Evidence map›Paper›PMID 26215291›Full record

ArticleNetherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation2015

Remote magnetic navigation vs. manual navigation for ablation of ventricular tachycardia: a meta-analysis.

Y Wu, K-L Li, J Zheng, C-Y Zhang, X-Y Liu, Z-M Cui, Z-M Yu, R-X Wang, W Wang

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In one paragraph

Article in Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. A meta-analysis of manual versus remote magnetic navigation for ventricular tachycardia ablation.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2017
    Pooled it
  2. Article
  3. Beyond catheter tip and radiofrequency lesion delivery: the role of robotics in ablation of ventricular tachycardia.Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2015
    Article
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.

Y WuDepartment of Cardiology, Wuxi People's Hospital Affiliated to Nanjing Medical University, 214023, Wuxi, Jiangsu, China.
K-L LiDepartment of Cardiology, Wuxi People's Hospital Affiliated to Nanjing Medical University, 214023, Wuxi, Jiangsu, China.
J ZhengDepartment of Cardiology, Wuxi People's Hospital Affiliated to Nanjing Medical University, 214023, Wuxi, Jiangsu, China.
C-Y ZhangDepartment of Cardiology, Wuxi People's Hospital Affiliated to Nanjing Medical University, 214023, Wuxi, Jiangsu, China.
X-Y LiuDepartment of Cardiology, Wuxi People's Hospital Affiliated to Nanjing Medical University, 214023, Wuxi, Jiangsu, China.
Z-M CuiDepartment of Cardiology, Wuxi People's Hospital Affiliated to Nanjing Medical University, 214023, Wuxi, Jiangsu, China.
Z-M YuDepartment of Cardiology, Wuxi People's Hospital Affiliated to Nanjing Medical University, 214023, Wuxi, Jiangsu, China.
R-X WangDepartment of Cardiology, Wuxi People's Hospital Affiliated to Nanjing Medical University, 214023, Wuxi, Jiangsu, China. ruxingw@aliyun.com.
W WangWuxi Center for Disease Control and Prevention, 214023, Wuxi, Jiangsu, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe purpose of this study was to prospectively evaluate the efficacy and safety of remote magnetic navigation (RMN) in comparison with manual catheter navigation (MCN) in performing ventricular tachycardia ablation.

methodsAn electronic search was performed using PubMed (1948-2013) and EMBASE (1974-2013) studies comparing RMN with MCN which were published prior to 31 December 2013. Outcomes of interest were as follows: acute success, recurrence rate, complications, total procedure and fluoroscopic times. Standard mean difference (SMD) and its 95 % confidence interval (CI) were used for continuous outcomes; odds ratios (OR) were reported for dichotomous variables.

resultsFour non-randomised studies, including a total of 328 patients, were identified. RMN was deployed in 191 patients. Acute success and long-term freedom from arrhythmias were not significantly different between the RMN and control groups (OR 1.845, 95 % CI 0.731-4.659, p = 0.195 and OR 0.676, 95 % CI 0.383-1.194, p = 0.177, respectively). RMN was associated with less peri-procedural complications (OR 0.279, 95 % CI 0.092-0.843, p = 0.024). Shorter procedural and fluoroscopy times were achieved (95 % CI -0.487 to -0.035, p = 0.024 and 95 % CI -1.467 to -0.984, p<0.001, respectively).

conclusionThe acute and long-term success rates for VT ablation are equal between RMN and MCN, whereas the RMN-guided procedure can be performed with a lower complication rate and less procedural and fluoroscopic times. More prospective randomised trials will be needed to better evaluate the superior role of RMN for catheter ablation of ventricular tachycardia.

Indexed as

AblationManual catheter navigationRemote magnetic navigationVentricular tachycardia

Identifiers

PMID26215291
PMCPMC4580670

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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.