Evidence map›Paper›PMID 30288838›Full record

SynthesisJournal of cardiovascular electrophysiology2019

Coronary artery injury related to catheter ablation of cardiac arrhythmias: A systematic review.

Naga Venkata Pothineni, Krishna Kancharla, Ajoe J Katoor, Ghanshyam Shanta, Hakan Paydak, Suraj Kapa, Abhishek Deshmukh

Open access · bronzeAbstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Journal of cardiovascular electrophysiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
3.2field-weighted citation impact, top 7% 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

20 citing papers in PubMed, 47 citations in OpenAlex.

  1. Coronary artery proximity to ablation sites utilizing cardiac computed tomography coronary artery proximity to ablation sites utilizing cardiac computed tomography.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2026
    Article
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  3. Review
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  10. Review
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  13. Electroanatomic visualization of coronary arteries: a case series to elicit safety, feasibility, and diagnostic value in complex ablation procedures.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 · 2023
    Article
  14. Complications of catheter ablation for ventricular tachycardia.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2023
    Review
  15. High-power, short-duration ablation in the coronary sinus: clinical cases and preliminary observations on swine hearts.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2022
    Article
  16. Article
  17. Review
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  20. High density mapping and catheter ablation of atrial tachycardias in adults with congenital heart disease.Clinical research in cardiology : official journal of the German Cardiac Society · 2020
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Naga Venkata PothineniDivision of Cardiology, University of Arkansas for Medical Sciences, Little Rock, Arkansas.ORCID 0000-0003-4908-2652
Krishna KancharlaDivision of Electrophysiology, Heart and Vascular Institute, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
Ajoe J KatoorDivision of Cardiology, University of Arkansas for Medical Sciences, Little Rock, Arkansas.
Ghanshyam ShantaDivision of Cardiology, University of Iowa, Iowa City, Iowa.
Hakan PaydakDivision of Cardiology, University of Arkansas for Medical Sciences, Little Rock, Arkansas.
Suraj KapaDivision of Electrophysiology, Mayo Clinic, Rochester, Minnesota.ORCID 0000-0003-2283-4340
Abhishek DeshmukhDivision of Electrophysiology, Mayo Clinic, Rochester, Minnesota.
University of Arkansas for Medical Sciences · USMayo Clinic · USUniversity of Iowa · USUniversity of Pittsburgh Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCatheter ablation (CA) has emerged as the preferred modality of treatment for many cardiac arrhythmias. Anatomical sites of ablation are often located in close proximity to coronary arteries. However, the incidence of CA-related coronary injury has not been well studied. We sought to systematically evaluate all cases of CA-related coronary injuries. METHODS AND

resultsA PubMed search was conducted from inception until May 1, 2017 using the keywords "coronary artery" and "ablation." We identified 2817 published articles of which 43 articles met our inclusion criteria representing 61 cases of coronary artery injury attributed to CA procedures from 1992 to 2017. Posteroseptal accessory pathway ablation was associated with the highest incidence of coronary injury (35.6% of cases), followed by cavotricuspid isthmus-dependent flutter (19.3%). The right coronary artery was the site of injury in over two-thirds of all reported cases. Coronary injury was detected intraprocedurally in about half of the cases (43.1%), whereas it was a delayed presentation in the other half. Coronary intervention was performed in a third of all cases (32.7%). There were a total of three deaths attributed to coronary artery injury.

conclusionsMost (91.8%) coronary injuries are a result of anatomic proximity to the site of ablation. Awareness of the relation between coronary artery course and anatomical site of ablation could prevent myocardial damage and improve procedural safety.

Indexed as

AdultAgedArrhythmias, CardiacCatheter AblationCoronary VesselsFemaleHeart InjuriesHumansMaleMiddle AgedRisk FactorsTreatment OutcomeVascular System Injuriesatrial fluttercatheter ablationcomplicationscoronary artery injurymyocardial infarctionventricular tachycardia

Identifiers

PMID30288838
OpenAlexW2894983580

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.