Evidence map›Paper›PMID 36233729›Full record

ArticleJournal of clinical medicine2022

Reablation in Atrial Fibrillation Recurrence and Pulmonary Vein Reconnection: Cryoballoon versus Radiofrequency as Index Ablation Procedures.

Ana Isabel Molina-Ramos, Amalio Ruiz-Salas, Carmen Medina-Palomo, Francisco Javier Pavón-Morón, Jorge Rodríguez-Capitán, Mario Gutiérrez-Bedmar, Germán Berteli-García, Ignacio Fernández-Lozano, Juan José Gómez-Doblas, Manuel Jiménez-Navarro and 2 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 39% 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

3 citing papers in PubMed, 2 citations in OpenAlex.

  1. Review
  2. Article
  3. Acute and long-term results with the 3Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2024
    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

12 authors at 1 institution in 1 country.

Ana Isabel Molina-RamosUnidad de Gestión Clínica del Corazón, Hospital Universitario Virgen de la Victoria, 29010 Málaga, Spain.ORCID 0000-0002-0735-9417
Amalio Ruiz-SalasUnidad de Gestión Clínica del Corazón, Hospital Universitario Virgen de la Victoria, 29010 Málaga, Spain.
Carmen Medina-PalomoUnidad de Gestión Clínica del Corazón, Hospital Universitario Virgen de la Victoria, 29010 Málaga, Spain.
Francisco Javier Pavón-MorónUnidad de Gestión Clínica del Corazón, Hospital Universitario Virgen de la Victoria, 29010 Málaga, Spain.ORCID 0000-0002-5256-8904
Jorge Rodríguez-CapitánUnidad de Gestión Clínica del Corazón, Hospital Universitario Virgen de la Victoria, 29010 Málaga, Spain.ORCID 0000-0001-6650-6264
Mario Gutiérrez-BedmarIBIMA-Plataforma BIONAND and Universidad de Málaga, 29590 Málaga, Spain.ORCID 0000-0003-0898-8212
Germán Berteli-GarcíaUnidad de Gestión Clínica del Corazón, Hospital Universitario Virgen de la Victoria, 29010 Málaga, Spain.
Ignacio Fernández-LozanoCentro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBERCV), Instituto de Salud Carlos III, 28029 Madrid, Spain.
Juan José Gómez-DoblasUnidad de Gestión Clínica del Corazón, Hospital Universitario Virgen de la Victoria, 29010 Málaga, Spain.ORCID 0000-0002-9020-639X
Manuel Jiménez-NavarroUnidad de Gestión Clínica del Corazón, Hospital Universitario Virgen de la Victoria, 29010 Málaga, Spain.ORCID 0000-0002-6759-0514
Javier Alzueta-RodríguezUnidad de Gestión Clínica del Corazón, Hospital Universitario Virgen de la Victoria, 29010 Málaga, Spain.
Alberto Barrera-CorderoUnidad de Gestión Clínica del Corazón, Hospital Universitario Virgen de la Victoria, 29010 Málaga, Spain.ORCID 0000-0002-0449-9916
Instituto de Salud Carlos III · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pulmonary vein (PV) isolation is a well-established rhythm control therapy in atrial fibrillation (AF). Currently, there is no consensus on which ablation technique to use for the first procedure, cryoballoon (CB) or radiofrequency (RF). A retrospective cohort study was conducted on 1055 patients who underwent a first ablation, to assess both techniques based on the need for reablation. Patients with CB (n = 557) and RF (n = 498) ablations were clinically characterized and the need for reablation during a 30-month follow-up was used as the primary endpoint. Independent variables were analyzed to identify potential predictors. The need for reablation was significantly lower in the CB group than in the RF group (hazard ratio = 0.45 and 95% confident interval = 0.32−0.61; p < 0.001); in both paroxysmal and persistent AF, using a full-adjusted regression Cox model by age, sex, smoking, hypertension, diabetes mellitus, dyslipidemia, severe obstructive sleep apnea, dilated left atrium, persistent AF and early recurrence. RF ablation, dilated left atrium, persistent AF and early recurrence were identified as independent predictors of reablation. In addition, the CB-redo subgroup had a lower PV reconnection than the RF-redo subgroup. In conclusion, CB ablation suggests a reduction in the need for reablation and lower PV reconnection during the follow-up than RF ablation.

Indexed as

atrial fibrillationcatheter ablationcryoballoonpulmonary vein reconnectionradiofrequencyreablationrecurrence

Identifiers

PMID36233729
PMCPMC9573280
OpenAlexW4303709945

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.