Evidence map›Paper›PMID 36044101›Full record

Trial reportJournal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing2023

Safety of a single bolus administration of heparin without the measurement of activated clotting time during cryoballoon ablation: a prospective randomized controlled trial.

Dong Geum Shin, Minwoo Lee, Jinhee Ahn, Sang-Jin Han, Hong Euy Lim

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 48% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Review
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

5 authors at 4 institutions in 2 countries.

Dong Geum Shin *Division of Cardiology, Hallym University Kangnam Sacred Heart Hospital, Seoul, Republic of Korea.ORCID http://orcid.org/0000-0002-5473-9068
Minwoo Lee *Department of Neurology, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang-si, Republic of Korea.ORCID http://orcid.org/0000-0001-8474-5744
Jinhee AhnDivision of Cardiology, Department of Internal Medicine, Pusan National University Hospital, Busan, Republic of Korea.ORCID http://orcid.org/0000-0001-6179-1254
Sang-Jin HanDivision of Cardiology, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, 22, Gwanpyeong-ro 170beon-gil, Dongan-gu, Anyang-si, Gyeonggi-do, Republic of Korea, 14068.ORCID http://orcid.org/0000-0003-4451-468X
Hong Euy LimDivision of Cardiology, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, 22, Gwanpyeong-ro 170beon-gil, Dongan-gu, Anyang-si, Gyeonggi-do, Republic of Korea, 14068. hongeuy1046@gmail.com.ORCID http://orcid.org/0000-0001-8102-8352
Hallym University · KRHallym University Kangnam Sacred Heart Hospital · KRHallym University Sacred Heart Hospital · KRPusan National University Hospital · KR

Funding

Medtronic Korea H20190710
6 · The paper itself

Abstract

backgroundSingle-shot ablation has emerged as an effective technique for index atrial fibrillation (AF) ablation, with an advantage of short procedure time. Although recent guidelines recommend peri-procedural uninterrupted oral anticoagulants (OACs), the intra-procedural anticoagulation strategy remains uncertain under non-vitamin K OACs (NOACs). We investigated procedural safety of a single bolus administration of heparin without activated clotting time (ACT) measurement during cryoballoon ablation (CBA).

methodsTwo hundred patients (64.2 ± 10.0 years, 70% with non-paroxysmal AF) who underwent CBA with uninterrupted NOACs were randomly assigned to No-ACT group and ACT group. A bolus of heparin (100 U/kg) was routinely administered immediately after transseptal puncture. In the ACT group, an additional injection of heparin (30 U/kg) was administered if ACT at 30 min after the initial bolus was < 300 s.

resultsThere were no differences in baseline characteristics including CHA

conclusionsSingle bolus administration of heparin without ACT measurement is a feasible anticoagulation strategy for CBA in patients with uninterrupted NOAC intake.

Indexed as

Atrial FibrillationCatheter AblationAdministration, OralAnticoagulantsHemorrhageHeparinHumansProspective StudiesTreatment OutcomeAnticoagulantsHeparinActivated clotting timeAtrial fibrillationCryoballoon ablationHeparinNon-vitamin K oral anticoagulant

Identifiers

PMID36044101
OpenAlexW4293755442

What OpenQuestion holds

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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.