Evidence map›Paper›PMID 24904659›Full record

ArticleArchives of medical science : AMS2014

Contact force mapping during catheter ablation for atrial fibrillation: procedural data and one-year follow-up.

Alexander Wutzler, Martin Huemer, Abdul Shokor Parwani, Florian Blaschke, Wilhelm Haverkamp, Leif-Hendrik Boldt

Abstract read
In one paragraph

Article in Archives of medical science : AMS, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
–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

21 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Contact force-guided catheter ablation for the treatment of atrial fibrillation: a meta-analysis of randomized, controlled trials.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologica · 2016
    Pooled it
  3. Pooled it
  4. The importance of catheter stability evaluated by Visitag(TM) during pulmonary vein isolation.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2016
    Trial
  5. Beyond contact: troponin and the case for ablation index-guided AF ablation.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2026
    Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. MEMS-Based Flexible Force Sensor for Tri-Axial Catheter Contact Force Measurement.Journal of microelectromechanical systems : a joint IEEE and ASME publication on microstructures, microactuators, microsensors, and microsystems · 2017
    Article
  11. Article
  12. Clinical experience with contact-force and flexible-tip ablation catheter designs.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2016
    Article
  13. Article
  14. Reduced residual conduction gaps and favourable outcome in contact force-guided circumferential pulmonary vein isolation.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2016
    Article
  15. Contact forces during hybrid atrial fibrillation ablation: an in vitro evaluation.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2016
    Article
  16. Article
  17. Superior efficacy of pulmonary vein isolation with online contact force measurement persists after the learning period: a prospective case control study.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2015
    Article
  18. Article
  19. Article
  20. 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.

Alexander WutzlerCharité - Universitätsmedizin, Berlin, Germany.
Martin HuemerCharité - Universitätsmedizin, Berlin, Germany.
Abdul Shokor ParwaniCharité - Universitätsmedizin, Berlin, Germany.
Florian BlaschkeCharité - Universitätsmedizin, Berlin, Germany.
Wilhelm HaverkampCharité - Universitätsmedizin, Berlin, Germany.
Leif-Hendrik BoldtCharité - Universitätsmedizin, Berlin, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPulmonary vein isolation (PVI) is the state-of-the-art treatment of atrial fibrillation (AF). Pulmonary vein reconnection is one of the main mechanisms of AF recurrence after ablation. Catheter-tissue contact is essential for effective ablation lesions. The aim of this study was to evaluate the impact of catheter contact monitoring during PVI on AF recurrence rate. MATERIAL AND

methodsOne hundred and forty-three patients who underwent PVI were analysed. In 31 patients, PVI was performed by monitoring the catheter-tissue contact with a contact force (CF) sensing catheter. One hundred and twelve patients in whom conventional PVI was performed without CF information served as the control group. Procedural data and recurrence rate within 12-month follow-up were compared.

resultsA significant reduction in procedure duration was seen in the CF mapping group (128.4 ±29 min vs. 157.7 ±30.8 min, p = 0.001). Complete pulmonary vein isolation was achieved in 100% of the patients. Rate of AF recurrence within 12 months after ablation was significantly lower in the contact force group (16.1%) when compared to the standard ablation group (36.6%) (p = 0.031).

conclusionsPulmonary vein isolation with the use of contact force information results in a shorter procedure duration and a lower rate of AF recurrence after 12 months compared to conventional PVI without this information. Catheter-tissue contact monitoring may have a beneficial effect on mid-term and long-term results of PVI procedures.

Indexed as

atrial fibrillationcatheter-tissue contactpulmonary vein isolation

Identifiers

PMID24904659
PMCPMC4042046

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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.