Evidence map›Paper›PMID 37505337›Full record

ArticleJournal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing2024

Regional variations in patient selection and procedural characteristics for cryoballoon ablation of atrial fibrillation in the cryo global registry.

Fernando Scazzuso, Paweł Ptaszyński, Krzysztof Kaczmarek, K R Julian Chun, Surinder Kaur Khelae, Csaba Földesi, Valentine Obidigbo, Kelly A van Bragt, Young Keun On, Fawzia Al-Kandari and 2 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02752737 (Cryo Global Registry, a Part of the Medtronic Cardiac Ablation Post-Market Study Platform), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.7field-weighted citation impact, top 28% 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.

NCT02752737 completednot on this map

Cryo Global Registry, a Part of the Medtronic Cardiac Ablation Post-Market Study Platform

Typeobservational_patient_registrySponsorMedtronic Cardiac Ablation SolutionsRan2016 to 2024Enrolled5,385ConditionsAtrial Fibrillation
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Incidence of phrenic nerve injury during pulmonary vein isolation using different cryoballoons: data from a large prospective ablation registry.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
    Observational
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 9 institutions in 9 countries.

Fernando ScazzusoInstituto Cardiovascular de Buenos Aires, Buenos Aires, Argentina. fscazzuso@icba.com.ar.ORCID http://orcid.org/0000-0002-1623-0535
Paweł PtaszyńskiMedical University of Lodz, Łódź, Poland.ORCID http://orcid.org/0000-0001-6084-7324
Krzysztof KaczmarekMedical University of Lodz, Łódź, Poland.ORCID http://orcid.org/0000-0003-1356-5249
K R Julian ChunCardioangiologisches Centrum Bethanien, Frankfurt, Germany.ORCID http://orcid.org/0000-0002-2355-6015
Surinder Kaur KhelaeInstitut Jantung Negara, National Heart Institute, Kuala Lumpur, Malaysia.
Csaba FöldesiGottsegen György Országos Kardiovaszkuláris Intézet, Budapest, Hungary.ORCID http://orcid.org/0000-0002-5033-117X
Valentine ObidigboMedtronic, Inc, Mounds View, MN, USA.
Kelly A van BragtMedtronic, Inc, Mounds View, MN, USA.ORCID http://orcid.org/0000-0003-4118-4291
Young Keun OnSamsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.ORCID http://orcid.org/0000-0003-1025-7283
Fawzia Al-KandariChest Disease Hospital, Kuwait, Kuwait.
Ken OkumuraSaiseikai Kumamoto Hospital, Kumamoto, Japan.ORCID http://orcid.org/0000-0002-3202-7203
Cryo Global Registry Investigators
Medical University of Lodz · PLMedtronic (United States) · USCardiovascular Center Bethanien · DEChest Diseases Hospital · KWGottsegen National Cardiovascular Center · HUInstituto Cardiovascular de Buenos Aires · ARNational Heart Institute · MYSaiseikai Kumamoto Hospital · JPSamsung Medical Center · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCryoballoon ablation is a well-established anatomical approach for pulmonary vein isolation (PVI) in patients with atrial fibrillation (AF). Although widely adopted, regional variations in standards of care have not been well characterized.

methodsPatients with AF were enrolled in the Cryo Global Registry (NCT02752737) from May 2016 to Sept 2021 at 128 sites in 37 countries and treated with cryoballoon ablation according to local clinical practice. Baseline patient and procedural characteristics were summarized for 8 regions (Central Asia & Russia, East Asia, Europe, Middle East, North America, South Africa, South America, and Southeast Asia). Serious procedure-related adverse events (SAEs) were evaluated in a subset of patients with ≥ 7 days of follow-up.

resultsA total of 3,680 patients undergoing initial PVI for AF were included. Cryoballoon ablation was commonly performed in patients with paroxysmal AF. Mean age ranged from 47 ± 12 years in the Middle East to 64 ± 11 years in East Asia. Mean procedure time was ≤ 95 min in all regions. Average freeze duration ranged from 153 ± 41 s in Southeast Asia to 230 ± 29 s in Central Asia & Russia. Acute procedural success was ≥ 94.7% in all geographies. In 3,126 subjects with ≥ 7 days of follow-up, 122 procedure-related SAEs were reported in 111 patients (3.6%) and remained low in all regions. One procedure-related death was reported during data collection.

conclusionsDespite regional variations in patient selection and procedural characteristics, PVI using cryoballoon ablation was performed with high acute success and short procedural times around the world. CLINICAL

trial registrationhttps://clinicaltrials.gov/ct2/show/NCT02752737.

Indexed as

Atrial FibrillationCatheter AblationCryosurgeryPulmonary VeinsAdultHumansMiddle AgedPatient SelectionRecurrenceRegistriesTreatment OutcomeAtrial fibrillationCatheter ablationCryoballoonReal-world evidenceRegistry

Identifiers

PMID37505337
PMCPMC11016010
OpenAlexW4385330915

What OpenQuestion holds

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Registered trials

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.