Evidence map›Paper›PMID 27092189›Full record

ArticleJournal of arrhythmia2016

Initial experience and treatment of atrial fibrillation using a novel irrigated multielectrode catheter: Results from a prospective two-center study.

Felipe Rodríguez-Entem, Víctor Expósito, Moisés Rodríguez-Mañero, Susana González-Enríquez, Xesús Alberte Fernández-López, Javier García-Seara, José Luis Martínez-Sande, Juan José Olalla

Open access · goldAbstract read
In one paragraph

Article in Journal of arrhythmia, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
2.3field-weighted citation impact, top 11% of its field
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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 11 citations in OpenAlex.

  1. 2017 HRS/EHRA/ECAS/APHRS/SOLAECE expert consensus statement on catheter and surgical ablation of atrial fibrillation.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 · 2018
    Guideline
  2. 2012 HRS/EHRA/ECAS expert consensus statement on catheter and surgical ablation of atrial fibrillation: recommendations for patient selection, procedural techniques, patient management and follow-up, definitions, endpoints, and research trial design: a report of the Heart Rhythm Society (HRS) Task Force on Catheter and Surgical Ablation of Atrial Fibrillation. Developed in partnership with the European Heart Rhythm Association (EHRA), a registered branch of the European Society of Cardiology (ESC) and the European Cardiac Arrhythmia Society (ECAS); and in collaboration with the American College of Cardiology (ACC), American Heart Association (AHA), the Asia Pacific Heart Rhythm Society (APHRS), and the Society of Thoracic Surgeons (STS). Endorsed by the governing bodies of the American College of Cardiology Foundation, the American Heart Association, the European Cardiac Arrhythmia Society, the European Heart Rhythm Association, the Society of Thoracic Surgeons, the Asia Pacific Heart Rhythm Society, and the Heart Rhythm Society.Heart rhythm · 2012
    Guideline
  3. Article
  4. Review
  5. Article
  6. Review
  7. Comparison of the Efficacy of PVACJournal of atrial fibrillation
    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

8 authors at 1 institution in 1 country.

Felipe Rodríguez-EntemArrhythmia Unit, Cardiology Service, University Hospital Marques de Valdecilla, Santander, Spain.
Víctor ExpósitoArrhythmia Unit, Cardiology Service, University Hospital Marques de Valdecilla, Santander, Spain.
Moisés Rodríguez-MañeroArrhythmia Unit, Cardiology Service, University Hospital Santiago, Santiago de Compostela, Spain.
Susana González-EnríquezArrhythmia Unit, Cardiology Service, University Hospital Marques de Valdecilla, Santander, Spain.
Xesús Alberte Fernández-LópezArrhythmia Unit, Cardiology Service, University Hospital Santiago, Santiago de Compostela, Spain.
Javier García-SearaArrhythmia Unit, Cardiology Service, University Hospital Santiago, Santiago de Compostela, Spain.
José Luis Martínez-SandeArrhythmia Unit, Cardiology Service, University Hospital Santiago, Santiago de Compostela, Spain.
Juan José OlallaArrhythmia Unit, Cardiology Service, University Hospital Marques de Valdecilla, Santander, Spain.
Marqués de Valdecilla University Hospital · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPV electrical isolation has become the cornerstone of catheter ablation for the treatment of atrial fibrillation (AF). Several strategies have been proposed to achieve this goal. The aim of this study was to assess the efficacy and safety of AF ablation using a new circular irrigated multielectrode ablation catheter designed to achieve single-delivery pulmonary vein (PV) isolation.

methodsThirty-five patients with drug refractory paroxysmal AF and normal ejection fraction from two centers were prospectively enrolled in this study. All patients underwent PV isolation with an nMARQ circular irrigated multielectrode ablation catheter guided by an electroanatomic mapping system. Magnetic resonance imaging was performed to exclude PV stenosis.

resultsPV isolation was achieved in 138 of 140 (98.57%) targeted veins. The mean procedure time was 79.5 min (SD 39.3 min). During a mean follow up of 16.8±2.8 months, 27 of 35 (77.2%) patients were free of AF. No PV narrowing was observed. One case of pericardial effusion due to perforation of the left atrial free wall during catheter manipulation did occur.

conclusionsPV isolation with a circular irrigated multielectrode ablation catheter is a feasible technique with a high acute success rate. The majority of patients remained asymptomatic during the midterm follow-up period. PV stenosis was not detected. While only a single serious adverse event occurred, this technique׳s safety profile should be tested in larger studies.

Indexed as

AAD, anti-arrhythmic drugsACT, active clotting timeAF, atrial fibrillationAtrial fibrillationCatheter ablationLA, left atriumLIPV, left inferiorLSPV, left superiorMultipolar irrigated radiofrequency ablation catheterPulmonary vein isolationPV, pulmonary veinRF, radiofrequencyRIPV, right inferiorRSPV, right superior

Identifiers

PMID27092189
PMCPMC4823573
OpenAlexW2180386464

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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 OpenQuestion graph.