Evidence map›Paper›PMID 35936038›Full record

ArticleJournal of arrhythmia2022

Pulmonary vein isolation alone versus pulmonary vein isolation with additional extensive ablation for paroxysmal and persistent atrial fibrillation.

Joey Junarta, Sean J Dikdan, Naman Upadhyay, Andrea Molin, Sairamya Bodempudi, Eric Warner, Daniel Joffe, Zachary Pang, Daniel R Frisch

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.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 41% 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, 3 citations in OpenAlex.

  1. Article
  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

9 authors at 2 institutions in 1 country.

Joey JunartaDepartment of Medicine Thomas Jefferson University Hospital Philadelphia Pennsylvania USA.ORCID https://orcid.org/0000-0002-9411-1478
Sean J DikdanJefferson Heart Institute Thomas Jefferson University Hospital Philadelphia Pennsylvania USA.
Naman UpadhyayDepartment of Medicine Thomas Jefferson University Hospital Philadelphia Pennsylvania USA.
Andrea MolinDepartment of Medicine Thomas Jefferson University Hospital Philadelphia Pennsylvania USA.
Sairamya BodempudiDepartment of Medicine Thomas Jefferson University Hospital Philadelphia Pennsylvania USA.
Eric WarnerDepartment of Medicine Thomas Jefferson University Hospital Philadelphia Pennsylvania USA.
Daniel JoffeSidney Kimmel Medical College Thomas Jefferson University Philadelphia Pennsylvania USA.
Zachary PangSidney Kimmel Medical College Thomas Jefferson University Philadelphia Pennsylvania USA.
Daniel R FrischJefferson Heart Institute Thomas Jefferson University Hospital Philadelphia Pennsylvania USA.ORCID https://orcid.org/0000-0002-7645-6405
Thomas Jefferson University Hospital · USThomas Jefferson University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The value of additional ablation beyond pulmonary vein isolation for atrial fibrillation (AF) ablation is unclear, especially for persistent AF. It is uncertain whether substrate modification with additional extensive ablation improves outcomes. We reviewed our experience to determine whether pulmonary vein isolation with additional extensive ablation (PVIEA) improves outcomes compared to pulmonary vein isolation alone (PVIA) for AF ablation. Methods: Consecutive cases of patients with PVIA versus PVIEA were compared between September 9, 2013 and December 12, 2020. Procedural data collected include radiofrequency ablation delivery time (RADT) and arrhythmia inducibility. Clinical data collected include sinus rhythm maintenance post-procedure. Results: A total of 235 patients were studied (67 PVIA and 168 PVIEA). RADT was shorter when comparing ablation with PVIA versus PVIEA (32 vs. 40 min; Conclusion: AF ablation with PVIA or PVIEA produces similar sinus rhythm maintenance overall and when stratified by catheter setting and AF type. PVIA reduced procedure times and less arrhythmias were inducible post-ablation.

Indexed as

atrial fibrillationcatheter ablationelectrophysiologypersistent atrial fibrillationsubstrate modification

Identifiers

PMID35936038
PMCPMC9347196
OpenAlexW4225313138

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.