Evidence map›Paper›PMID 35222751›Full record

ArticleJournal of arrhythmia2022

Effects of uninterrupted dabigatran on the intensity of anticoagulation during atrial fibrillation ablation.

Takumi Osawa, Hitoshi Mori, Akane Kawai, Daisuke Kawano, Kenta Tsutsui, Yoshifumi Ikeda, Mitsuki Yamaga, Atsushi Sato, Youdou Gatate, Akira Hamabe and 3 more

Open access · goldAbstract read
In one paragraph

Article in Journal of arrhythmia, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 37% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 2 citations in OpenAlex.

  1. Pooled it
  2. 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

13 authors at 2 institutions in 1 country.

Takumi OsawaDepartment of Cardiology Japan Self Defense Forces Central Hospital Setagaya Japan.
Hitoshi MoriDepartment of Cardiology Japan Self Defense Forces Central Hospital Setagaya Japan.ORCID https://orcid.org/0000-0002-1172-2995
Akane KawaiDepartment of Cardiology Japan Self Defense Forces Central Hospital Setagaya Japan.
Daisuke KawanoDepartment of Cardiology Japan Self Defense Forces Central Hospital Setagaya Japan.
Kenta TsutsuiDepartment of Cardiology Saitama Medical University International Medical Center Hidaka Japan.ORCID https://orcid.org/0000-0002-5121-6974
Yoshifumi IkedaDepartment of Cardiology Saitama Medical University International Medical Center Hidaka Japan.
Mitsuki YamagaDepartment of Cardiology Japan Self Defense Forces Central Hospital Setagaya Japan.
Atsushi SatoDepartment of Cardiology Japan Self Defense Forces Central Hospital Setagaya Japan.
Youdou GatateDepartment of Cardiology Japan Self Defense Forces Central Hospital Setagaya Japan.
Akira HamabeDepartment of Cardiology Japan Self Defense Forces Central Hospital Setagaya Japan.
Hirotsugu TabataDepartment of Cardiology Japan Self Defense Forces Central Hospital Setagaya Japan.
Ritsushi KatoDepartment of Cardiology Saitama Medical University International Medical Center Hidaka Japan.
Kazuo MatsumotoDepartment of Cardiology Saitama Medical University International Medical Center Hidaka Japan.
Self-Defense Forces Central Hospital · JPSaitama International Medical Center · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUninterrupted dabigatran during atrial fibrillation (AF) ablation is now established as the standard therapy. However, there are few reports on the effects of uninterrupted dabigatran on the intensity of anticoagulation during AF ablation.

methodsWe retrospectively analyzed 247 consecutive patients who underwent AF ablation in our hospital from January 2017 to December 2018. Patients who took warfarin or uninterrupted direct oral anticoagulants (DOACs) except for dabigatran were excluded. 89 patients underwent ablation with uninterrupted dabigatran (uninterrupted group, male 71, mean age 59.6 ± 14.0) and 124 with interrupted DOACs (interrupted group, male 105, mean age 56.9 ± 12.9) during AF ablation. The initial ACT level, proportion of ACT levels of more than 300 s, and total amount of heparin were compared. Furthermore, the incidence of procedure complications was also evaluated.

resultsThe initial ACT levels were significantly higher in the uninterrupted group, and the total number of ACTs of more than 300 s was significantly higher in the uninterrupted group (uninterrupted vs. interrupted; initial ACT level, 315.6 ± 59.8 vs. 264.5 ± 48.6,

conclusionsIn the catheter ablation of AF, uninterrupted dabigatran would be useful to obtain a stable anticoagulation status during the entire procedure.

Indexed as

anticoagulationatrial fibrillationcatheter ablationdabigatranuninterrupted anticoagulant

Identifiers

PMID35222751
PMCPMC8851590
OpenAlexW3214942609

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.