Evidence map›Paper›PMID 27193315›Full record

Trial reportJournal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing2016

Trends in percutaneous pericardial access during catheter ablation of ventricular arrhythmias: a single-center experience.

Ammar M Killu, Alan M Sugrue, Siva K Mulpuru, Christopher J McLeod, David O Hodge, Peter A Noseworthy, Lisa Fanning, Thomas M Munger, Douglas L Packer, Samuel J Asirvatham and 1 more

Abstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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. Epicardial thoracoscopic robotic-assisted catheter navigation in a pig.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2019
    Article
  2. Feasibility and safety of percutaneous epicardial access for mapping and ablation for ventricular arrhythmias in patients on oral anticoagulants.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2019
    Article
  3. 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

11 authors.

Ammar M KilluDepartment of Cardiovascular Diseases, Mayo Clinic, 200 First Street SW, Rochester, MN, 55901, USA. Killu.ammar@mayo.edu.
Alan M SugrueDepartment of Cardiovascular Diseases, Mayo Clinic, 200 First Street SW, Rochester, MN, 55901, USA.
Siva K MulpuruDepartment of Cardiovascular Diseases, Mayo Clinic, 200 First Street SW, Rochester, MN, 55901, USA.
Christopher J McLeodDepartment of Cardiovascular Diseases, Mayo Clinic, 200 First Street SW, Rochester, MN, 55901, USA.
David O HodgeDepartment of Cardiovascular Diseases, Mayo Clinic, 200 First Street SW, Rochester, MN, 55901, USA.
Peter A NoseworthyDepartment of Cardiovascular Diseases, Mayo Clinic, 200 First Street SW, Rochester, MN, 55901, USA.
Lisa FanningDepartment of Cardiovascular Diseases, Mayo Clinic, 200 First Street SW, Rochester, MN, 55901, USA.
Thomas M MungerDepartment of Cardiovascular Diseases, Mayo Clinic, 200 First Street SW, Rochester, MN, 55901, USA.
Douglas L PackerDepartment of Cardiovascular Diseases, Mayo Clinic, 200 First Street SW, Rochester, MN, 55901, USA.
Samuel J AsirvathamDepartment of Cardiovascular Diseases, Mayo Clinic, 200 First Street SW, Rochester, MN, 55901, USA.
Paul A FriedmanDepartment of Cardiovascular Diseases, Mayo Clinic, 200 First Street SW, Rochester, MN, 55901, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePercutaneous pericardial access (EpiAcc) assists ventricular tachycardia/premature ventricular complex (VT/PVC) ablation by permitting epicardial mapping and ablation outside the vicinity of the coronary venous system. We sought to determine whether expanding indications and growing operator experience have led to increased rates of EpiAcc.

methodsWe reviewed the frequency of EpiAcc procedures performed during VT/PVC ablation between 2007 and 2014 to identify temporal trends in the procedure.

resultsThere were 758 patients undergoing 880 VT/PVC ablation procedures (average 95 patients per year; 110 procedures per year) during the study period. EpiAcc for ablation was utilized in 170 patients (181 procedures). The average age at the time of EpiAcc was 55 ± 16 years and 129 (76.0 %) patients were male. The rate of EpiAcc was 22.9 % in males and 15.4 % in females (P = 0.008). The absolute number of EpiAcc procedures increased from 2007 (6 procedures) to 2014 (27 procedures). Similarly, the proportion of patients undergoing EpiAcc increased from 8.6 % of procedures in 2007 to 24.5 % in 2014 (P < 0.0001). While EpiAcc use became more frequent, the rate of epicardial ablation among those who underwent EpiAcc remained stable (approximately 70 %).

conclusionsPercutaneous pericardial access has been used with increasing frequency as part of VT/PVC ablations without an increase in the rate of epicardial ablation. This growing utilization may lay the foundation for novel epicardial strategies as new technologies emerge. The frequency of percutaneous pericardial access in VT/PVC ablation appears to be greater in males, reasons for which are undefined.

Indexed as

Age DistributionCatheter AblationEpicardial MappingFemaleHumansMaleMiddle AgedMinnesotaPericardiumPractice Patterns, Physicians'PrevalenceSex DistributionTachycardia, VentricularUtilization ReviewVentricular Premature ComplexesAblationEpicardialPercutaneousPericardialPremature ventricular contractionsVentricular tachycardia

Identifiers

PMID27193315

What OpenQuestion holds

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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.