Evidence map›Paper›PMID 30900422›Full record

Trial reportYonsei medical journal2019

Unilateral versus Bilateral Groin Puncture for Atrial Fibrillation Ablation: Multi-Center Prospective Randomized Study.

Hee Tae Yu, Dong Geum Shin, Jaemin Shim, Gi Byoung Nam, Won Woo Yoo, Ji Hyun Lee, Tae Hoon Kim, Jae Sun Uhm, Boyoung Joung, Moon Hyoung Lee and 2 more

Open access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Yonsei medical journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 38% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Procedural outcomes of single versus double transeptal access for ablation of atrial fibrillation: Data from the NCDR Afib ablation registry.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2026
    Article
  4. Article
  5. 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

12 authors at 4 institutions in 1 country.

Hee Tae Yu *Department of Cardiology, Yonsei University Health System, Seoul, Korea.ORCID https://orcid.org/0000-0002-6835-4759
Dong Geum Shin *Department of Cardiology, Hallym University Kangnam Sacred Heart Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0002-5473-9068
Jaemin ShimDepartment of Cardiology, Korea University Cardiovascular Center, Seoul, Korea.ORCID https://orcid.org/0000-0001-8251-1522
Gi Byoung NamDepartment of Cardiology, Asan Medical Center, Ulsan University, Seoul, Korea.ORCID https://orcid.org/0000-0003-4391-5406
Won Woo YooDepartment of Cardiology, Yonsei University Health System, Seoul, Korea.ORCID https://orcid.org/0000-0002-1884-8224
Ji Hyun LeeDepartment of Cardiology, Asan Medical Center, Ulsan University, Seoul, Korea.ORCID https://orcid.org/0000-0002-7162-1248
Tae Hoon KimDepartment of Cardiology, Yonsei University Health System, Seoul, Korea.ORCID https://orcid.org/0000-0003-4200-3456
Jae Sun UhmDepartment of Cardiology, Yonsei University Health System, Seoul, Korea.ORCID https://orcid.org/0000-0002-1611-8172
Boyoung JoungDepartment of Cardiology, Yonsei University Health System, Seoul, Korea.ORCID https://orcid.org/0000-0001-9036-7225
Moon Hyoung LeeDepartment of Cardiology, Yonsei University Health System, Seoul, Korea.ORCID https://orcid.org/0000-0002-7268-0741
Young Hoon KimDepartment of Cardiology, Korea University Cardiovascular Center, Seoul, Korea.ORCID https://orcid.org/0000-0002-4254-647X
Hui Nam PakDepartment of Cardiology, Yonsei University Health System, Seoul, Korea. hnpak@yuhs.ac.ORCID https://orcid.org/0000-0002-3256-3620
Yonsei University Health System · KRAsan Medical Center · KRKorea University Medical Center · KRHallym University Kangnam Sacred Heart Hospital · KR

Funding

Ministry of Health and Welfare A085136National Research Foundation of Korea 2017R1C1B1008292National Research Foundation of Korea NRF-2017R1A2B4003983
6 · The paper itself

Abstract

purposeCatheter ablation for atrial fibrillation (AF) requires heavy anticoagulation and uncomfortable post-procedural hemostasis. We compared patient satisfaction with and the safety of unilateral groin (UG) puncture-single trans-septal (ST) ablation with conventional bilateral groin (BG) puncture-double trans-septal (DT) ablation in paroxysmal AF patients. MATERIALS AND

methodsWe enrolled 222 patients with paroxysmal AF (59.4±10.7 years old) who were randomized in a 2:1 manner into UG-ST ablation (n=148) and BG-DT ablation (n=74) groups. If circumferential pulmonary vein isolation could not be achieved after three attempts of touch-up ablation in the UG-ST group, the patient was crossed over to BG-DT by performing a left groin puncture.

resultsTen patients in the UG-ST group (6.8%) required crossover to the BG-DT approach. There were no significant differences in procedure time (

conclusionUG-ST AF ablation is feasible and safe, and was found to significantly reduce post-procedural hemostasis-related discomfort, compared to the conventional DT approach, in patients with paroxysmal AF.

Indexed as

Catheter AblationGroinAgedAtrial FibrillationFemaleHumansMaleMiddle AgedPatient SatisfactionProspective StudiesPulmonary VeinsPuncturesTreatment OutcomeAtrial fibrillationcatheter ablationgroinpuncture

Identifiers

PMID30900422
PMCPMC6433563
OpenAlexW2923306637

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.