Arrhythmias & electrophysiology
Role of oesophageal cooling in the prevention of oesophageal injury in atrial fibrillation catheter ablation: a systematic review and meta-analysis of randomized controlled trials
Pooled resultResult — go to the resultRelative risk 0.86 95% CI 0.31–2.41Authors' conclusion
Among patients undergoing AF catheter ablation, oesophageal cooling did not reduce the overall risk of any oesophageal injury compared with control. Oesophageal cooling might shift the severity of oesophageal injuries to less severe injuries.
Study context
- Population
- Patients undergoing atrial fibrillation (AF) catheter ablation
- Participants
- 294 patients4 randomized controlled trials (RCTs)
- Comparison
- Oesophageal cooling vs control
- Outcome
- Incidence of any oesophageal injury
Methodological detailsSearch of MEDLINE, EMBASE and Cochrane through April 2022
- Search of MEDLINE, EMBASE and Cochrane through April 2022
Pooled result
As reported in the abstract
Relative risk
0.86
95% CI 0.31–2.41
By group
Oesophageal coolingvs Control
RR 0.86 (95% CI 0.31–2.41)
Further pooled results
| Outcome | Oesophageal cooling | Control | RR (95% CI) | |
|---|---|---|---|---|
| Severe oesophageal injury | 1.5% | 9% | 0.21 (0.05–0.80) | |
| 0.050.21520Relative risk (log scale) |
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Role of oesophageal cooling in the prevention of oesophageal injury in atrial fibrillation catheter ablation: a systematic review and meta-analysis of randomized controlled trials. Europace. Published 6 April 2023. doi:10. 1093/ europace/ euad080
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