Evidence mapPaperPMID 40698307Full record

ReviewCJC open2025

Concomitant Atrial Fibrillation Ablation in Surgical Aortic Valve Replacement: A Systematic Review and Meta-Analysis.

Emre Polat, Rohit K Kharbanda, Moustafa Ghafar, Jan W Schoones, Robert J M Klautz, Marta de Riva, Meindert Palmen, Evaldas Girdauskas, Anton Tomšič

Abstract readReview
In one paragraph

Review in CJC open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Emre PolatDepartment of Cardiothoracic Surgery, Augsburg University Medical Centre, Augsburg, Germany.
Rohit K KharbandaDepartment of Cardiothoracic Surgery, Leiden University Medical Centre, Leiden, the Netherlands.
Moustafa GhafarDepartment of Cardiothoracic Surgery, Leiden University Medical Centre, Leiden, the Netherlands.
Jan W SchoonesDirectorate of Research Policy, Leiden University Medical Centre, Leiden, the Netherlands.
Robert J M KlautzDepartment of Cardiothoracic Surgery, Leiden University Medical Centre, Leiden, the Netherlands.
Marta de RivaDepartment of Cardiology, Leiden University Medical Centre, Leiden, the Netherlands.
Meindert PalmenDepartment of Cardiothoracic Surgery, Leiden University Medical Centre, Leiden, the Netherlands.
Evaldas GirdauskasDepartment of Cardiothoracic Surgery, Augsburg University Medical Centre, Augsburg, Germany.
Anton TomšičDepartment of Cardiothoracic Surgery, Augsburg University Medical Centre, Augsburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Atrial fibrillation (AF) is common in patients undergoing surgical aortic valve replacement; however, surgical ablation remains underused due to limited data on its efficacy. Methods: We conducted a systematic review of the literature by searching PubMed, Embase, Web of Science, Emcare, and the Cochrane Library for studies reporting outcomes of concomitant surgical AF ablation in patients undergoing surgical aortic valve replacement. The primary outcomes included freedom from AF recurrence, overall survival, and complications. We analyzed outcomes using traditional meta-analysis at specific time points, alongside pooled Kaplan-Meier curves. Results: Nine studies were included, encompassing a total of 12,683 patients. Concomitant ablation reduced the risk of postoperative AF but increased the risk of permanent pacemaker implantation (risk ratio 1.36, 95% confidence interval [CI] 1.16-1.60, Conclusions: Surgical ablation during surgical aortic valve replacement was effective in restoring and maintaining sinus rhythm after surgery. Preoperative rhythm status may play an important role in guiding treatment plans, potentially enhancing the clinical outcomes for patients scheduled for aortic valve intervention.

Identifiers

PMID40698307
PMCPMC12277825

What Socratic 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 Socratic graph.