Evidence map›Paper›PMID 38956935›Full record

ArticleKorean circulation journal2024

Long-term Outcome of Cryoballoon Ablation in Korean Patients With Atrial Fibrillation: Real-World Experience From the Cryo Global Registry.

Houngbeom Ahn, Hong Euy Lim, Young Keun On, Jada M Selma, Fred J Kueffer, Kelly Anna van Bragt, Valentine Obidigbo, Il-Young Oh

Registry-linked trialAbstract read
In one paragraph

Article in Korean circulation journal, 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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

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

2 citing papers in PubMed.

  1. Article
  2. 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

8 authors.

Houngbeom AhnDivision of Cardiology, Department of Internal Medicine, Cardiovascular Center, Seoul National University Bundang Hospital, Seongnam, Korea.ORCID https://orcid.org/0009-0006-7910-1219
Hong Euy LimDivision of Cardiology, Department of Internal Medicine, Hallym University Sacred Heart Hospital, Anyang, Korea.ORCID https://orcid.org/0000-0001-8102-8352
Young Keun OnDivision of Cardiology, Department of Medicine, Cardiac Arrhythmia Center, Heart Vascular and Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0003-1025-7283
Jada M SelmaCardiac Ablation Solutions, Medtronic, Inc., Minneapolis, MN, USA.ORCID https://orcid.org/0000-0003-2671-0265
Fred J KuefferCardiac Ablation Solutions, Medtronic, Inc., Minneapolis, MN, USA.ORCID https://orcid.org/0009-0004-1447-8811
Kelly Anna van BragtCardiac Ablation Solutions, Medtronic, Inc., Minneapolis, MN, USA.ORCID https://orcid.org/0000-0003-4118-4291
Valentine ObidigboCardiac Ablation Solutions, Medtronic, Inc., Minneapolis, MN, USA.ORCID https://orcid.org/0009-0004-3674-9846
Il-Young OhDivision of Cardiology, Department of Internal Medicine, Cardiovascular Center, Seoul National University Bundang Hospital, Seongnam, Korea. spy510@snu.ac.kr.ORCID https://orcid.org/0000-0002-5584-605X

Funding

Medtronic
6 · The paper itself

Abstract

BACKGROUND AND

objectivesAtrial fibrillation (AF), the most common atrial arrhythmia (AA), is an increasing healthcare burden in Korea. The objective of this sub-analysis of the Cryo Global Registry was to evaluate long-term efficacy, symptom burden, quality of life (QoL), and healthcare utilization outcomes and factors associated with AA recurrence in Korean patients treated with cryoballoon ablation (CBA).

methodsPatients were treated and followed up according to local standard-of-care in 3 Korean hospitals. Kaplan-Meier estimates were used in analyzing (1) efficacy defined as freedom from ≥30 second recurrence of AA at 24 months, (2) healthcare utilization, and (3) predictors of 24-month AA recurrence. Patient-reported QoL (using European Quality of Life-5 Dimensions-3 Levels) and predefined AF-related symptoms were assessed at baseline and 24-month follow-up.

resultsEfficacy was 71.9% in paroxysmal AF (PAF) and 49.3% in persistent AF (PsAF) patients (p<0.01). A larger left atrial diameter (LAD), an increased time from AF diagnosis to CBA, and PsAF were independent predictors of AA recurrence. The percentage of patients with no AF symptoms significantly increased from baseline (24.5%) to 24-month (89.5%) follow-up (p<0.01). Improvement in QoL from baseline to 24 months was not statistically different between AF cohorts. PAF patients experienced greater freedom from repeat ablations (93.9% vs. 81.4%) and cardiovascular hospitalizations (91.3% vs. 72.5%, p<0.001 for both).

conclusionsIn alignment with global outcomes, CBA is an effective treatment for AF in the Korean population, with patients possessing a large LAD and not receiving ablation soon after diagnosis being the most at risk for AA recurrence.

trial registrationClinicalTrials.gov Identifier: NCT02752737.

Indexed as

Atrial fibrillationCatheter ablationCryotherapyRepublic of Korea

Identifiers

PMID38956935
PMCPMC11522782

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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.