Cochrane · systematic review · CD013504

Interrupted versus uninterrupted anticoagulation therapy for catheter ablation in adults with arrhythmias

Bawazeer, GA, Alkofide, HA, Alsharafi, AA, et al. · Cochrane Database of Systematic Reviews · 2021 · Cochrane Library

HeartAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
6
No studies
1
Included studies
NR
No studies 1 · 14.3%Ungraded 0 · 0%Very low 3 · 42.9%Low 3 · 42.9%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Interrupted versus uninterrupted anticoagulation therapy for catheter ablation in adults with arrhythmias

Population: adults with arrhythmias undergoing catheter ablation
7 questions
OutcomeEffectEvidenceStatus / GRADE
Outcomes and
Interrupted vs uninterrupted anticoagulation therapy
no estimate extractedNRNo studies
Thromboembolic events
Interrupted vs uninterrupted anticoagulation therapy
RR 1.76 [0.33, 9.46]6 studies · 3468 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Major bleeding
Interrupted vs uninterrupted anticoagulation therapy
RR 1.1 [0.59, 2.05]10 studies · 4584 participantsLow
Downgraded: risk of bias, imprecision
Composite endpoint of thromboembolic events (stroke or systemic embolism), major bleeding events, and all‐cause mortality
Interrupted vs uninterrupted anticoagulation therapy
RR 0.23 [0.07, 0.81]1 study · 442 participantsLow
Downgraded: risk of bias, imprecision
Minor bleeding
Interrupted vs uninterrupted anticoagulation therapy
RR 1.01 [0.46, 2.22]9 studies · 3843 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
All‐cause mortality
Interrupted vs uninterrupted anticoagulation therapy
RR 0.34 [0.01, 8.21]1 study · 442 participantsLow
Downgraded: risk of bias, imprecision
Asymptomatic thromboembolic events
Interrupted vs uninterrupted anticoagulation therapy
RR 1.45 [0.85, 2.47]6 studies · 1268 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency