Evidence map›Paper›PMID 40630984›Full record

ReviewThe Journal of innovations in cardiac rhythm management2025

Comparison Between Efficacy and Safety of Remote Magnetic Navigation and Manual Catheter Navigation for Atrial Fibrillation Ablation: An Updated Meta-analysis and Systematic Review.

Rana Ijaz, Ajeet Singh, Maida Qazi, Meet Kachhadia, Laiba Qayoom, Sumaira Riaz, Hamza Nasir Chatha, Manahil Nazir, Zulekha Faisal, Muhammad Saqib and 6 more

Abstract readReview
In one paragraph

Review in The Journal of innovations in cardiac rhythm management, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Letter from the Editor in Chief.The Journal of innovations in cardiac rhythm management · 2025
    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

16 authors.

Rana IjazDepartment of Medicine, Services Institute of Medical Sciences, Lahore, Pakistan.ORCID https://orcid.org/0009-0006-6413-7227
Ajeet SinghDepartment of Medicine, Dow University of Health Sciences, Karachi, Pakistan.ORCID https://orcid.org/0009-0009-4090-5393
Maida QaziDow University of Health Sciences, Karachi, Pakistan.ORCID https://orcid.org/0000-0002-6902-0152
Meet KachhadiaPDU Medical College, Rajkot, India.
Laiba QayoomLiaquat National Hospital and Medical College, Karachi, Pakistan.
Sumaira RiazPMAS-Arid Agriculture University, Rawalpindi, Pakistan.
Hamza Nasir ChathaShifa College of Medicine, Islamabad, Pakistan.
Manahil NazirRawalpindi Medical University, Rawalpindi, Pakistan.
Zulekha FaisalShaheed Zulfikar Bhutto Institute of Science and Technology University, Karachi, Pakistan.
Muhammad SaqibChandka Medical College, SMBBMU, Larkana, Pakistan.
Iqra Yaseen KhanKing Edward Medical University, Lahore, Pakistan.
Rimsha Bint-E-HinaDow University of Health Sciences, Karachi, Pakistan.ORCID https://orcid.org/0000-0001-9236-5784
Arham IqbalDow International Medical College, Dow University of Health Sciences, Karachi, Pakistan.ORCID https://orcid.org/0000-0003-2075-673X
Alina Sami KhanLiaquat National Hospital and Medical College, Karachi, Pakistan.ORCID https://orcid.org/0000-0003-2125-730X
Satesh KumarDepartment of Medicine, Shaheed Mohtarma Benazir Bhutto Medical College, Karachi, Pakistan.
Mahima KhatriDepartment of Cardiology, Dow University of Health Sciences, Karachi, Pakistan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Atrial fibrillation (AF) ablation is a common treatment for symptomatic AF. Remote magnetic navigation (RMN) and manual catheter navigation (MCN) are two predominant techniques employed in this procedure, each with advantages and limitations. This meta-analysis compares the efficacy, safety, and procedural outcomes of RMN versus MCN for AF ablation. A comprehensive search was conducted across PubMed, Google Scholar, and Embase to identify relevant studies comparing RMN and MCN for AF ablation. Statistical pooling was done using Review Manager 5.4.1 (Cochrane Collaboration, London, UK). The Newcastle-Ottawa scale was used for the evaluation of bias in observational studies. We evaluated the robustness of the evidence following the guidelines outlined by the Grades of Recommendation, Assessment, Development, and Evaluation (GRADE) working group. The primary outcomes of the study included freedom from AF, procedure time, fluoroscopy time, and total complication rate in patients undergoing AF ablation either using the RMN or MCN technique. A total of 22 studies involving 5361 patients were included in the meta-analysis. The pooled analysis demonstrated comparable freedom from AF between RMN and MCN (relative risk [RR], 0.94; 95% confidence interval [CI], 0.84-1.04;

Indexed as

AF ablationatrial fibrillationfluoroscopymanual catheter navigationremote magnetic navigation

Identifiers

PMID40630984
PMCPMC12233321

What OpenQuestion holds

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Registered trials

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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.