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

Characteristics of two different cryoballoon systems for treatment of paroxysmal atrial fibrillation: study protocol for a multicenter randomized controlled trial (CONTRAST-CRYO Trial).

Takashi Ikenouchi, Shinsuke Miyazaki, Junichi Nitta, Yukio Sekiguchi, Atsushi Kobori, Kohki Nakamura, Yukihiro Inamura, Masato Murakami, Yuichiro Sagawa, Yasuhiro Sasaki and 5 more

Abstract readClinical Trial Protocol
PubMed Publisher
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. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Predictors of arrhythmia recurrence after cryoballoon ablation in paroxysmal atrial fibrillation: a comparative analysis from the CONTRAST-CRYO trial.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2026
    Article
  2. Confirmation of posterior wall isolation: elegance versus brute force.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2024
    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

15 authors.

Takashi IkenouchiDepartment of Cardiovascular Medicine, Tokyo Medical and Dental University Hospital, Yushima 1-5-45, Bunkyo-ku, Tokyo, 113-8510, Japan.
Shinsuke MiyazakiDepartment of Cardiovascular Medicine, Tokyo Medical and Dental University Hospital, Yushima 1-5-45, Bunkyo-ku, Tokyo, 113-8510, Japan. mmshinsuke@gmail.com.ORCID http://orcid.org/0000-0002-0230-0934
Junichi NittaDepartment of Cardiology, Sakakibara Heart Institute, Fuchu-shi, Tokyo, Japan.
Yukio SekiguchiDepartment of Cardiology, Sakakibara Heart Institute, Fuchu-shi, Tokyo, Japan.
Atsushi KoboriDepartment of Cardiology, Kobe City Medical Center General Hospital, Kobe-shi, Hyogo, Japan.
Kohki NakamuraDevision of Cardiology, Gunma Prefectural Cardiovascular Center, Maebashi-shi, Gunma, Japan.
Yukihiro InamuraDepartment of Cardiology, Japanese Red Cross Saitama Hospital, Saitama-shi, Japan.
Masato MurakamiDepartment of Cardiology, Shonankamakura General Hospital, Kamakura-shi, Kanagawa, Japan.
Yuichiro SagawaDepartment of Cardiology, Japanese Red Cross Yokohama City Bay Hospital, Yokohama-shi, Kanagawa, Japan.
Yasuhiro SasakiDepartment of Cardiology, Kobe City Medical Center General Hospital, Kobe-shi, Hyogo, Japan.
Osamu InabaDepartment of Cardiology, Japanese Red Cross Saitama Hospital, Saitama-shi, Japan.
Yasuteru YamauchiDepartment of Cardiology, Japanese Red Cross Yokohama City Bay Hospital, Yokohama-shi, Kanagawa, Japan.
Shigeto NaitoDevision of Cardiology, Gunma Prefectural Cardiovascular Center, Maebashi-shi, Gunma, Japan.
Akihiro HirakawaDepartment of Clinical Biostatistics, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Bunkyo-ku, Tokyo, Japan.
Tetsuo SasanoDepartment of Cardiovascular Medicine, Tokyo Medical and Dental University Hospital, Yushima 1-5-45, Bunkyo-ku, Tokyo, 113-8510, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSingle-shot pulmonary vein isolation (PVI) utilizing cryothermal energy is an effective and safe treatment for atrial fibrillation (AF) patients. A novel cryoballoon system, POLARx™, has been recently introduced. The aim of this study was to compare the efficacy, safety, and biophysical parameters of PVI between the novel cryoballoon system, POLARx™, and the standard cryoballoon system, Arctic Front Advance Pro™ (AFA-Pro), in patients with paroxysmal AF.

methodsThe CONTRAST-CRYO trial is a prospective, multicenter, open-label, randomized controlled study performed at seven large cardiac centers. This study was approved by the central ethics committee or the local ethics committee of each participating hospital and has been registered at UMIN Clinical Trials Registry (UMIN000049948). The trial will assign 200 patients with paroxysmal AF undergoing PVI to POLARx™ and AFA-Pro in a 1:1 randomization. The primary endpoint is the one-shot acute success rate of the right inferior pulmonary vein. Second endpoints include freedom from documented atrial fibrillation, atrial flutter, or atrial tachycardia without antiarrhythmic drugs at 12 months after the procedure, freedom from re-do procedures, the incidence of procedure-related adverse events, freezing duration, and the biophysical parameters during applications for each PV, total procedure and fluoroscopy time, and PVI durability during re-do procedures.

conclusionThe CONTRAST-CRYO trial is a prospective, multicenter, randomized study designed to elucidate the difference in the efficacy, safety, and biophysical parameters between POLARx™ and AFA-Pro in paroxysmal AF patients undergoing PVI. The findings from this trial may provide a valuable indication for selecting the optimal cryoballoon system. CLINICAL

trial registrationUMIN000049948.

Indexed as

Atrial FibrillationCatheter AblationCryosurgeryPulmonary VeinsAnti-Arrhythmia AgentsHumansMulticenter Studies as TopicProspective StudiesRandomized Controlled Trials as TopicRecurrenceTreatment OutcomeAnti-Arrhythmia AgentsAtrial fibrillationCatheter ablationCryoballoonNovel technologyPulmonary vein isolation

Identifiers

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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.