Evidence map›Paper›PMID 36589911›Full record

ArticleHeart rhythm O22022

Personalized assessment of the cumulative complication risk of the atrial fibrillation ablation track: The AF-TRACK calculator.

Felipe Bisbal, Juan-Pablo Abugattas, Omar Trotta, Juan José Gonzalez-Ferrer, Assumpció Sauri-Ortiz, Miguel Angel Arias, Isaac Subirana, Mattias Duytshaever, Jan De Pooter, Axel Sarrias and 10 more

Open access · goldAbstract read
In one paragraph

Article in Heart rhythm O2, 2022. 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
0.8field-weighted citation impact, top 26% 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, 5 citations in OpenAlex.

  1. 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

20 authors at 6 institutions in 3 countries.

Felipe BisbalHeart Institute-Hospital Universitari Germans Trias i Pujol, Badalona, Spain.
Juan-Pablo AbugattasZNA Heart Center, Middelheim, Antwerpen, Belgium.
Omar TrottaHospital Clinic de Barcelona, Barcelona, Spain.
Juan José Gonzalez-FerrerHospital Clínico San Carlos, Madrid, Spain.
Assumpció Sauri-OrtizHospital La Fe de Valencia, Valencia, Spain.
Miguel Angel AriasHospital Virgen de la Salud, Toledo, Spain.
Isaac SubiranaCardiovascular Disease Networking Biomedical Research Center (CIBERCV), Spain.
Mattias DuytshaeverUZ Ghent, Ghent, Belgium.
Jan De PooterUZ Ghent, Ghent, Belgium.
Axel SarriasHeart Institute-Hospital Universitari Germans Trias i Pujol, Badalona, Spain.
Raquel AdeliñoHeart Institute-Hospital Universitari Germans Trias i Pujol, Badalona, Spain.
Francisco AlarcónHospital Clinic de Barcelona, Barcelona, Spain.
Lluís MontCardiovascular Disease Networking Biomedical Research Center (CIBERCV), Spain.
Julián Pérez-VillacastínHospital Clínico San Carlos, Madrid, Spain.
Joaquin Osca-AsensiHospital La Fe de Valencia, Valencia, Spain.
Roger VilluendasHeart Institute-Hospital Universitari Germans Trias i Pujol, Badalona, Spain.
Marta Pachón-IglesiasHospital Virgen de la Salud, Toledo, Spain.
Milad El HaddadSint-Jan Hospital Bruges, Belgium.
Antoni Bayés-GenísHeart Institute-Hospital Universitari Germans Trias i Pujol, Badalona, Spain.
Yves de GreefZNA Heart Center, Middelheim, Antwerpen, Belgium.
Centro de Investigación en Red en Enfermedades Cardiovasculares · ESVrije Universiteit Brussel · BEZNA Middelheim Hospital · BEHospital Clínic de Barcelona · ESHospital Clínico San Carlos · ESHospital Virgen de la Salud · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Atrial fibrillation (AF) ablation strategy is associated with a non-negligible risk of complications and often requires repeat procedures (AF ablation track), implying repetitive exposure to procedural risk. Objective: The purpose of this study was to develop and validate a model to estimate individualized cumulative risk of complications in patients undergoing the AF ablation track (Atrial Fibrillation TRAck Complication risK [AF-TRACK] calculator). Methods: The model was derived from a multicenter cohort including 3762 AF ablation procedures in 2943 patients. A first regression model was fitted to predict the propensity for repeat ablation. The AF-TRACK calculator computed the risk of AF ablation track complications, considering the propensity for repeat ablation. Internal (cross-validation) and external (independent cohort) validation were assessed for discrimination capacity (area under the curve [AUC]) and goodness of fit (Hosmer-Lemeshow [HL] test). Results: Complications (N = 111) occurred in 3.7% of patients (2.9% of procedures). Predictors included female sex, heart failure, sleep apnea syndrome, and repeat procedures. The model showed fair discrimination capacity to predict complications (AUC 0.61 [0.55-0.67]) and likelihood of repeat procedure (AUC 0.62 [0.60-0.64]), with good calibration (HL χ Conclusion: The proposed risk model provides individualized estimates of the cumulative risk of complications of undergoing the AF ablation track. The AF-TRACK calculator is a validated, easy-to-use, Web-based clinical tool to calibrate the risk-to-benefit ratio of this treatment strategy.

Indexed as

AblationAtrial fibrillationComplicationPredictionRisk assessment

Identifiers

PMID36589911
PMCPMC9795263
OpenAlexW4290786390

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.