Safety and efficacy of intracardiac echocardiography in atrial fibrillation ablation: a meta-analysis.

ABSTRACT:

Aims

Intracardiac echocardiography (ICE) is increasingly incorporated into atrial fibrillation (AF) ablation workflows, enabling real-time anatomic guidance and procedural precision. Nevertheless, ICE utilization shows substantial geographic variability, and its clinical benefit remains incompletely understood. This meta-analysis evaluated the efficacy, safety, and procedural performance of ICE-guided vs. non-ICE-guided AF ablation.

Methods and results

MEDLINE, the Cochrane Library, and Scopus were systematically searched through 3 August 2025. Three reviewers independently performed study selection, data extraction, and risk-of-bias assessment. Random-effects models were used to pool data from 44 AF ablation studies comprising 482 043 patients. ICE guidance was associated w

SUBMITTER: Karakasis P 

PROVIDER: S-EPMC12931560 | biostudies-literature | 2026 Feb

REPOSITORIES: biostudies-literature