Evidence map›Paper›PMID 34887950›Full record

ArticleJournal of arrhythmia2021

Hybrid convergent ablation versus endocardial catheter ablation for atrial fibrillation: A systematic review and meta-analysis.

Mohammed Mhanna, Azizullah Beran, Ahmad Al-Abdouh, Hazem Ayesh, Omar Sajdeya, Omar Srour, Mahmoud Alsaiqali, Odai H Alhasanat, Cameron Burmeister, Abdelrhman M Abumoawad and 1 more

Open access · goldAbstract read
In one paragraph

Article in Journal of arrhythmia, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
1.4field-weighted citation impact, top 17% 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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 12 citations in OpenAlex.

  1. Hybrid versus endocardial ablation for persistent atrial fibrillation: a systematic review and Bayesian meta-analysis.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2026
    Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Hybrid atrial fibrillation ablation.Annals of cardiothoracic surgery · 2024
    Review
  6. Review
  7. 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

11 authors at 4 institutions in 1 country.

Mohammed MhannaDepartment of Internal Medicine University of Toledo Toledo OH USA.ORCID https://orcid.org/0000-0003-1443-7177
Azizullah BeranDepartment of Internal Medicine University of Toledo Toledo OH USA.
Ahmad Al-AbdouhDepartment of Internal Medicine Saint Agnes Hospital Baltimore MD USA.
Hazem AyeshDepartment of Internal Medicine University of Toledo Toledo OH USA.
Omar SajdeyaDepartment of Internal Medicine University of Toledo Toledo OH USA.
Omar SrourDepartment of Internal Medicine University of Toledo Toledo OH USA.
Mahmoud AlsaiqaliDepartment of Internal Medicine State University of New York Downstate Medical Center Brooklyn NY USA.
Odai H AlhasanatDepartment of Endocrinology University of Toledo Toledo OH USA.
Cameron BurmeisterDepartment of Internal Medicine University of Toledo Toledo OH USA.
Abdelrhman M AbumoawadDepartment of Internal Medicine University of Missouri Kansas City Kansas City MO USA.
Paul ChackoDepartment of Cardiovascular Medicine University of Toledo Toledo OH USA.
University of Toledo · USSaint Agnes Hospital · USState University of New York · USUniversity of Missouri–Kansas City · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionEndocardial catheter ablation (ECA) for atrial fibrillation (AF) has limited efficacy. Hybrid convergent procedure (HCP) with both epicardial and endocardial ablation is a novel strategy for AF treatment. In this meta-analysis, we aimed to evaluate the efficacy and safety of HCP in AF ablation.

methodWe performed a comprehensive literature search for studies that evaluated the efficacy and safety of HCP compared with ECA for AF. The primary outcome was freedom of atrial arrhythmia (AA). The secondary outcome was the periprocedural complication rate. Pooled relative risk (RR) and corresponding 95% confidence intervals (CIs) were calculated using the random effects model.

resultsA total of eight studies, including 797 AF patients (mean age: 60.7 ± 9.8 years, 366 patients with HCP vs. 431 patients with ECA alone), were included. HCP showed a higher rate of freedom of AA compared with ECA (RR: 1.48, 95% CI: 1.13-1.94,

conclusionsAlthough hybrid ablation was associated with a higher success rate, this should be judged for increased periprocedural adverse events and extended hospital stay. Prospective large-scale randomized trials are needed to validate these results.

Indexed as

ablationatrial fibrillationendocardialepicardialhybrid

Identifiers

PMID34887950
PMCPMC8637076
OpenAlexW3209194758

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.