Evidence map›Paper›PMID 31189669›Full record

SynthesisBMJ open2019

Atrial fibrillation ablation with a spring sensor-irrigated contact force-sensing catheter compared with other ablation catheters: systematic literature review and meta-analysis.

Laurent Macle, Diana Frame, Larry M Gache, George Monir, Scott J Pollak, Lee Ming Boo

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 7% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Pulsed field ablation: focused on atrial fibrillation ablation.The Korean journal of internal medicine · 2026
    Review
  5. Article
  6. Article
  7. Article
  8. The importance of electrode-tissue proximity in creating pulsed field ablation lesions: insights from a sub-acute preclinical model.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2024
    Article
  9. Observational
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Long-term safety and effectiveness of paroxysmal atrial fibrillation ablation using a porous tip contact force-sensing catheter from the SMART SF trial.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2021
    Article
  18. Article
  19. Article
  20. Review
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 4 institutions in 4 countries.

Laurent MacleDepartment of Medicine, Institut De Cardiologie de Montreal, Montreal, Quebec, Canada.
Diana FrameReal World Evidence (RWE), CTI Clinical Trial and Consulting Services Inc., Covington, Kentucky, USA.
Larry M GacheReal World Evidence (RWE), CTI Clinical Trial and Consulting Services Inc., Covington, Kentucky, USA.
George MonirCardiology, Arrhythmia and Ablation Center, Florida Hospital, Orlando, Florida, USA.
Scott J PollakCardiology, Arrhythmia and Ablation Center, Florida Hospital, Orlando, Florida, USA.
Lee Ming BooClinical Research, Biosense Webster, Inc., Irvine, California, USA.
AdventHealth Orlando · USClinical Trial and Consulting · USClinical Research Management · USMontreal Heart Institute · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe objective of our review was to systematically assess available evidence on the effectiveness, safety and efficiency of a spring sensor-irrigated contact force (CF) catheter (THERMOCOOL SMARTTOUCH Catheter (ST)) for percutaneous ablation of paroxysmal or persistent atrial fibrillation (AF), compared with other ablation catheters, or with the ST with the operator blinded to CF data.

designSystematic literature review and meta-analysis.

backgroundEmerging evidence suggests improved clinical outcomes of AF ablation using CF-sensing catheters; however, reviews to date have included data from multiple, distinct CF technologies.

methodsWe conducted a systematic review and meta-analysis of published studies comparing the use of ST versus other ablation catheters for the treatment of AF. A comprehensive search of electronic and manual sources was conducted. The primary endpoint was freedom from recurrent atrial tachyarrhythmia (AT) at 12 months. Procedural and safety data were also analysed.

resultsThirty-four studies enrolling 5004 patients were eligible. The use of ST was associated with increased odds of freedom from AT at 12 months (71.0%vs60.8%; OR 1.454, 95% CI 1.12 to 1.88, p

conclusionsCompared with the use of other catheters, AF ablation using the CF-sensing ST catheter for AF is associated with improved success rates, shorter procedure and fluoroscopy times and similar safety profile.

Indexed as

CathetersAtrial FibrillationCatheter AblationEquipment DesignHumansatrial fibrillationcatheter ablationcontact forceTHERMOCOOL SMARTTOUCH Catheter

Identifiers

PMID31189669
PMCPMC6575819
OpenAlexW2950122530

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.