Evidence map›Paper›PMID 30588568›Full record

ArticleJournal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing2019

Remanufactured circular mapping catheters: safety, effectiveness and cost.

Lisa Wm Leung, Banu Evranos, Alexander Grimster, Anthony Li, Mark Norman, Abhay Bajpai, Zia Zuberi, Manav Sohal, Mark M Gallagher

Open access · hybridAbstract read
In one paragraph

Article in Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the 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
0.2field-weighted citation impact, top 40% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Reprocessing of single-use medical devices in cardiology: a systematic literature review of safety and performance characteristics applied to cardiac electrophysiology.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 · 2026
    Pooled it
  2. Review
  3. Review
  4. Review
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 1 institution in 1 country.

Lisa Wm LeungCardiology Clinical Academic Group, St. George's University Hospitals NHS Foundation Trust, St. George's, University of London, St George's Hospital, Blackshaw Road, London, SW17 0QT, UK. lleung@sgul.ac.uk.
Banu EvranosCardiology Clinical Academic Group, St. George's University Hospitals NHS Foundation Trust, St. George's, University of London, St George's Hospital, Blackshaw Road, London, SW17 0QT, UK.
Alexander GrimsterCardiology Clinical Academic Group, St. George's University Hospitals NHS Foundation Trust, St. George's, University of London, St George's Hospital, Blackshaw Road, London, SW17 0QT, UK.
Anthony LiCardiology Clinical Academic Group, St. George's University Hospitals NHS Foundation Trust, St. George's, University of London, St George's Hospital, Blackshaw Road, London, SW17 0QT, UK.
Mark NormanCardiology Clinical Academic Group, St. George's University Hospitals NHS Foundation Trust, St. George's, University of London, St George's Hospital, Blackshaw Road, London, SW17 0QT, UK.
Abhay BajpaiCardiology Clinical Academic Group, St. George's University Hospitals NHS Foundation Trust, St. George's, University of London, St George's Hospital, Blackshaw Road, London, SW17 0QT, UK.
Zia ZuberiCardiology Clinical Academic Group, St. George's University Hospitals NHS Foundation Trust, St. George's, University of London, St George's Hospital, Blackshaw Road, London, SW17 0QT, UK.
Manav SohalCardiology Clinical Academic Group, St. George's University Hospitals NHS Foundation Trust, St. George's, University of London, St George's Hospital, Blackshaw Road, London, SW17 0QT, UK.
Mark M GallagherCardiology Clinical Academic Group, St. George's University Hospitals NHS Foundation Trust, St. George's, University of London, St George's Hospital, Blackshaw Road, London, SW17 0QT, UK.ORCID http://orcid.org/0000-0002-6333-6420
St George's Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe use of remanufactured single-use devices (SUDs), including cardiac electrophysiology catheters, has become established in the USA and other health care systems but without much published scientific evaluation on the relative safety or efficacy of these devices. In the United Kingdom (UK), the use of remanufactured SUDs has not been routine. We performed a structured evaluation of the safety and efficacy of a remanufactured circular mapping catheter (Stryker® remanufactured Lasso NAV 2515) during its introduction in our centre.

methodsWe prospectively evaluated the performance of a remanufactured circular mapping catheter in 100 consecutive patients undergoing an AF ablation. Operator feedback was obtained, assessing the device appearance, ease of use and function. As an indirect measurement of efficacy, acute procedure metrics were compared to those in 100 propensity-matched cases performed by the same operators using a new device. Cost savings were calculated.

resultsNo complication occurred in association with the remanufactured device. There was one reported failure of device malfunction-the flexion-extension mechanism of a remanufactured catheter and none in the matched-control group. There was satisfactory communication with the electro-anatomic mapping system. Ease of use of the remanufactured catheter was reported to be similar to a newly manufactured device. Procedural duration was similar with remanufactured devices and matched controls. With 100 cases using the remanufactured device, cost savings amounted to £30,444.

conclusionsThe use of remanufactured circular mapping catheters is safe, efficient and reliable. Widespread use of remanufactured SUDs offers the possibility of significant economic benefit.

Indexed as

Cardiac CathetersEquipment ReuseAdultAgedAged, 80 and overAtrial FibrillationCatheter AblationEquipment DesignEquipment SafetyFemaleHumansMaleMiddle AgedProspective StudiesUnited KingdomCardiac electrophysiology cathetersCircular mapping cathetersCost-effectivenessInfection riskRemanufacturingSafetySterilisation

Identifiers

PMID30588568
PMCPMC6848800
OpenAlexW2906671206

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.