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Multiple strategies have advocation for power titration and catheter movement during atrial fibrillation (AF) ablation. Comparative favoring evidence regarding the efficacy, logistics, and safety of a higher‐power, shorter duration (HPSD) ablation strategy compared to a lower‐power, longer duration (LPLD) ablation strategy is insubstantial. We performed a meta‐analysis to compare arrhythmia‐free survival, procedure times, and complication rates between the two strategies.

We searched MEDLINE, EMBASE, and Cochrane Library from inception to September 2020. We included studies comparing patients who underwent HPSD and LPLD strategies for AF ablation and reporting either of the following outcomes: Freedom from atrial tachyarrhythmia (AT) including AF and atrial flutter, procedure time, or periprocedural complications. We combined data using the random‐effects model to …