Evidence map›Paper›PMID 38590997›Full record

ArticleAnnals of cardiothoracic surgery2024

Atrial fibrillation symptom reduction and improved quality of life following the hybrid convergent procedure: a CONVERGE trial subanalysis.

Jaswinder Gill, Karl J Crossen, Christopher Blauth, Faraz Kerendi, Saumil R Oza, Anthony R Magnano, Mark A Mostovych, Michael E Halkos, David Tschopp, Jose Osorio and 22 more

Registry-linked trialOpen access · diamondAbstract read
In one paragraph

Article in Annals of cardiothoracic surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01984346 (Convergence Of Epicardial And Endocardial Radiofrequency), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.2field-weighted citation impact, top 20% 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.

NCT01984346 nacompletednot on this map

Convergence Of Epicardial And Endocardial Radiofrequency (RF) Ablation For The Treatment Of Symptomatic Persistent AF

TypeinterventionalSponsorAtriCure, Inc.Ran2013 to 2023Enrolled170ConditionsPersistent Atrial FibrillationArmsAtriCure EPi-Sense-AF Guided Coagulation System with VisiTrax, Endocardial RF Catheter ablation using Open Irrigated-tip RF Abaltion Catheter with unidirectional or bidirectional steering
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Review
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

32 authors at 9 institutions in 3 countries.

Jaswinder GillGuy's and St Thomas' Foundation Trust, London, UK.
Karl J CrossenNorth Mississippi Health Services, Tupelo, MS, USA.
Christopher BlauthGuy's and St Thomas' Foundation Trust, London, UK.
Faraz KerendiHeart Hospital of Austin, Austin, TX, USA.
Saumil R OzaSt. Vincent's Healthcare, Jacksonville, FL, USA.
Anthony R MagnanoSt. Vincent's Healthcare, Jacksonville, FL, USA.
Mark A MostovychSt. Vincent's Healthcare, Jacksonville, FL, USA.
Michael E HalkosEmory University, Atlanta, GA, USA.
David TschoppHeart Hospital of Austin, Austin, TX, USA.
Jose OsorioGrandview Medical Center, Birmingham, AL, USA.
Paul TabereauxThe Heart Center, Huntsville, AL, USA.
William BoedefeldOur Lady of the Lake Physician Group, Baton Rouge, LA, USA.
Kenneth CivelloOur Lady of the Lake Physician Group, Baton Rouge, LA, USA.
Syed AhsanBarts Health Centre, St Bartholomew's Hospital, London, UK.
John YapBarts Health Centre, St Bartholomew's Hospital, London, UK.
Sreedhar BillakantyOhio Health, Columbus, OH, USA.
Steve DuffOhio Health, Columbus, OH, USA.
Otto CostantiniSumma Health Medical Group, Akron, OH, USA.
Eric EspinalSumma Health Medical Group, Akron, OH, USA.
Andy KiserSt. Clair Health, Pittsburgh, PA, USA.
Christian ShultsMedStar Health, Washington, DC, USA.
David PedersonMethodist Cardiology Clinic of San Antonio, San Antonio, TX, USA.
James GarrisonSouth Texas Cardiothoracic and Vascular Surgical Associates, San Antonio, TX, USA.
David M GilliganVirginia Cardiovascular Specialists, Richmond, VA, USA.
Michael G LinkAtlantiCare Physician Group Cardiology, Galloway Township, NJ, USA.
Marcin KowalskiStaten Island University Hospital, Northwell Health System, Staten Island, NY, USA.
Christopher Stees
Jason S Sperling
Israel Jacobowitz
Felix Yang
Yisachar J Greenberg
David B De LurgioEmory University, Atlanta, GA, USA.
Guy's and St Thomas' NHS Foundation Trust · GBNorth Mississippi Medical Center · USSt Bartholomew's Hospital · GBSt. Vincent's HealthCare · USWoman’s Hospital of Texas · USEmory University · USSumma Health System · USGrandview Medical Center · USOhio Department of Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: CONVERGE was a prospective, multicenter, randomized controlled trial that evaluated the safety of Hybrid Atrial Fibrillation Convergent (HC) and compared its effectiveness to endocardial catheter ablation (CA) for the treatment of persistent atrial fibrillation (PersAF) and longstanding PersAF (LSPAF). In 2020, we reported that CONVERGE met its primary safety and effectiveness endpoints. The primary objective of the present study is to report CONVERGE trial results for quality of life (QOL) and Class I/III anti-arrhythmic drug (AAD) utilization following HC. Methods: Eligible patients had drug-refractory symptomatic PersAF or LSPAF and a left atrium diameter ≤6.0 cm. Enrolled patients were randomized 2:1 to receive HC or CA. Atrial Fibrillation Severity Scale (AFSS) and the 36-Item Short Form Health Survey (SF-36) were assessed at baseline and 12 months; statistical comparison was performed using paired Results: A total of 153 patients were treated with either HC (n=102) or CA (n=51). Of the 102 HC patients, 38 had LSPAF. AFSS and SF-36 Mental and Physical Component scores were significantly improved at 12 months versus baseline with HC overall and for the subset of LSPAF patients treated with either HC or CA. The proportion of HC patients (n=102) who used Class I /III AADs at 12 and 18 months was significantly less (33.3% and 36.3%, respectively) than baseline (84.3%; P<0.001). In LSPAF patients who underwent HC (n=38), AADs use was 29.0% through 18 months follow-up versus 71.1% at baseline (P<0.001). Conclusions: HC reduced AF symptoms, significantly improved QOL, and reduced AAD use in patients with PersAF and LSPAF. ClinicalTrialsgov Identifier: NCT01984346.

Indexed as

anti-arrhythmic drug (AAD)atrial fibrillation (AF)catheter ablation (CA)hybrid convergentQuality of life (QOL)

Identifiers

PMID38590997
PMCPMC10998972
OpenAlexW4393236725

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.