Evidence map›Paper›PMID 38607938›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 Cardiology2024

Repeat catheter ablation after very late recurrence of atrial fibrillation after pulmonary vein isolation.

Niklas Stauffer, Sven Knecht, Patrick Badertscher, Philipp Krisai, Elisa Hennings, Teodor Serban, Gian Voellmin, Stefan Osswald, Christian Sticherling, Michael Kühne

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
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, 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
2.4field-weighted citation impact, top 11% 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

4 citing papers in PubMed, 6 citations in OpenAlex.

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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

10 authors at 1 institution in 1 country.

Niklas StaufferDepartment of Cardiology, University Hospital Basel, Petersgraben 4, 4031 Basel, Switzerland.ORCID 0009-0005-3920-8989
Sven KnechtDepartment of Cardiology, University Hospital Basel, Petersgraben 4, 4031 Basel, Switzerland.ORCID 0000-0001-7122-021X
Patrick BadertscherDepartment of Cardiology, University Hospital Basel, Petersgraben 4, 4031 Basel, Switzerland.ORCID 0000-0001-9751-0557
Philipp KrisaiDepartment of Cardiology, University Hospital Basel, Petersgraben 4, 4031 Basel, Switzerland.ORCID 0000-0002-4367-2363
Elisa HenningsDepartment of Cardiology, University Hospital Basel, Petersgraben 4, 4031 Basel, Switzerland.ORCID 0000-0003-2616-5535
Teodor SerbanDepartment of Cardiology, University Hospital Basel, Petersgraben 4, 4031 Basel, Switzerland.ORCID 0000-0002-2377-2893
Gian VoellminDepartment of Cardiology, University Hospital Basel, Petersgraben 4, 4031 Basel, Switzerland.ORCID 0000-0002-3778-1192
Stefan OsswaldDepartment of Cardiology, University Hospital Basel, Petersgraben 4, 4031 Basel, Switzerland.ORCID 0000-0002-9240-6731
Christian SticherlingDepartment of Cardiology, University Hospital Basel, Petersgraben 4, 4031 Basel, Switzerland.ORCID 0000-0001-8428-7050
Michael KühneDepartment of Cardiology, University Hospital Basel, Petersgraben 4, 4031 Basel, Switzerland.ORCID 0000-0002-2937-3711
University Hospital of Basel · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsAtrial fibrillation (AF) recurs in about one-third of patients after catheter ablation (CA), mostly in the first year. Little is known about the electrophysiological findings and the effect of re-ablation in very late AF recurrences (VLR) after more than 1 year. The aim of this study was to determine the characteristics and outcomes of the first repeat CA after VLR of AF after index CA. METHODS AND

resultsWe analysed patients from a prospective Swiss registry that underwent a first repeat ablation procedure. Patients were stratified depending on the time to recurrence after index procedure: early recurrence (ER) for recurrences within the first year and late recurrence (LR) if the recurrence was later. The primary endpoint was freedom from AF in the first year after repeat ablation. Out of 1864 patients included in the registry, 426 patients undergoing a repeat ablation were included in the analysis (28% female, age 63 ± 9.8 years, 46% persistent AF). Two hundred and ninety-one patients (68%) were stratified in the ER group and 135 patients (32%) in the LR group. Pulmonary vein reconnections were a common finding in both groups, with 93% in the ER group compared to 86% in the LR group (P = 0.052). In the LR group, 40 of 135 patients (30%) had a recurrence of AF compared to 90 of 291 patients (31%) in the ER group (log-rank P = 0.72).

conclusionThere was no association between the time to recurrence of AF after initial CA and the characteristics and outcomes of the repeat procedure.

Indexed as

Atrial FibrillationCatheter AblationPulmonary VeinsRecurrenceRegistriesReoperationAgedFemaleHumansMaleMiddle AgedProspective StudiesRisk FactorsSwitzerlandTime FactorsTreatment OutcomeAtrial fibrillationPulmonary vein isolationRepeat ablationVery late recurrence

Identifiers

PMID38607938
PMCPMC11068271
OpenAlexW4394769484

What OpenQuestion holds

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LicenceCC BY-NC
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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.