Evidence map›Paper›PMID 30984780›Full record

ArticleBioMed research international2019

Extensive Use of 3D Nonfluoroscopic Mapping Systems for Reducing Radiation Exposure during Catheter Ablation Procedures: An Analysis of 10 Years of Activity.

Massimiliano Marini, Marta Martin, Daniele Ravanelli, Maurizio Del Greco, Silvia Quintarelli, Fabrizio Guarracini, Alessio Coser, Aldo Valentini, Roberto Bonmassari

Abstract read
In one paragraph

Article in BioMed research international, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. A circular mapping catheter is not mandatory for isolating pulmonary veins during paroxysmal atrial fibrillation ablation with radiofrequency.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2021
    Article
  5. Article
  6. Article
  7. Non-fluoroscopic radiofrequency catheter ablation of right- and left-sided ventricular arrhythmias.Postepy w kardiologii interwencyjnej = Advances in interventional cardiology · 2020
    Article
  8. Article
  9. [Update on radiation exposure in catheter ablation of atrial fibrillation].Herzschrittmachertherapie & Elektrophysiologie · 2020
    Review
  10. 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.

Massimiliano MariniDepartment of Cardiology, S. Chiara Hospital, Trento, Italy.ORCID 0000-0001-9388-3292
Marta MartinDepartment of Cardiology, S. Chiara Hospital, Trento, Italy.
Daniele RavanelliDepartment of Physics, S. Chiara Hospital, Trento, Italy.
Maurizio Del GrecoDepartment of Cardiology, S. Maria del Carmine, Rovereto, Italy.
Silvia QuintarelliDepartment of Cardiology, S. Chiara Hospital, Trento, Italy.
Fabrizio GuarraciniDepartment of Cardiology, S. Chiara Hospital, Trento, Italy.
Alessio CoserDepartment of Cardiology, S. Chiara Hospital, Trento, Italy.
Aldo ValentiniDepartment of Physics, S. Chiara Hospital, Trento, Italy.
Roberto BonmassariDepartment of Cardiology, S. Chiara Hospital, Trento, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose3D nonfluoroscopic mapping systems (NMSs) are generally used in the catheter ablation (CA) of complex ventricular and atrial arrhythmias. The aim of this study was to evaluate the efficacy, safety, and long-term effect of the extended, routine use of NMSs for CA.

methodsOur study involved 1028 patients who underwent CA procedures from 2007 to 2016. Initially, CA procedures were performed mainly with the aid of fluoroscopy. From October 2008, NMSs were used for all procedures.

resultsThe median fluoroscopy time of the overall CA procedures fell by 71%: from 29.2 min in 2007 to 8.4 min in 2016. Over the same period, total X-ray exposure decreased by 65%: from 58.18 Gy⁎cm

conclusionsOur study shows the feasibility of using NMSs as the main imaging modality to guide CA. The extended, routine use of NMSs dramatically reduces radiation exposure, with only slight fluctuations due to the process of acquiring experience on the part of untrained operators, without affecting disease-free survival.

Indexed as

AgedArrhythmias, CardiacAtrial FibrillationCatheter AblationFemaleHumansImaging, Three-DimensionalMiddle AgedNeoplasms, Radiation-InducedRadiation ExposureSurgery, Computer-AssistedX-Rays

Identifiers

PMID30984780
PMCPMC6431475

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.