Evidence map›Paper›PMID 40150915›Full record

Observational studyJournal of cardiovascular electrophysiology2025

Durability of Ultra-Low Temperature Cryoablation Lesions in Atrial Fibrillation: Insights From Repeat Ablation Procedures.

Bob G S Abeln, Lucio Addeo, Tom De Potter, Lucas V A Boersma

2 registry-linked trialsAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Journal of cardiovascular electrophysiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this 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.

NCT02839304 nacompletednot on this map

A Prospective, Multicenter Investigation of the Adagio Cryoablation System in Patients With Atrial Fibrillation

TypeinterventionalSponsorAdagio MedicalRan2016 to 2021Enrolled80ConditionsAtrial Fibrillation, Atrial FlutterArmsCryoablation System
NCT05416086 naterminatednot on this map

iCLAS™ Cryoablation System Post-Market Clinical Follow-up (PMCF) Study

TypeinterventionalSponsorAdagio MedicalRan2021 to 2025Enrolled91ConditionsAtrial Fibrillation, Atrial Flutter, Paroxysmal Atrial Fibrillation, Persistent Atrial FibrillationArmscryoablation procedure using the iCLAS Cryoablation System
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

4 authors.

Bob G S AbelnDepartment of Cardiology, St. Antonius Hospital, Nieuwegein, the Netherlands.ORCID 0000-0002-0503-8791
Lucio AddeoDepartment of Cardiology, Onze Lieve Vrouw Hospital, Aalst, Belgium.ORCID 0009-0004-4616-9300
Tom De PotterDepartment of Cardiology, Onze Lieve Vrouw Hospital, Aalst, Belgium.
Lucas V A BoersmaDepartment of Cardiology, St. Antonius Hospital, Nieuwegein, the Netherlands.ORCID 0000-0003-4591-4220

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUltra-low temperature cryoablation (ULTC) is a technique designed to rapidly cool cardiac tissue to extremely low temperatures, enabling the creation of ablation lesions for the treatment of atrial fibrillation (AF). Prior studies have demonstrated low rates of arrhythmia recurrence, but little is known about ablation lesion durability.

methodsPatients undergoing repeat ablation were selected from the CryoCure2 (NCT02839304) and iCLAS PMCF(NCT05416086) studies. Baseline patient and ULTC procedure characteristics were evaluated. During repeat ablation, ULTC ablation lesions were assessed for electrical block, including segment-based assessment of pulmonary vein (PV) ablation lesions. Arrhythmia outcomes after repeat ablation were evaluated.

resultsTwenty-five patients were included in the cohort: Age 68 ± 7 years, male 68%, persistent AF 68%, LAVI 42 ± 24 mL/m

conclusionReconnection of ablation targets during repeat ablation for arrhythmia recurrence following ULTC occurred at rates comparable to those observed with conventional thermal ablation modalities. The anterior side of the left PVs appears to be reconnected most often.

Indexed as

Atrial FibrillationCold TemperatureCryosurgeryPulmonary VeinsAction PotentialsAgedFemaleHeart RateHumansMaleMiddle AgedRecurrenceReoperationRisk FactorsTime FactorsTreatment Outcomeablation lesion durabilityatrial fibrillationposterior wall isolationpulmonary vein isolationrepeat ablationultra‐low temperature cryoablation

Identifiers

PMID40150915
PMCPMC12160705

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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.