Evidence map›Paper›PMID 40912651›Full record

SynthesisIndian heart journal

Preventing atrial fibrillation recurrence with combination of catheter ablation and renal denervation or ganglion plexus ablation: A systematic review and network meta-analysis.

Sebastian Emmanuel Willyanto, Liliana Dewi, Rizki Hari Mulia, Imke Maria Del Rosario Puling, Nyoman Deva Pramana Giri, Derren David Christian Homenta Rampengan, Ardian Rizal

Abstract readNetwork Meta-AnalysisSystematic Review
In one paragraph

Synthesis in Indian heart journal. 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

7 authors.

Sebastian Emmanuel WillyantoBachelor Study Program of Medicine, Faculty of Medicine, Universitas Brawijaya, Malang, Indonesia. Electronic address: realsebastianemmanuel@gmail.com.
Liliana DewiBachelor Study Program of Medicine, Faculty of Medicine, Universitas Brawijaya, Malang, Indonesia. Electronic address: lilyanaad10@gmail.com.
Rizki Hari MuliaBachelor Study Program of Medicine, Faculty of Medicine, Universitas Brawijaya, Malang, Indonesia. Electronic address: rizkiharimuliaa@gmail.com.
Imke Maria Del Rosario PulingBachelor Study Program of Medicine, Faculty of Medicine, Universitas Brawijaya, Malang, Indonesia. Electronic address: imkepuling@gmail.com.
Nyoman Deva Pramana GiriBachelor Study Program of Medicine, Faculty of Medicine, Universitas Brawijaya, Malang, Indonesia. Electronic address: girideva508@gmail.com.
Derren David Christian Homenta RampenganBachelor Study Program of Medicine, Faculty of Medicine, Universitas Sam Ratulangi, Manado, Indonesia. Electronic address: derrenrmed@gmail.com.
Ardian RizalBrawijaya Cardiovascular Research Center, Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Brawijaya, Malang, Indonesia. Electronic address: drardianrizal@ub.ac.id.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAtrial fibrillation (AF), affects around 2 % of the global population and is projected to rise over the next 50 years. Catheter ablation (CA) is the primary treatment for symptomatic AF resistant to drug therapy. Despite its widespread use, CA has a failure rate of 20 %-50 %, often requiring repeat procedures, due to significant long-term recurrence rates. Combining CA with renal denervation (RDN) or ganglion plexus ablation (GPA) may effectively reduce the recurrence rates of AF.

methodsQuality assessment was done using the Cochrane ROB 2.0 tool, network meta-analysis using RStudio, and comparative meta-analysis using RevMan 5.4.

resultsA thorough search across seven databases resulted in 13 articles for analysis, with eight classified as low-risk and five as moderate-risk of bias. The network meta-analysis found that RDN + CA had the highest freedom from AF episodes at 12 and 24 months (OR 2.28 [1.34-3.86] and OR 1.61 [0.89-2.89]), followed by GPA + CA (OR 1.88 [0.91-3.89] and OR 1.36 [0.91-2.03]), compared to CA alone. RDN + CA also showed fewer procedure-related complications (OR 0.78 [0.30-2.02]), while GPA + CA was more prevalent (OR 3.60 [1.72-7.55]), compared to CA alone. Additionally, RDN + CA significantly reduced systolic blood pressure (SBP) (MD -5.22 [-9.91 to -0.53]), diastolic blood pressure (DBP) (MD -3.61 [-7.98 to -0.76]), and creatinine levels (MD -0.25 [-0.34 to -0.15]), while increasing estimated glomerular filtration rate (eGFR) (MD 7.98 [-1.16-17.11]) compared to the control group.

conclusionRemarkable success in preventing AF recurrence was observed when CA was combined with RDN or GPA. However, it is noteworthy that GPA + CA was associated with a higher incidence of procedural-related complications, while RDN + CA demonstrated additional advantages by improving blood pressure regulation and renal function.

Indexed as

Atrial FibrillationCatheter AblationGanglionectomyKidneySecondary PreventionSympathectomyGlobal HealthHumansRecurrenceAtrial fibrillationCatheter ablationGanglion plexus ablationRecurrenceRenal denervation

Identifiers

PMID40912651
PMCPMC12793911

What Socratic holds

Textmetadata
LicenceCC BY
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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.