ArticleJournal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing2012
Factors associated with fluoroscopy exposure during pediatric catheter ablation utilizing electroanatomical mapping.
Article in Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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.
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.
Who cites it
6 citing papers in PubMed.
- Efficacy and safety of zero-fluoroscopy approach for ablation of atrioventricular nodal reentry tachycardia: experience from more than 1000 cases.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2023Article
- Zero Fluoroscopy During Ablation of Right-Sided Supraventricular Tachycardia Substrates in a Pediatric Population - Initial Experience in Taiwan.Acta Cardiologica Sinica · 2019Article
- Electroanatomic mapping-guided pediatric catheter ablation with limited/zero fluoroscopy.Anatolian journal of cardiology · 2018Article
- Getting to zero: impact of electroanatomical mapping on fluoroscopy use in pediatric catheter ablation.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2016Article
- Catheter Ablation to Treat Supraventricular Arrhythmia in Children and Adults With Congenital Heart Disease: What We Know and Where We Are Going.Ochsner journal · 2016Review
- Catheter Ablation of Atrial Fibrillation Without Radiation Exposure Using A 3D Mapping System.Journal of atrial fibrillationReview
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeExposure to ionizing radiation during electrophysiologic procedures in children is believed to increase the risk of future malignancy. Electroanatomical navigation can reduce exposure, but the cohort of children who derive the greatest benefit from this approach is incompletely defined. We sought to determine factors associated with fluoroscopy exposure with conventional catheter ablation versus electroanatomical navigation.
methodsA retrospective review of all ablation procedures over a 5-year period during the transition to electroanatomical navigation performed by a single electrophysiologist was performed. Fluoroscopy time >20 min was considered "prolonged." Statistical analysis was performed to determine differences among groups.
resultsTwo hundred thirty-four subjects underwent catheter ablation during the study period (conventional, n = 127; navigation, n = 107). Mean fluoroscopy decreased from 11.1 to 3.5 min with electroanatomical navigation (p < 0.0001). Overall 53/107 subjects (50 %) undergoing catheter ablation using electroanatomical navigation required no fluoroscopy, of which atrioventricular nodal reentry tachycardia (AVNRT) (n = 23) and right-sided accessory pathways (n = 22) were most common (p = 0.001). Prolonged fluoroscopic exposure was observed for 22/127 (17 %) subjects undergoing conventional fluoroscopy versus 3/107 (3 %) subjects with electroanatomical navigation (p = 0.001) and was not observed after increased experience. Flouroscopy time decreased significantly after the first 20 procedures (p = 0.04). There was no difference in success, complication, or recurrence rate between groups.
conclusionsElectroanatomical navigation significantly reduced fluoroscopic exposure without compromising safety, efficacy, or recurrence. Subjects with AVNRT and right-sided accessory pathways derived the greatest benefit as did those requiring prolonged fluoroscopy by the conventional approach.
Indexed as
Identifiers
22855398What OpenQuestion holds
Registered trials
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.