Evidence map›Paper›PMID 28063111›Full record

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

Comparison of catheter ablation for paroxysmal atrial fibrillation between cryoballoon and radiofrequency: a meta-analysis.

Chao-Feng Chen, Xiao-Fei Gao, Xu Duan, Bin Chen, Xiao-Hua Liu, Yi-Zhou Xu

Abstract readMeta-AnalysisSystematic Review
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 17 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 5 pooled it
3.6field-weighted citation impact, top 6% 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

17 citing papers in PubMed, 5 syntheses or guidelines pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Second-generation cryoballoon vs. contact-force sensing radiofrequency catheter ablation in atrial fibrillation: a meta-analysis of randomized controlled trials.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2021
    Pooled it
  3. Pooled it
  4. Second generation cryoballoon ablation for persistent atrial fibrillation: an updated meta-analysis.Clinical research in cardiology : official journal of the German Cardiac Society · 2018
    Pooled it
  5. Pooled it
  6. Outcomes after redo ablation for the recurrence of atrial fibrillation: a systematic review and meta-analysis.Clinical research in cardiology : official journal of the German Cardiac Society · 2025
    Article
  7. Article
  8. Comparative safety and effectiveness of cryoballoon versus radiofrequency ablation for atrial fibrillation: a systematic review and meta-analysis.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2025
    Review
  9. Article
  10. Article
  11. Article
  12. Association of Obesity Measures with Atrial Fibrillation Recurrence After Cryoablation in Patients with Paroxysmal Atrial Fibrillation.Medical science monitor : international medical journal of experimental and clinical research · 2020
    Article
  13. Article
  14. Second-generation cryoballoon ablation for recurrent atrial fibrillation after an index cryoballoon procedure: a staged strategy with variable balloon size.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2019
    Article
  15. Article
  16. Complications of Atrial Fibrillation Cryoablation.Journal of atrial fibrillation · 2017
    Review
  17. 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

6 authors at 2 institutions in 1 country.

Chao-Feng ChenHangzhou First People's Hospital, Nanjing Medical University, Zhejiang Chinese Medical University, #261 Huansha Road, Shangcheng District, Hangzhou, Zhejiang, China.
Xiao-Fei GaoHangzhou First People's Hospital, Nanjing Medical University, Zhejiang Chinese Medical University, #261 Huansha Road, Shangcheng District, Hangzhou, Zhejiang, China.
Xu DuanHangzhou First People's Hospital, Nanjing Medical University, Zhejiang Chinese Medical University, #261 Huansha Road, Shangcheng District, Hangzhou, Zhejiang, China.
Bin ChenHangzhou First People's Hospital, Nanjing Medical University, Zhejiang Chinese Medical University, #261 Huansha Road, Shangcheng District, Hangzhou, Zhejiang, China.
Xiao-Hua LiuHangzhou First People's Hospital, Nanjing Medical University, Zhejiang Chinese Medical University, #261 Huansha Road, Shangcheng District, Hangzhou, Zhejiang, China.
Yi-Zhou XuHangzhou First People's Hospital, Nanjing Medical University, Zhejiang Chinese Medical University, #261 Huansha Road, Shangcheng District, Hangzhou, Zhejiang, China. njmuzhujue@126.com.
Nanjing Medical University · CNZhejiang Chinese Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe present systematic review and meta-analysis aimed to assess and compare the safety and efficacy of radiofrequency (RF) and cryoballoon (CB) ablation for paroxysmal atrial fibrillation (PAF). RF and CB ablation are two frequently used methods for pulmonary vein isolation in PAF, but which is a better choice for PAF remains uncertain.

methodsA systematic review was conducted in Medline, PubMed, Embase, and Cochrane Library. All trials comparing RF and CB ablation were screened and included if the inclusion criteria were met.

resultsA total of 38 eligible studies, 9 prospective randomized or randomized controlled trials (RCTs), and 29 non- RCTs were identified, adding up to 15,496 patients. Pool analyses indicated that CB ablation was more beneficial in terms of procedural time [standard mean difference = -0.58; 95% confidence interval (CI), -0.85 to -0.30], complications without phrenic nerve injury (PNI) [odds ratio (OR) = 0.79; 95% CI, 0.67-0.93; I

conclusionAvailable overall and subgroup data suggested that both CB1 and CB2 were more beneficial than RF ablation, and the main advantages were reflected in comparing them with non-CF-RF. However, CF-RF and CB2 showed similar clinical benefits.

Indexed as

Atrial FibrillationCatheter AblationCryosurgeryFemaleHumansMaleMiddle AgedPostoperative ComplicationsPrevalenceRisk FactorsClinical benefitCryoballoon ablationMeta-analysisParoxysmal atrial fibrillationRadiofrequency ablation

Identifiers

PMID28063111
OpenAlexW2569862154

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.