Evidence map›Paper›PMID 42058488›Full record

ReviewFrontiers in cardiovascular medicine2026

Comparative efficacy and safety of catheter ablation technologies for atrial fibrillation: a systematic review and network meta-analysis.

Ruiting Feng, Jia Gao, Yajie Guo, Yuli Guo, Rui Wang, Min Guo

Abstract readReview
In one paragraph

Review in Frontiers in cardiovascular medicine, 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

6 authors.

Ruiting Feng *Department of Cardiology, First Hospital of Shanxi Medical University, Taiyuan, Shanxi, China.
Jia Gao *Department of Cardiology, First Hospital of Shanxi Medical University, Taiyuan, Shanxi, China.
Yajie GuoDepartment of Cardiology, First Hospital of Shanxi Medical University, Taiyuan, Shanxi, China.
Yuli GuoDepartment of Cardiology, First Hospital of Shanxi Medical University, Taiyuan, Shanxi, China.
Rui WangDepartment of Cardiology, First Hospital of Shanxi Medical University, Taiyuan, Shanxi, China.
Min Guo *Department of Cardiology, First Hospital of Shanxi Medical University, Taiyuan, Shanxi, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aims: There are several interventional approaches to atrial fibrillation (AF) ablation; however, it is not yet known which procedure is most effective. Our aim was to compare the efficacy and safety of different interventional approaches for the treatment of AF through network meta-analysis. Methods: We searched randomized controlled trial (RCT) and propensity-score matched (PSM) studies in PubMed, Embase, and Cochrane Library databases from the initial period to December 2024, and studies were selected which had cryoballoon ablation (CBA), conventional radiofrequency ablation (RFA), remote magnetic navigation ablation (RMN), and pulsed field ablation (PFA) as an arm in the study. Network meta-analysis (NMA) was performed using a frequentist approach with STATA (version 14.0) software. Results: We included 10 RCT studies and 4 PSM studies. For freedom from AF and other atrial tachyarrhythmias (AT) indicators, PFA may become the most effective ablation procedure (SUCRA = 88.4%, RR = 1.11, 95% CI: 1.03-1.21). For procedure duration, PFA may also be the ablation procedure with the best results (SUCRA = 91.2%, SMD = -1.43, 95% CI: -2.47 to -0.39). Conclusion: The choice of ablation technique needs to be weighed against the specific clinical needs and the patient's situation. PFA may be the best choice if success rate and procedure time are prioritized, while RMN is more appropriate if complication rates and fluoroscopy time are more important. Systematic Review Registration: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42025631158, identifier: CRD42025631158.

Indexed as

atrial fibrillationcryoballoon ablationnetwork meta-nanlysispulsed field ablationradiofrequency ablationremote magneticnavigation ablation

Identifiers

PMID42058488
PMCPMC13120965

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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.