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. 2012 Apr 18;2012(4):CD007101. doi: 10.1002/14651858.CD007101.pub2

Oral 2004.

Methods Randomised controlled trial
Participants Inclusion criteria: inducible by atrial pacing in the baseline state who underwent LACA for symptomatic, drug‐resistant, paroxysmal AF.
Age: 55+/‐11 years in posterior left atrium and mitral isthmus ablation group (group 2), and 56+/‐9 years in additional ablation lines along the left atrial septum, roof and/or anterior wall (group 3). 
 % of male: 24/30 (80%) in group 2, and 26/30 (87%) in group 3. 
 Follow‐up: 8+/‐2 months.
Location: Ann Arbor, Michigan.
Interventions 100 patients were included and received left atrium circumferential ablation (LACA). 40 patients were cured and the remaining 60 patients were randomly arranged into no further ablation group (group 2, n=30) and additional linear ablation group (group 3, n=30).
Outcomes Recurrence of AF, sinus rhythm remaining, complications
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Insufficient detail was provided.
Allocation concealment (selection bias) Unclear risk B‐Unclear. The authors did not depict allocation concealment method.
Blinding High risk Blinding was not reported.
Incomplete outcome data addressed High risk There were no patients withdrawn or lost to follow up.
Adequate sequence generation Unclear risk It was not addressed.