Evidence map›Paper›PMID 27771820›Full record

SynthesisJournal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing2017

Meta-analysis of efficacy and safety of apixaban and uninterrupted apixaban therapy compared to vitamin K antagonists in patients undergoing catheter ablation for atrial fibrillation.

Anene Ukaigwe, Pragya Shrestha, Paras Karmacharya, Sarah K Hussain, Soraya Samii, Mario D Gonzalez, Deborah Wolbrette, Gerald V Naccarrelli

Abstract readMeta-AnalysisReview
PubMed Publisher
In one paragraph

Synthesis in Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 3 pooled it
2.0field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 3 syntheses or guidelines pooled it, 17 citations in OpenAlex.

  1. Catheter ablation in patients with atrial fibrillation and cancer: a systematic review and updated meta-analysis.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2026
    Pooled it
  2. Pooled it
  3. Pooled it
  4. A Case of Postablation Pericardial Effusion.The Journal of innovations in cardiac rhythm management · 2018
    Article
  5. Review
  6. Effectiveness and Safety of DOACs in Atrial Fibrillation Patients Undergoing Catheter Ablation: Results from the China Atrial Fibrillation (China-AF) Registry.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Anene UkaigweDivision of Cardiology, Heart and Vascular Institute, Pennsylvania State University, Hershey Medical Center, 500 University Drive, Hershey, PA, 17033, USA. acukaigwe@gmail.com.
Pragya ShresthaDepartment of Medicine, Reading Health System, West Reading, PA, USA.
Paras KarmacharyaDepartment of Medicine, Reading Health System, West Reading, PA, USA.
Sarah K HussainElectrophysiology Program, Division of Cardiology, Heart and Vascular Institute, Penn State University, Hershey Medical Center, Hershey, PA, USA.
Soraya SamiiElectrophysiology Program, Division of Cardiology, Heart and Vascular Institute, Penn State University, Hershey Medical Center, Hershey, PA, USA.
Mario D GonzalezElectrophysiology Program, Division of Cardiology, Heart and Vascular Institute, Penn State University, Hershey Medical Center, Hershey, PA, USA.
Deborah WolbretteElectrophysiology Program, Division of Cardiology, Heart and Vascular Institute, Penn State University, Hershey Medical Center, Hershey, PA, USA.
Gerald V NaccarrelliElectrophysiology Program, Division of Cardiology, Heart and Vascular Institute, Penn State University, Hershey Medical Center, Hershey, PA, USA.
Penn State Milton S. Hershey Medical Center · USReading Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundApixaban is a Factor Xa inhibitor increasingly being used for stroke prevention in atrial fibrillation (AF). Although several studies have been done, the efficacy and safety of apixaban during the peri-procedural period of AF ablation remains unclear. We sought to systematically review pooled data from these various studies to evaluate thromboembolic and bleeding risks in patients undergoing catheter ablation for AF who are treated with apixaban (interrupted and uninterrupted).

methodsStudies comparing anticoagulation with apixaban or vitamin K antagonists (VKA) in patients undergoing ablation for AF were identified via an electronic search of MEDLINE, EMBASE, clinical trials.gov, and Cochrane Library from inception to January 2016. Study-specific risk ratios were calculated and combined with a fixed-effects model meta-analysis.

resultsIn the analysis of 2100 pooled patients, thromboembolic complications (TE) occurred in 14/778 (1.80 %) patients in the apixaban group (AG) compared to 20/1322 patients in the VKA group (RR 1.03, 95 % CI 0.55-1.90, p = 0.93, I

conclusionOur study demonstrates patients treated with apixaban and VKA during the peri-procedural period for AF ablation have similar rates of TE and bleeding complications. Interrupted and uninterrupted apixaban strategies were associated with similar outcomes.

Indexed as

AgedAtrial FibrillationCatheter AblationCausalityComorbidityDose-Response Relationship, DrugFemaleFibrinolytic AgentsHemorrhageHumansMaleMiddle AgedPostoperative ComplicationsPrevalencePyrazolesPyridonesapixabanFibrinolytic AgentsPyrazolesPyridonesVitamin KApixabanAtrial fibrillationCatheter ablation

Identifiers

PMID27771820
OpenAlexW2535088454

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.