Evidence map›Paper›PMID 41541731›Full record

ArticleHeart rhythm O22025

Atrial fibrillation laser balloon ablation: Multicenter international study.

Cristian Martignani, Giovanni Rovaris, Roland R Tilz, Marco Schiavone, Giuseppe Ciconte, Marzia Giaccardi, Gennaro Miracapillo, Andrea Giomi, Giuseppe Arena, Alberto Spadotto and 13 more

Abstract read
In one paragraph

Article in Heart rhythm O2, 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

23 authors.

Cristian MartignaniCardiology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Giovanni RovarisCardiology Unit, Fondazione IRCCS San Gerardo, Monza, Italy.
Roland R TilzDepartment of Rhythmology, University Heart Center Lübeck, Lübeck, Germany.
Marco SchiavoneElectrophysiology and Arrhythmology Unit, Ospedale Luigi Sacco, Milano, Italy, and Department of Clinical Electrophysiology & Cardiac Pacing, Centro Cardiologico Monzino IRCCS, Milano, Italy.
Giuseppe CiconteClinical Arrhythmology and Electrophysiology Unit, IRCCS Policlinico San Donato, San Donato Milanese, Italy.
Marzia GiaccardiDepartment of Cardiology, Ospedale Santa Maria Annunziata, Bagno a Ripoli, Italy.
Gennaro MiracapilloDepartment of Cardiology, Ospedale della Misericordia, Grosseto, Italy.
Andrea GiomiCardiology and Electrophysiology Unit, Ospedale Santa Maria Nuova, Firenze, Italy.
Giuseppe ArenaDepartment of Cardiology, Ospedale Delle Apuane, Marina di Massa, Italy.
Alberto SpadottoCardiology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Elisabetta MontemerloCardiology Unit, Fondazione IRCCS San Gerardo, Monza, Italy.
Raffaele SalernoClinical Arrhythmology and Electrophysiology Unit, IRCCS Policlinico San Donato, San Donato Milanese, Italy.
Elena PiazziCardiology Unit, Fondazione IRCCS San Gerardo, Monza, Italy.
Mattia PozziCardiology Unit, Fondazione IRCCS San Gerardo, Monza, Italy.
Giovanni Battista ForleoElectrophysiology and Arrhythmology Unit, Ospedale Luigi Sacco, Milano, Italy, and Department of Clinical Electrophysiology & Cardiac Pacing, Centro Cardiologico Monzino IRCCS, Milano, Italy.
Andrea AngelettiCardiology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Matteo ZiacchiCardiology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Giulia MassaroCardiology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Igor DiembergerCardiology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Mauro BiffiCardiology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Daniele GiacopelliClinical Unit, Biotronik Italia, Cologno Monzese, Italy.
Lorenzo BartoliCardiology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Christian H HeegerDepartment of Rhythmology, University Heart Center Lübeck, Lübeck, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Durable pulmonary vein isolation (PVI) for atrial fibrillation (AF) remains challenging. The visually guided laser balloon (VGLB) is a unique single-shot technology designed to simplify PVI. Objective: This study aimed to assess the real-world safety and long-term effectiveness of the third-generation VGLB system for treating paroxysmal and persistent AF. Methods: This prospective, multicenter registry enrolled 427 patients undergoing VGLB-PVI. Safety was assessed in all patients, whereas the primary effectiveness endpoint (12-month freedom from AF) was analyzed in 392 patients who completed follow-up. Cox regression models were used to identify predictors of recurrence. Results: Acute PVI was achieved in all targeted veins. The system demonstrated a favorable safety profile; permanent phrenic nerve palsy occurred in 1 patient (0.2%). After a 3-month blanking period, the 12-month freedom from AF recurrence off antiarrhythmic drugs was 73.8%. This rate increased to 77.7% for procedures performed after the initial 15-case operator learning curve. Multivariate analysis identified procedures within the learning curve (hazard ratio [HR] 1.68), congestive heart failure (HR 2.04), and anatomic variants (HR 1.79) as independent predictors of recurrence. Conclusion: In this large, real-world registry, third-generation VGLB ablation is a safe and effective strategy for achieving long-term freedom from AF. Operator experience beyond the initial learning curve is a key determinant of success, confirming VGLB as a viable and effective PVI option.

Indexed as

Atrial fibrillationCatheter ablationEffectivenessLaser balloonLearning curvePulmonary vein isolationSafetySingle-shot ablation

Identifiers

PMID41541731
PMCPMC12800799

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.