Evidence map›Paper›PMID 40951473›Full record

SynthesisNarra J2025

Zero-fluoroscopy versus fluoroscopy-guided catheter ablation in ventricular arrhythmia: A systematic review and meta-analysis.

Irnizarifka Irnizarifka, Christopher D Tristan, Matthew A Wijayanto, Risalina Myrtha, Kyra Modesty, Annisa A Rahma, Enrico A Budiono, Awalil Rk Rahman, Muhammad F Hamka, Muhana F Ilyas

Abstract readSystematic ReviewMeta-AnalysisComparative Study
In one paragraph

Synthesis in Narra J, 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. Review
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.

Irnizarifka IrnizarifkaDepartment of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Sebelas Maret, Surakarta, Indonesia.
Christopher D TristanFaculty of Medicine, Universitas Sebelas Maret, Surakarta, Indonesia.
Matthew A WijayantoFaculty of Medicine, Universitas Sebelas Maret, Surakarta, Indonesia.
Risalina MyrthaDepartment of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Sebelas Maret, Surakarta, Indonesia.
Kyra ModestyFaculty of Medicine, Universitas Sebelas Maret, Surakarta, Indonesia.
Annisa A RahmaFaculty of Medicine, Universitas Sebelas Maret, Surakarta, Indonesia.
Enrico A BudionoFaculty of Medicine, Universitas Sebelas Maret, Surakarta, Indonesia.
Awalil Rk RahmanFaculty of Medicine, Universitas Sebelas Maret, Surakarta, Indonesia.
Muhammad F HamkaFaculty of Medicine, Universitas Sebelas Maret, Surakarta, Indonesia.
Muhana F IlyasFaculty of Medicine, Universitas Sebelas Maret, Surakarta, Indonesia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Catheter ablation has been the go-to treatment for ventricular arrhythmia, with traditional fluoroscopy-guided and non-zero fluoroscopy (NZF) catheter ablation posing high radiation risk for operators and patients. Zero-fluoroscopy technique offers elimination of radiation risk; however, its efficacy and safety in ventricular arrhythmia patients are not well explored. The aim of this study was to systematically evaluate the effectiveness, safety, and feasibility of zero-fluoroscopy ablation on ventricular arrhythmia patients. This study only included relevant studies comparing zero-fluoroscopy and NZF in ventricular arrhythmia ablation that were identified from Scopus, PubMed, and ScienceDirect (up to June 20, 2024). The quality of the study was assessed using the ROBINS-I tool, and the meta-analysis was conducted using a random-effect model. Out of 383 studies found, nine cohort studies were included with 1.408 patients. There was no significant difference in the acute procedural success rate of the zero-fluoroscopy and NZF (relative risk: 1.01; 95%CI: 0.95-1.07;

Indexed as

Arrhythmias, CardiacCatheter AblationTachycardia, VentricularFluoroscopyHumansTreatment OutcomeAblationefficacysafetyventricular arrhythmiazero-fluoroscopy

Identifiers

PMID40951473
PMCPMC12425536

What OpenQuestion holds

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LicenceCC BY-NC
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.