High-power short-duration vs. conventional catheter ablation for atrial fibrillation: a meta-analysis and trial sequential analysis of randomized controlled trials.

ABSTRACT:

Background

High-power short-duration (HPSD) ablation has emerged as an alternative to traditional low-power long-duration (LPLD) ablation. However, the safety and efficacy of HPSD remain controversial. This study aimed to evaluate the effectiveness and safety of HPSD in the ablation treatment of atrial fibrillation (AF).

Methods

Randomized controlled trials (RCTs) comparing high-power short-duration (HPSD) and low-power long-duration (LPLD) ablation were retrieved from PubMed, Web of Science, EMBASE, and the Cochrane Library up to 20 May 2025. Statistical analysis was performed using RevMan 5.4 software. The risk ratio (RR) was used as the effect size for dichotomous variables, and the mean and standard deviation were used as the effect sizes for continuous variables.

Res

SUBMITTER: He L 

PROVIDER: S-EPMC12745485 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature