Evidence map›Paper›PMID 34887952›Full record

ArticleJournal of arrhythmia2021

Cryoballoon ablation of the left atrial posterior wall reduces recurrence of persistent atrial fibrillation in patients with non-paroxysmal atrial fibrillation.

Takatoshi Shigeta, Yasuteru Yamauchi, Yuichiro Sagawa, Atsuhito Oda, Shinichi Tachibana, Koji Sudo, Rena Nakamura, Kaoru Okishige, Masahiko Goya, Tetsuo Sasano

Abstract read
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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 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

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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.

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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

10 authors.

Takatoshi ShigetaHeart Center Japan Red Cross Yokohama City Bay Hospital Yokohama City Kanagawa Japan.ORCID https://orcid.org/0000-0003-1781-9218
Yasuteru YamauchiHeart Center Japan Red Cross Yokohama City Bay Hospital Yokohama City Kanagawa Japan.
Yuichiro SagawaHeart Center Japan Red Cross Yokohama City Bay Hospital Yokohama City Kanagawa Japan.ORCID https://orcid.org/0000-0002-2588-3757
Atsuhito OdaHeart Center Japan Red Cross Yokohama City Bay Hospital Yokohama City Kanagawa Japan.
Shinichi TachibanaHeart Center Japan Red Cross Yokohama City Bay Hospital Yokohama City Kanagawa Japan.ORCID https://orcid.org/0000-0003-3413-2629
Koji SudoHeart Center Japan Red Cross Yokohama City Bay Hospital Yokohama City Kanagawa Japan.ORCID https://orcid.org/0000-0003-2445-7008
Rena NakamuraHeart Center Japan Red Cross Yokohama City Bay Hospital Yokohama City Kanagawa Japan.
Kaoru OkishigeHeart Center Japan Red Cross Yokohama City Bay Hospital Yokohama City Kanagawa Japan.
Masahiko GoyaDepartment of Cardiovascular Medicine Tokyo Medical and Dental University Tokyo Japan.
Tetsuo SasanoDepartment of Cardiovascular Medicine Tokyo Medical and Dental University Tokyo Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to clarify the clinical outcomes of cryoballoon ablation of the left atrial (LA) posterior wall (LAPW), including the LA roof, in patients with non-paroxysmal atrial fibrillation (AF).

methodsWe analyzed the outcomes of 284 patients with non-paroxysmal AF, of whom 210 underwent the cryoballoon ablation of the LAPW, including the LA roof, in addition to pulmonary vein isolation with a cryoballoon.

resultsComplete conduction block at the LA roof was obtained in 95.7% (201/210) of patients, and LAPW was isolated in 83.3% (130/156) of patients. Over 372 (range, 208-477) days of follow-up, atrial arrhythmia recurrence was observed in 84 (29.6%) patients, and atrial tachycardia (AT) recurrence accounted for 27.4% of cases. The prevalence of LA roof cryoballoon ablation was significantly higher in patients without recurrence than in those with recurrence (78.6% vs. 63.1%, respectively;

conclusionsCryoballoon ablation of the LAPW leads to a sufficient acute success rate of complete conduction block and durable lesions of the LA roof without increasing AT recurrence risk. The prevalence of persistent AF recurrence decreases after additional cryoballoon ablation of the LAPW in patients with non-paroxysmal AF.

Indexed as

ablationatrial fibrillationatrial tachycardiacardiac surgical procedurescatheters

Identifiers

PMID34887952
PMCPMC8637091

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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.