Evidence map›Paper›PMID 28624892›Full record

SynthesisJournal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing2017

A meta-analysis of manual versus remote magnetic navigation for ventricular tachycardia ablation.

Mohit K Turagam, Donita Atkins, Roderick Tung, Moussa Mansour, Jeremy Ruskin, Jie Cheng, Luigi Di Biase, Andrea Natale, Dhanunjaya Lakkireddy

Abstract readComparative StudyMeta-AnalysisReview
PubMed Publisher
In one paragraph

Synthesis in Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 14% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Review
  7. The performance of dipole charge density mapping integrated with robotic magnetic navigation in the treatment of atrial tachycardias.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2023
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Observational
  13. 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 at 6 institutions in 1 country.

Mohit K TuragamDivision of Cardiovascular Medicine, University of Missouri Hospital and Clinics, Columbia, MO, USA.
Donita AtkinsDivision of Cardiovascular Diseases, Cardiovascular Research Institute, University of Kansas Hospital & Medical Center, 3901 Rainbow Boulevard, Kansas City, KS, 6616, USA.
Roderick TungUniversity of Chicago Medicine, Pritzker School of Medicine, Chicago, IL, USA.
Moussa MansourMassachusetts General Hospital, Boston, MA, USA.
Jeremy RuskinMassachusetts General Hospital, Boston, MA, USA.
Jie ChengTexas Heart Institute, Houston, TX, USA.
Luigi Di BiaseAlbert Einstein College of Medicine, New York, NY, USA.
Andrea NataleTexas Cardiac Arrhythmia Institute at St. David's Medical Center, Austin, TX, USA.
Dhanunjaya LakkireddyDivision of Cardiovascular Diseases, Cardiovascular Research Institute, University of Kansas Hospital & Medical Center, 3901 Rainbow Boulevard, Kansas City, KS, 6616, USA. dlakkireddy@kumc.edu.
Massachusetts General Hospital · USThe University of Kansas Health System · USAlbert Einstein College of Medicine · USTexas Cardiac Arrhythmia · USUniversity of Chicago · USUniversity of Missouri Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere are limited studies on the safety and efficacy of remote magnetic navigation (RMN) versus manual navigation (MAN) in ventricular tachycardia (VT) ablation.

methodsA comprehensive literature search was performed using the keywords VT ablation, stereotaxis, RMN and MAN in Pubmed, Ebsco, Web of Science, Cochrane, and Google scholar databases.

resultsThe analysis included seven studies (one randomized, three prospective observational, and three retrospective) including 779 patients [both structural heart disease (SHD) and idiopathic VT] comparing RMN (N = 433) and MAN (N = 339) in VT ablation. The primary end point of long-term VT recurrence was significantly lower with RMN (OR 0.61, 95% CI 0.44-0.85, p = 0.003) compared with MAN. Other end points of acute procedural success (OR 2.13, 95% CI 1.40-3.23, p = 0.0004) was significantly higher with RMN compared with MAN. Fluoroscopy [mean difference -10.42, 95% CI -12.7 to -8.1, p < 0.0001], procedural time [mean difference -9.79, 95% CI -19.27 to -0.3, p = 0.04] and complications (OR 0.35, 95% CI 0.17-0.74, p = 0.0006) were also significantly lower in RMN when compared with MAN. In a subgroup analysis SHD, there was no significant difference in VT recurrence or acute procedural success with RMN vs. MAN. In idiopathic VT, RMN significantly increased acute procedural success with no difference in VT recurrence.

conclusionThe results demonstrate that RMN is safe and effective when compared with MAN in patients with both SHD and idiopathic VT undergoing catheter ablation. Further prospective studies are needed to further verify the safety and efficacy of RMN.

Indexed as

Catheter AblationCohort StudiesFemaleHumansMagneticsMaleMonitoring, IntraoperativeOperative TimePrognosisProspective StudiesRandomized Controlled Trials as TopicSeverity of Illness IndexStereotaxic TechniquesSurgery, Computer-AssistedTachycardia, VentricularTreatment OutcomeCatheter ablationRemote magnetic navigation and manual navigation systemStereotaxisVentricular tachycardia

Identifiers

PMID28624892
OpenAlexW2626205911

What OpenQuestion holds

Textmetadata
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.