Evidence map›Paper›PMID 41727702›Full record

ArticleJournal of arrhythmia2026

Cryoballoon Ablation for Persistent Atrial Fibrillation in Japan: Cryo Global Registry 12-Months Results.

Hiroshi Fukunaga, Masato Murakami, Yukihiko Yoshida, Osamu Inaba, Fumiharu Miura, Yasuteru Yamauchi, Satoshi Shizuta, Atsuhiko Yagishita, Koichiro Kumagai, Shiro Nakahara and 6 more

Registry-linked trialAbstract read
In one paragraph

Article in Journal of arrhythmia, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02752737 (Cryo Global Registry, a Part of the Medtronic Cardiac Ablation Post-Market Study Platform), which is 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.

NCT02752737 completednot on this map

Cryo Global Registry, a Part of the Medtronic Cardiac Ablation Post-Market Study Platform

Typeobservational_patient_registrySponsorMedtronic Cardiac Ablation SolutionsRan2016 to 2024Enrolled5,385ConditionsAtrial Fibrillation
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

16 authors.

Hiroshi FukunagaSakakibara Heart Institute Tokyo Japan.ORCID https://orcid.org/0000-0001-6094-5151
Masato MurakamiShonan Kamakura General Hospital Kamakura Kanagawa Japan.ORCID https://orcid.org/0000-0003-0716-1707
Yukihiko YoshidaJapanese Red Cross Aichi Medical Center Nagoya Daini Hospital Nagoya Aichi Japan.
Osamu InabaJapanese Red Cross Saitama Hospital Saitama Japan.
Fumiharu MiuraHiroshima Prefectural Hospital Hiroshima Japan.
Yasuteru YamauchiJapan Red Cross Yokohama City Bay Hospital Yokohama Kanagawa Japan.ORCID https://orcid.org/0000-0002-4661-2999
Satoshi ShizutaKyoto University Hospital Kyoto Japan.ORCID https://orcid.org/0000-0003-4587-9031
Atsuhiko YagishitaTokai University Hiratsuka Kanagawa Japan.ORCID https://orcid.org/0000-0001-7774-7477
Koichiro KumagaiFukuoka Sanno Hospital Fukuoka Japan.ORCID https://orcid.org/0000-0002-2507-5565
Shiro NakaharaDokkyo Medical University Saitama Medical Center Saitama Japan.ORCID https://orcid.org/0000-0002-6388-4398
Yasuyuki EgamiOsaka Rosai Hospital Osaka Japan.ORCID https://orcid.org/0000-0001-9728-6524
Neha SawhneyMedtronic, Inc. Minneapolis Minnesota USA.ORCID https://orcid.org/0000-0002-4943-1018
Valentine ObidigboMedtronic, Inc. Minneapolis Minnesota USA.ORCID https://orcid.org/0009-0004-3674-9846
Kenji AndoKokura Memorial Hospital Fukuoka Japan.
Junichi NittaSakakibara Heart Institute Tokyo Japan.ORCID https://orcid.org/0000-0003-3255-6065
Cryo Global Registry

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Atrial fibrillation (AF) prevalence has increased with Japan's aging population. Data on cryoballoon ablation (CBA) for persistent AF (PsAF) in Japan is limited. This study reports CBA clinical outcomes in PsAF patients in Japan from the prospective Cryo Global Registry. Methods: Data was analyzed from 60 Japanese centers with 1226 PsAF patients that underwent CBA. The primary endpoints were serious adverse events and freedom from atrial arrhythmia (AA) recurrence, at 12 months. The effect of ablation strategy (pulmonary vein isolation [PVI] or PVI with additional ablations [PVI+]) was evaluated. Quality-of-life (QoL) was measured by EQ-5D-3L questionnaire. Results: The patient mean age was 68 ± 10 years and 29.0% were female. The overall 12-months Kaplan-Meier (KM) estimate for freedom from AA recurrence was 84.4% (95% CI: 82.2%-86.3%). Among PVI+ patients, 33.0% received cavotricuspid isthmus (CTI) and 34.6% received non-CTI ablation (majority being left-atrial roofline [27.2%]). The 12-months KM estimate for freedom from AA recurrence was higher for PVI+ subgroup (86.6% [CI: 83.6%-89.1%]) than PVI subgroup (82.0% [CI: 78.6%-84.9%]) (HR adj = 1.40, Conclusion: This study showed CBA is safe and effective for PsAF treatment in real-world use in Japan. Trial Registration: Cryo Global Registry, ClinicalTrials.gov ID NCT02752737.

Indexed as

cryoballoon ablationJapanpersistent atrial fibrillationpulmonary vein isolationregistry

Identifiers

PMID41727702
PMCPMC12920677

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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.