Evidence map›Paper›PMID 27957146›Full record

ReviewJournal of atrial fibrillation

Catheter Ablation of Atrial Fibrillation Without Radiation Exposure Using A 3D Mapping System.

Marco Scaglione, Elisa Ebrille, Francesca Di Clemente, Fiorenzo Gaita, Jason S Bradfield

Registry-linked trialOpen access · greenAbstract readReview
In one paragraph

Review in Journal of atrial fibrillation. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03458273 (Multi-center, Observational, Retrospective Comparison of the Feasibility, Safety, and Efficacy of Real Zero Fluoroscopy Versus Conventional Fluoroscopic Catheter Ablation With and Without 3D System Support), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.8field-weighted citation impact, top 35% 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.

NCT03458273 unknown statusnot on this map

Multi-center, Observational, Retrospective Comparison of the Feasibility, Safety, and Efficacy of Real Zero Fluoroscopy Versus Conventional Fluoroscopic Catheter Ablation With and Without 3D System Support: Propensity Matched Study

TypeobservationalSponsorMedical University of LublinRan2018 to 2018Enrolled300ConditionsAtrial Arrhythmia, Ventricular Arrythmia, Arrhythmia, Arrhythmias, CardiacArmsZero fluoroscopy ablation, Conventional ablation without 3D, Conventional ablation with 3D
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 11 citations in OpenAlex.

  1. Observational
  2. Observational
  3. Article
  4. 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

5 authors at 2 institutions in 1 country.

Marco ScaglioneDivision of Cardiology, Cardinal Massaia Hospital, Asti, Italy.
Elisa EbrilleDepartment of Medical Sciences, Division of Cardiology, Città della Salute e della Scienza, University of Turin, Turin, Italy.
Francesca Di ClementeDivision of Cardiology, Cardinal Massaia Hospital, Asti, Italy.
Fiorenzo GaitaDepartment of Medical Sciences, Division of Cardiology, Città della Salute e della Scienza, University of Turin, Turin, Italy.
Jason S BradfieldDepartment of Medical Sciences, Division of Cardiology, Città della Salute e della Scienza, University of Turin, Turin, Italy.
University of Turin · ITAzienda Sanitaria Locale di Asti · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Transcatheter ablation procedures have been traditionally performed under fluoroscopic guidance. However, x-ray exposure is afflicted by the risk of developing malignancies as well as other deterministic effects of radiation. For this reason, radiation doses in the interventional laboratory should be reduced "As Low As Reasonably Achievable", with respect to the safety of the patients and the medical staff. This is of utmost importance in atrial fibrillation (AF) ablations, which are usually lengthy procedures. With the improvement of technology, the development of additional imaging tools and the widespread of 3D electroanatomic mapping systems (EAM), near-zero fluoroscopy AF ablation procedure is becoming a reality, limiting fluoroscopy use mainly to guide transseptal puncture. In the present paper we reviewed the risks to health related to x-ray exposure and we discussed the current state of knowledge of catheter ablation of AF without fluoroscopy in the 3D EAM system era.

Identifiers

PMID27957146
PMCPMC5135214
OpenAlexW2560031761

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.