Evidence map›Paper›PMID 39991335›Full record

ReviewCureus2025

Cryoablation Versus Radiofrequency Ablation in the Management of Pediatric Supraventricular Tachyarrhythmia: A Systematic Review and Meta-Analysis.

Dost Jabarkhyl, Muhammad Khursheed Ullah Khan Marwat, Naveed Haider, Aala Farah, Manaf Yusuf, Nasir Ali, Waqar Aziz

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Ablation of manifest accessory pathways in pediatric patients: comparison between conventional and non‑radiological navigation techniques.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2026
    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

7 authors.

Dost JabarkhylGeneral Internal Medicine, Luton and Dunstable University Hospital, Luton, GBR.
Muhammad Khursheed Ullah Khan MarwatInfectious Diseases, Hull University Teaching Hospitals NHS Trust, Hull, GBR.
Naveed HaiderPediatrics, Sheffield Children's Hospital, Sheffield Children's NHS Foundation Trust, Sheffield, GBR.
Aala FarahPediatrics, Leeds Children's Hospital, Leeds Teaching Hospitals NHS Trust, Leeds, GBR.
Manaf YusufPediatrics, Leeds Children's Hospital, Leeds Teaching Hospitals NHS Trust, Leeds, GBR.
Nasir AliPediatrics, Leeds Children's Hospital, Leeds Teaching Hospitals NHS Trust, Leeds, GBR.
Waqar AzizCardiac Imaging, St George's University Hospitals NHS Foundation Trust, London, GBR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Supraventricular tachycardia (SVT) is a common arrhythmia in pediatric patients, often requiring catheter ablation for effective treatment. Two primary techniques, radiofrequency ablation (RFA) and cryoablation (CA), are widely used; however, their comparative safety and efficacy remain subjects of debate, with no clear consensus on the preferred approach. This systematic review and meta-analysis aimed to evaluate and compare the efficacy and safety of RFA and CA in pediatric patients with SVT, focusing on the primary outcomes of acute success and recurrence rates. The study was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Eligible studies included comparative analyses such as randomized controlled trials, non-randomized trials, and observational studies that specifically evaluated RFA and CA in pediatric populations with SVT. Exclusion criteria included studies involving adult populations, those without comparative groups, case reports, case series, and conference abstracts. Data extracted from the included studies encompassed acute success rates, recurrence rates, and complication rates, providing a comprehensive overview of the performance and safety profiles of RFA and CA in this patient group. Acute success rates were high for both techniques (RFA: 96.3%, CA: 94.9%; p = 0.137). However, RFA demonstrated a significantly lower recurrence rate (7.9% vs. 14.4%; odds ratio (OR): 0.408, 95% CI: 0.242-0.689, p < 0.001). CA was associated with longer procedure durations (mean difference: 9.684 minutes, p = 0.437) and significantly reduced fluoroscopy times (mean difference: 6.566 minutes, p = 0.032). Complication rates were comparable, with a non-significant trend favoring RFA (OR: 0.363, p = 0.112). Overall, both RFA and CA were found to be effective and safe for pediatric SVT. RFA offers durable results with lower recurrence rates, while CA minimizes fluoroscopy time, thereby reducing radiation exposure. Treatment selection should be individualized, considering factors such as the type and location of the arrhythmia as well as specific procedural risks.

Indexed as

ablationcatheter ablationcryoablationpediatric arrhythmiaradiofrequencysupraventricular tachycardia

Identifiers

PMID39991335
PMCPMC11846136

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.