Evidence map›Paper›PMID 36512365›Full record

ArticleEuropace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology2023

Patient selection, peri-procedural management, and ablation techniques for catheter ablation of atrial fibrillation: an EHRA survey.

Konstantinos Iliodromitis, Radoslaw Lenarczyk, Daniel Scherr, Giulio Conte, Michal M Farkowski, Francisco Marin, Javier Garcia-Seara, Stefan Simovic, Tatjana Potpara

Open access · hybridAbstract read
In one paragraph

Article in Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
6.2field-weighted citation impact, top 3% 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

30 citing papers in PubMed, 42 citations in OpenAlex.

  1. Trial
  2. Personalized pulmonary vein isolation with very high-power short-duration lesions guided by left atrial wall thickness: the QDOT-by-LAWT randomized trial.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2024
    Trial
  3. Investigating workload and usability of remote magnetic navigation for catheter ablation.International journal of computer assisted radiology and surgery · 2026
    Article
  4. Review
  5. Article
  6. Article
  7. Pulsed field ablation for atrial fibrillation ablation: a European Heart Rhythm Association survey.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2025
    Article
  8. Contemporary strategies for repeat ablation of atrial fibrillation: a European Heart Rhythm Association survey.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2025
    Article
  9. Article
  10. Arrhythmia care in ESC member countries: the 2025 ESC-EHRA atlas on heart rhythm disorders.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2025
    Article
  11. Article
  12. Article
  13. Aggressive ablation vs. regular ablation for persistent atrial fibrillation: a multicentre real-world cohort study.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2025
    Observational
  14. Anaesthesia for Pulsed Field Ablation Procedures.Arrhythmia & electrophysiology review · 2025
    Review
  15. Review
  16. Article
  17. General anaesthesia and deep sedation for monopolar pulsed field ablation using a lattice-tip catheter combined with a novel three-dimensional mapping system.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2024
    Article
  18. Article
  19. Article
  20. Current management of atrial fibrillation in routine practice according to the last ESC guidelines: an EHRA physician survey-how are we dealing with controversial approaches?Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 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

9 authors at 8 institutions in 7 countries.

Konstantinos IliodromitisKlinik für Kardiologie und Rhythmologie, Evangelisches Krankenhaus Hagen-Haspe, Brusebrinkstraße 20, 58135 Hagen, Germany.ORCID 0000-0003-4243-9823
Radoslaw LenarczykDivision of Medical Sciences in Zabrze, Department of Cardiology, Congenital Heart Diseases and Electrotherapy, Silesian Center for Heart Diseases Zabrze, The Medical University of Silesia, Zabrze, Poland.ORCID 0000-0002-4680-6734
Daniel ScherrDivision of Cardiology, Department of Medicine, Medical University of Graz, Auenbruggerplatz 15, 8036 Graz, Austria.ORCID 0000-0001-5868-5493
Giulio ConteDivision of Cardiology, Cardiocentro Ticino, Lugano, Switzerland.ORCID 0000-0003-2248-3456
Michal M FarkowskiII Department of Heart Arrhythmia, National Institute of Cardiology, Warsaw, Poland.ORCID 0000-0003-1673-7712
Francisco MarinDepartment of Cardiology, Hospital Clínico Universitario Virgen de la Arrixaca, IMIB-Arrixaca, CIBERCV, University of Murcia, Murcia, Spain.ORCID 0000-0001-7246-7708
Javier Garcia-SearaArrhythmia Unit, Cardiology Department, CIBER-CV and IDIS Foundation, University Hospital of Santiago de Compostela, Compostela, Spain.ORCID 0000-0001-7903-9490
Stefan SimovicDepartment of Internal Medicine, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia.ORCID 0000-0003-0911-2028
Tatjana PotparaSchool of Medicine, University of Belgrade, Beograd, Serbia.ORCID 0000-0001-6285-6902
Centro de Investigación en Red en Enfermedades Cardiovasculares · ESEpatocentro Ticino · CHInstitute of Cardiology · PLMedical University of Graz · ATMedical University of Silesia · PLUniversity of Belgrade · RSUniversity of Kragujevac · RSWitten/Herdecke University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Catheter ablation (CA) of atrial fibrillation (AF) is the therapy of choice for the maintenance of sinus rhythm in patients with symptomatic AF. Time towards interventional treatment and peri-procedural management of patients undergoing AF ablation may vary in daily practice. The scope of this European Heart Rhythm Association (EHRA) survey was to report the current clinical practice regarding the management of patients undergoing AF ablation and physician's adherence to the European Society of Cardiology Guidelines and the EHRA/HRS/ECAS expert consensus statement on the CA for AF. This physician-based survey was conducted among EHRA members, using an internet-based questionnaire developed by the EHRA Scientific Initiatives Committee. A total of 258 physicians participated in the survey. In patients with paroxysmal or persistent AF, 42 and 9% of the physicians would routinely perform AF ablation as first-line therapy respectively, whereas 71% of physicians would consider ablation as first-line therapy in patients with symptomatic AF and left ventricular ejection fraction <35%. Only 14% of the respondents manage cardiovascular risk factors in patients referred for CA using a dedicated AF risk factor management programme. Radiofrequency CA is the preferred technology for first-time AF (56%), followed by cryo-balloon CA (40%). This EHRA survey demonstrated a considerable variation in the management of patients undergoing AF ablation in routine practice and deviations between guideline recommendations and clinical practice.

Indexed as

Ablation TechniquesAtrial FibrillationCatheter AblationHumansPatient SelectionStroke VolumeSurveys and QuestionnairesTreatment OutcomeVentricular Function, LeftAtrial fibrillationCatheter ablationClinical practiceEHRA surveyGuidelinesPhysician-based survey

Identifiers

PMID36512365
PMCPMC9935016
OpenAlexW4311274995

What OpenQuestion holds

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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.