Evidence map›Paper›PMID 30320138›Full record

Trial reportBioMed research international2018

Benefit of Contact Force Sensing Catheter Technology for Successful Left Atrial Anterior Line Formation: A Prospective Randomized Trial.

Stephanie Fichtner, Reza Wakili, Konstantinos Rizas, Johannes Siebermair, Moritz F Sinner, Thomas Wiktor, Korbinian Lackermair, Franziska Schuessler, Lucia Olesch, Susanne Rainer and 4 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BioMed research international, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02217657 ("Bidirectional Conduction Block of Left Atrial Anterior Line in Patients With Left Atrial Ablation - Reduction of RF Applications Using the Thermocool SmartTouch Contact Force Sensing Catheter), which is not on this map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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.

NCT02217657 nacompletednot on this map

"Bidirectional Conduction Block of Left Atrial Anterior Line in Patients With Left Atrial Ablation - Reduction of RF Applications Using the Thermocool SmartTouch Contact Force Sensing Catheter

TypeinterventionalSponsorLMU KlinikumRan2013 to 2016Enrolled75ConditionsPersistent Atrial FibrillationArmsThermocool Smart Touch Catheter
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. High-density versus low-density mapping in ablation of atypical atrial flutter.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2021
    Article
  3. Observational
  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

14 authors.

Stephanie FichtnerDepartment of Medicine I, University Hospital Munich, Ludwig-Maximilians University, Munich, Germany.ORCID 0000-0003-4100-6292
Reza WakiliDepartment of Medicine I, University Hospital Munich, Ludwig-Maximilians University, Munich, Germany.
Konstantinos RizasDepartment of Medicine I, University Hospital Munich, Ludwig-Maximilians University, Munich, Germany.
Johannes SiebermairDepartment of Medicine I, University Hospital Munich, Ludwig-Maximilians University, Munich, Germany.
Moritz F SinnerDepartment of Medicine I, University Hospital Munich, Ludwig-Maximilians University, Munich, Germany.
Thomas WiktorDepartment of Medicine I, University Hospital Munich, Ludwig-Maximilians University, Munich, Germany.
Korbinian LackermairDepartment of Medicine I, University Hospital Munich, Ludwig-Maximilians University, Munich, Germany.ORCID 0000-0002-6009-960X
Franziska SchuesslerCharité Campus Virchow-Klinikum, Berlin, Germany.
Lucia OleschDepartment of Medicine I, University Hospital Munich, Ludwig-Maximilians University, Munich, Germany.
Susanne RainerDepartment of Medicine I, University Hospital Munich, Ludwig-Maximilians University, Munich, Germany.
Stefan KääbDepartment of Medicine I, University Hospital Munich, Ludwig-Maximilians University, Munich, Germany.
Adrian CurtaInstitute for Clinical Radiology, University Hospital Munich, Ludwig-Maximilians University, Munich, Germany.
Harald KramerInstitute for Clinical Radiology, University Hospital Munich, Ludwig-Maximilians University, Munich, Germany.
Heidi L EstnerDepartment of Medicine I, University Hospital Munich, Ludwig-Maximilians University, Munich, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe value of contact force information for ablation of LA anterior line is unknown. In a prospective randomized clinical trial, we investigated if information on contact force during left atrial (LA) anterior line ablation reduces total radiofrequency time and results in higher rates of bidirectional line block in patients undergoing pulmonary vein isolation (PVI) plus substrate modification.

methodsWe included patients with indication for pulmonary vein isolation (PVI) and additional substrate modification. For LA anterior line ablation, patients were randomized to contact force information visible (n=35) or blinded (n=37). Patients received contrast enhanced cardiac magnetic resonance imaging (cMRI) before and 3-6 months after ablation to visualize the LA anterior line. Primary endpoint was radiofrequency time to achieve bidirectional line block. Secondary endpoints were completeness of the LA anterior line on cMRI, distribution of contact force, procedural data, adverse events, and 12 months success rate.

resultsIn 72 patients (64±9 years, 68% male), bidirectional LA anterior line block was achieved in 70 (97%) patients. Radiofrequency time to bidirectional block did not differ significantly across groups (contact force information visible 23±18min versus contact force information blinded 21±15min, p=0.50). The LA anterior line was discernable on cMRI in 40 patients (82%) without significant differences across randomization groups (p=0.46). No difference in applied contact force was found depending on cMRI line visibility. Twelve-month success and adverse event rates were comparable across groups.

conclusionInformation on contact force does not significantly improve the ablation of LA anterior lines. CLINICAL

trial registrationThe trial was registered at http://www.clinicaltrials.gov by identifier: NCT02217657.

Indexed as

Cardiac CathetersMuscle StrengthMyocardial ContractionAdultCardiac CatheterizationCatheter AblationFemaleHeart AtriaHumansMagnetic Resonance ImagingMaleMiddle AgedProspective Studies

Identifiers

PMID30320138
PMCPMC6167597

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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.