Evidence map›Paper›PMID 33615493›Full record

ArticleClinical cardiology2021

Effectiveness and safety of single transseptal ablation for atrial fibrillation in real-word practice.

Yoon Jung Park, Hee Tae Yu, Tae-Hoon Kim, Jae-Sun Uhm, Boyoung Joung, Moon-Hyoung Lee, Hui-Nam Pak

Abstract read
In one paragraph

Article in Clinical cardiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. 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
  2. Article
  3. Silent cerebral lesions following catheter ablation for atrial fibrillation: a state-of-the-art review.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2023
    Review
  4. 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

7 authors.

Yoon Jung ParkDepartment of Cardiology, Yonsei University Health System, Seoul, Republic of Korea.
Hee Tae YuDepartment of Cardiology, Yonsei University Health System, Seoul, Republic of Korea.ORCID https://orcid.org/0000-0002-6835-4759
Tae-Hoon KimDepartment of Cardiology, Yonsei University Health System, Seoul, Republic of Korea.
Jae-Sun UhmDepartment of Cardiology, Yonsei University Health System, Seoul, Republic of Korea.
Boyoung JoungDepartment of Cardiology, Yonsei University Health System, Seoul, Republic of Korea.
Moon-Hyoung LeeDepartment of Cardiology, Yonsei University Health System, Seoul, Republic of Korea.
Hui-Nam PakDepartment of Cardiology, Yonsei University Health System, Seoul, Republic of Korea.

Funding

Ministry of Health and Welfare HI18C0070 HI19C0114The Ministry of Science, ICT & Future Planning NRF-2020R1A2B01001695Yonsei University College of Medicine 6-2020-0114
6 · The paper itself

Abstract

backgroundWe have previously reported that unilateral groin-single transseptal (ST) ablation in patients with paroxysmal atrial fibrillation (AF) was safe and significantly reduced patient discomfort compared with bilateral groin-double transseptal (DT) ablation. HYPOTHESIS: In the present study, we hypothesized that ST ablation would be as effective and safe as DT ablation in real-world practice like previous study. Among the 1765 consecutive patients in the Yonsei AF ablation cohort from October 2015 to January 2020, 1144 patients who underwent radiofrequency ablation were included for the analysis. Among them, 450 underwent ST ablation and 694 underwent DT ablation.

resultsThe total procedure time, ablation time, and fluoroscopy time were longer in the ST group than in the DT group (p < .05 for all). The hospital stay after catheter ablation was 1.3 ± 1.1 days which was longer in DT group than ST group (p = .001). No significant difference was observed in the complication rate (p = .263) and AF-free survival rate (log-rank p = .19) between the groups. However, after excluding patients who used antiarrhythmic drugs when AF recurred, the AF-free survival rates were lower in the DT group than in the ST group before and after propensity score matching (log-rank p = .026 and .047, respectively).

conclusionAlthough the ST approach increases the procedure time compared with the DT approach owing to the need for more frequent catheter exchanges, the ST approach is a feasible and safe strategy for AF ablation in terms of rhythm outcomes and risk of complications.

Indexed as

Atrial FibrillationCatheter AblationCohort StudiesFluoroscopyHumansPropensity ScoreTreatment Outcomeatrial fibrillationcatheter ablationcomplicationsingle groinsingle transseptal puncture

Identifiers

PMID33615493
PMCPMC8027586

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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.