Does radiofrequency catheter ablation provide high success rates and low complication rates in patients with Wolff-Parkinson-White syndrome?
Radiofrequency catheter ablation is highly successful (94.1%) with low recurrence (6.2%) and complication (1%) rates in patients with Wolff-Parkinson-White syndrome.
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:92.3-95.9, p < 0.001)), low recurrence rate (6.2% 95%CI:4.5-7.8, p < 0.001) and low rate of complications (1%95%CI:0.4-1.5, p < 0.001). CONCLUSION: RFA showed a high success rate, low recurrence rate and low rate of complications in WPW patients.
Sherdia et al. (Tue,) studied this question.