent atrial fibrillation: GANGLIA-AF study. Hear Rhythm. 2022;19:516–24. https://doi.org/10.1016/j.hrthm.2021.12.010.

Article  Google Scholar 

Sandler B, Kim M-Y, Sikkel MB, et al. Targeting the ectopy-triggering ganglionated plexuses without pulmonary vein isolation prevents atrial fibrillation. J Cardiovasc Electrophysiol. 2021;32:235–44. https://doi.org/10.1111/jce.14870.

Article  PubMed  PubMed Central  Google Scholar 

Berger WR, Neefs J, van den Berg NWE, et al. Additional ganglion plexus ablation during thoracoscopic surgical ablation of advanced atrial fibrillation: intermediate follow-up of the AFACT study. JACC Clin Electrophysiol. 2019;5:343–53.

Article  PubMed  Google Scholar 

Po SS, Nakagawa H, Jackman WM. Localization of left atrial ganglionated plexi in patients with atrial fibrillation. J Cardiovasc Electrophysiol. 2009;20:1186–9. https://doi.org/10.1111/j.1540-8167.2009.01515.x.

Article  PubMed  Google Scholar 

Rackley J, Nudy M, Gonzalez MD, Naccarelli G, Maheshwari A. Pulmonary vein isolation with adjunctive left atrial ganglionic plexus ablation for treatment of atrial fibrillation: a meta-analysis of randomized controlled trials. J Interv Card Electrophysiol. 2023;66:333–42. https://doi.org/10.1007/s10840-022-01212-1.

Article  PubMed  Google Scholar 

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