Evidence map›Paper›PMID 30167015›Full record

ArticleJournal of arrhythmia2018

Influence of substrate modification in catheter ablation of atrial fibrillation on the incidence of acute complications: Analysis of 10 795 procedures in J-CARAF Study 2011-2016.

Yuji Murakawa, Teiichi Yamane, Masahiko Goya, Koichi Inoue, Shigeto Naito, Koichiro Kumagai, Yasushi Miyauchi, Norishige Morita, Akihiko Nogami, Morio Shoda and 3 more

Open access · goldAbstract read
In one paragraph

Article in Journal of arrhythmia, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 14% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

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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

13 authors at 11 institutions in 1 country.

Yuji MurakawaFourth Department of Internal Medicine Teikyo University School of Medicine Kawasaki Japan.ORCID 0000-0002-9147-6113
Teiichi YamaneThe Department of Cardiology The Jikei University School of Medicine Tokyo Japan.
Masahiko GoyaHeart Rhythm Center Tokyo Medical and Dental University Tokyo Japan.
Koichi InoueCardiovascular Center Sakurabashi Watanabe Hospital Osaka Japan.
Shigeto NaitoDivision of Cardiology Gunma Prefectural Cardiovascular Center Gunma Japan.
Koichiro KumagaiHeart Rhythm Center Fukuoka Sanno Hospital Fukuoka Japan.
Yasushi MiyauchiDivision of Cardiology Nippon Medical School Tokyo Japan.
Norishige MoritaDivision of Cardiology Tokai University Hachioji Hospital Hachioji Japan.
Akihiko NogamiCardiovascular Division Faculty of Medicine University of Tsukuba Tsukuba Japan.
Morio ShodaDepartment of Cardiology Tokyo Women's Medical University Tokyo Japan.
Ken OkumuraDivision of Cardiology Saiseikai Kumamoto Hospital Kumamoto Japan.
Kenzo HiraoHeart Rhythm Center Tokyo Medical and Dental University Tokyo Japan.
Japanese Heart Rhythm Society Members
Tokyo Medical and Dental University · JPGunma Prefectural Cardiovascular Center · JPJikei University School of Medicine · JPNippon Medical School Hospital · JPSaiseikai Kumamoto Hospital · JPSakurabashi Watanabe Hospital · JPSanno Medical Center · JPTeikyo University · JPTokai University Hachioji Hospital · JPTokyo Women's Medical University · JPUniversity of Tsukuba · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeIn expectation of better outcome of catheter ablation of atrial fibrillation (AF), several strategies of extra-PV (pulmonary vein) substrate modification have been utilized. We assessed whether substrate modification or ablation of extra-PV source is a predictor of complications.

methodsJapanese Heart Rhythm Society requested electrophysiology centers to register the data of patients who underwent AF ablation.

resultsThe data of 10 795 AF ablation cases (age; 63.8 ± 10.6 years) treated during 2011-2016 were registered. Pericardial effusion (n = 105), massive bleeding (n = 108), stroke (n = 6), atrial-esophageal fistula (n = 2), and other 114 complications occurred in 323 patients (3.0%). Univariate analysis revealed that age ≧ 65 years, female gender, heart failure, CHA2DS2-VASc≧3, hemodialysis, deep sedation, and complex fractionated atrial electrogram (CFAE)-guided ablation ([+] vs [-] = 4.3% vs 2.8%,

conclusionsAmong extra-PV ablation strategies, CFAE-guided ablation is a predictor of ablation-related complications.

Indexed as

atrial fibrillationcatheter ablationcomplex fractionated atrial electrogramcomplication

Identifiers

PMID30167015
PMCPMC6111468
OpenAlexW2845006401

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.