Evidence map›Paper›PMID 28727191›Full record

ArticleJournal of cardiovascular electrophysiology2017

Anterior pericardial access to facilitate electrophysiology study and catheter ablation of ventricular arrhythmias: A single tertiary center experience.

Ali R Keramati, Deeptankar DeMazumder, Satish Misra, Jonathan Chrispin, Fabrizio R Assis, Chava Raghuram, Swati Dey, Hugh Calkins, Harikrishna Tandri

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of cardiovascular electrophysiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Epicardial ventricular tachycardia ablation: safety and efficacy of access and ablation using low-iodine content.Clinical research in cardiology : official journal of the German Cardiac Society · 2025
    Article
  2. Review
  3. Contemporary approach to catheter ablation of ventricular tachycardia in nonischemic cardiomyopathy.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2023
    Review
  4. Article
  5. Article
  6. 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.

Ali R KeramatiDivision of Cardiology, Department of Medicine, Johns Hopkins University, Baltimore, MD, USA.ORCID http://orcid.org/0000-0002-8728-1508
Deeptankar DeMazumderDivision of Cardiology, Department of Medicine, Johns Hopkins University, Baltimore, MD, USA.
Satish MisraDivision of Cardiology, Department of Medicine, Johns Hopkins University, Baltimore, MD, USA.ORCID http://orcid.org/0000-0003-1214-5568
Jonathan ChrispinDivision of Cardiology, Department of Medicine, Johns Hopkins University, Baltimore, MD, USA.ORCID http://orcid.org/0000-0002-7985-3019
Fabrizio R AssisDivision of Cardiology, Department of Medicine, Johns Hopkins University, Baltimore, MD, USA.
Chava RaghuramDivision of Cardiology, Department of Medicine, Johns Hopkins University, Baltimore, MD, USA.
Swati DeyDivision of Cardiology, Department of Medicine, Johns Hopkins University, Baltimore, MD, USA.
Hugh CalkinsDivision of Cardiology, Department of Medicine, Johns Hopkins University, Baltimore, MD, USA.
Harikrishna TandriDivision of Cardiology, Department of Medicine, Johns Hopkins University, Baltimore, MD, USA.

Funding

Autonomic remodeling and modulation therapy in heart failure and sudden deathR00HL130662 · NHLBI · UNIVERSITY OF CINCINNATI · PI DEMAZUMDER, DEEPTANKAR · 2017 to 2019
$747k
Autonomic remodeling and modulation therapy in heart failure and sudden deathK99HL130662 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI DEMAZUMDER, DEEPTANKAR · 2016 to 2016
$172k
NHLBI NIH HHS K99 HL130662NHLBI NIH HHS L30 HL115782NHLBI NIH HHS R00 HL130662
6 · The paper itself

Abstract

introductionEpicardial ablation is becoming an important part of management in patients with ventricular tachycardia (VT). Posterior epicardial access via the Sosa or needle-in-needle (NIN) approach for epicardial VT ablation is considered to be the method of choice for most electrophysiologists. Anterior epicardial access as an alternative technique has recently been proposed, but there are limited data about its safety, efficacy, and the rate of immediate complications. In this study, we report our experience with anterior epicardial access between 2009 and 2016.

methodsBetween 2009 and June 2016, 100 consecutive patients underwent epicardial VT ablation using an anterior approach. The success rate, epicardial bleeding, and other complications related to the epicardial access in these patients were compared to the previously reported rate of complications in patients whom epicardial access was performed using the NIN or Sosa techniques.

resultsAnterior epicardial access was obtained successfully in 100% of patients in the first attempt. The success rate of the anterior approach was comparable with the reported success rate of the NIN technique (100% vs. 100%, P value not significant) but better than the Sosa technique (100% vs. 94%, P = 0.012). None of the patients in the anterior approach series suffered from significant pericardial bleeding (defined as greater than 80 mL of blood loss), RV puncture/damage, or need for an emergent cardiac surgery.

conclusionAn anterior epicardial approach is feasible and appears to have an acceptable safety profile in comparison with other epicardial approaches.

Indexed as

Catheter AblationElectrophysiological PhenomenaEpicardial MappingHemorrhageHospitalizationHumansMagnetic Resonance ImagingPericardiumPostoperative ComplicationsTachycardia, VentricularTertiary Care CentersTomography, X-Ray ComputedTreatment Outcomeepicardial accesspericardial bleedingventricular tachycardiaVT ablation

Identifiers

PMID28727191
PMCPMC5778445

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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.