Evidence map›Paper›PMID 29375224›Full record

ArticleActa Cardiologica Sinica2018

Safety and Efficacy of Epicardial Ablation of Ventricular Tachyarrhythmias: Experience from a Tertiary Referral Center in Taiwan.

Chin-Yu Lin, Fa-Po Chung, Yenn-Jiang Lin, Shih-Lin Chang, Li-Wei Lo, Yu-Feng Hu, Jo-Nan Liao, Ta-Chuan Tuan, Tze-Fan Chao, Yao-Ting Chang and 4 more

Abstract read
In one paragraph

Article in Acta Cardiologica Sinica, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

  1. Article
  2. Epicardial ventricular arrhythmia ablation: a clinical consensus statement of the European Heart Rhythm Association of the European Society of Cardiology and the Heart Rhythm Society, the Asian Pacific Heart Rhythm Society, the Latin American Heart Rhythm Society, and the Canadian Heart Rhythm Society.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 · 2025
    Article
  3. Article
  4. Article
  5. Article
  6. A novel percutaneous stabilizing sheath for minimal invasive epicardial echocardiography and ablation.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2020
    Article
  7. Article
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  9. Review
  10. Article
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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

14 authors.

Chin-Yu LinInstitute of Clinical Medicine, and Cardiovascular Research Center, National Yang-Ming University.
Fa-Po ChungInstitute of Clinical Medicine, and Cardiovascular Research Center, National Yang-Ming University.
Yenn-Jiang LinInstitute of Clinical Medicine, and Cardiovascular Research Center, National Yang-Ming University.
Shih-Lin ChangInstitute of Clinical Medicine, and Cardiovascular Research Center, National Yang-Ming University.
Li-Wei LoInstitute of Clinical Medicine, and Cardiovascular Research Center, National Yang-Ming University.
Yu-Feng HuInstitute of Clinical Medicine, and Cardiovascular Research Center, National Yang-Ming University.
Jo-Nan LiaoInstitute of Clinical Medicine, and Cardiovascular Research Center, National Yang-Ming University.
Ta-Chuan TuanInstitute of Clinical Medicine, and Cardiovascular Research Center, National Yang-Ming University.
Tze-Fan ChaoInstitute of Clinical Medicine, and Cardiovascular Research Center, National Yang-Ming University.
Yao-Ting ChangInstitute of Clinical Medicine, and Cardiovascular Research Center, National Yang-Ming University.
Yun-Yu ChenHeart Rhythm Center, Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taipei.
Abigail Louise D TeInstitute of Clinical Medicine, and Cardiovascular Research Center, National Yang-Ming University.
Shinya YamadaInstitute of Clinical Medicine, and Cardiovascular Research Center, National Yang-Ming University.
Shih-Ann ChenInstitute of Clinical Medicine, and Cardiovascular Research Center, National Yang-Ming University.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEpicardial catheter ablation has been shown to be an effective strategy for treating ventricular arrhythmias (VA). We investigated the efficacy and safety from a tertiary referral center in Taiwan.

methodsFrom 2010 to 2016, patients undergoing epicardial ablation for VAs were consecutively enrolled. The clinical characteristics, disease entity, electrophysiological studies, and ablation outcome were extracted for further analysis.

resultsA total of 80 patients were eligible, including 34 patients for arrhythmogenic right ventricular cardiomyopathy (ARVC), 16 for Brugada syndrome (BrS), 13 for idiopathic VAs, 11 for idiopathic dilated cardiomyopathy (IDCM), 2 for ischemic cardiomyopathy, and 4 for other nonischemic cardiomyopathies (NICM). Epicardial ablation rendering VAs non-inducible was achieved in 78 patients (97.5%). There were no procedure-related deaths. Major complications were reported in 8 (10.0%) patients, including an acute hemopericardium in 5 (6.3%), delayed tamponade in 1 (1.3%), hemothorax in 1 (1.3%), and major pericardial reaction in 1 (1.3%). Two (2.7%) patients died due to causes other than procedure-related deaths. After a mean follow-up of 31 ± 15 months, 20 patients (25.0%) presented with VA recurrences, including 13 with ARVC, 1 with BrS, 1 with idiopathic VAs, 4 with IDCM, and 1 with other NICM.

conclusionsIn this tertiary referral center's experience, the complication rate of an epicardial approach was acceptable. Patients with NICM displayed a growing trend for a referral for epicardial ablation. The long-term follow-up demonstrated that an epicardial ablation for idiopathic VAs and BrS was associated with a better prognosis than that for the other etiologies.

Indexed as

Arrhythmogenic right ventricular cardiomyopathyBrugada syndromeComplicationEpicardial ablationIdiopathic dilated cardiomyopathyVentricular arrhythmia

Identifiers

PMID29375224
PMCPMC5777943

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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.