Evidence map›Paper›PMID 42029876›Full record

ReviewJournal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing2026

Zero/Low-fluoroscopy pulsed-field ablation approach: a systematic review and meta-analysis.

Gabriel Erzinger, Daniel Teixeira, Matheus S Ávila, Lívia Castro, Gokul Rajith, Miguel Chaves Lenzi, Vicente Morales Ribeiro, Conrado Roberto Hoffmann Filho, Guilherme Dagostin de Carvalho

Abstract readReview
PubMed Publisher
In one paragraph

Review in Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing, 2026. 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

9 authors.

Gabriel ErzingerUniversity of the Region of Joinville (UNIVILLE), Paulo Malschitzki - Zona Industrial Norte, Joinville, SC, 89219-710, Brazil. g.gabriel@univille.br.
Daniel TeixeiraMarília Medical School (FAMEMA), Marília, Brazil.
Matheus S ÁvilaCollege of Medical Sciences of Santos, Lusíada University Center (UNILUS), Santos, Brazil.
Lívia CastroMarília Medical School (FAMEMA), Marília, Brazil.
Gokul RajithAll India Institute of Medical Sciences, Guwahati, India.
Miguel Chaves LenziState University of Rio Grande do Norte (UERN), Mossoró, Brazil.
Vicente Morales RibeiroUniversity of Southern Santa Catarina (UNISUL), Santa Catarina, Brazil.
Conrado Roberto Hoffmann FilhoUniversity of the Region of Joinville (UNIVILLE), Paulo Malschitzki - Zona Industrial Norte, Joinville, SC, 89219-710, Brazil.
Guilherme Dagostin de CarvalhoDante Pazzanese Institute of Cardiology, São Paulo, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe efficacy and safety of pulsed-field (PFA) ablation with zero/low-fluoroscopy (ZF/LF) approach is unclear with previous evidence limited to thermal technique.

methodsPubMed, Embase, Cochrane Central, were systematically searched for studies reporting outcomes of ZF approach with PFA. Proportions were pooled with a random-effects model using an arcsine transformation to adjust for extreme values.

results14 observational studies were included, comprising a total of 1005 patients who underwent a reduced fluoroscopy pulsed field ablation approach. The pooled acute success rate was 100% (95% CI: 1.0–1.0; I2 = 0%) with a low arrhythmia recurrence rate in the descriptive analysis. The prevalence of complications was also low. Furthermore, the mean procedure time was 80.9 min (95% CI 64.86–97.11; I2 = 99.4%) and the mean total left atrial dwell time was 46 min (95% CI 32.0–61.5; I2 = 96.9%).

conclusionIn this systematic review and meta-analysis, PFA ZF/LF approach demonstrates technical feasibility and favorable safety profile in selected observational studies.

Indexed as

Atrial fibrillationCatheter ablationPulmonary vein isolationPulsed-field ablationZero fluoroscopy

Identifiers

PMID42029876

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.