Posterior pericardiotomy for the prevention of atrial fibrillation after cardiac surgery: a systematic review and meta-analysis of 25 randomised controlled trials.

ABSTRACT:

Background

Atrial fibrillation (AF) associated with postoperative pericardial effusion is the most commonly reported adverse event after cardiac surgery.

Aims

We aimed to determine the role of posterior pericardiotomy in preventing postoperative AF (POAF).

Methods

We searched PubMed, Scopus, Web of Science, Ovid, and EBSCO from inception until 30 June 2022. We included randomised clinical trials (RCTs) that compared posterior pericardiotomy (PP) versus control (no PP) in patients undergoing cardiac surgery. The primary endpoint was the incidence of POAF after cardiac surgery. The secondary endpoints were supraventricular arrhythmias, early/late pericardial effusion, pericardial tamponade, pleural effusion, length of hospital/intensive care unit stay, intra-aortic ball

SUBMITTER: Abdelaziz A 

PROVIDER: S-EPMC10336425 | biostudies-literature | 2023 Jul

REPOSITORIES: biostudies-literature