ArticleJournal of cardiovascular electrophysiology2019
STAR mapping method to identify driving sites in persistent atrial fibrillation: Application through sequential mapping.
Article in Journal of cardiovascular electrophysiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04442113 (Multicenter Randomized Controlled Trial Assessing Targeted Ablation in Persistent Atrial Fibrillation Using the Stochastic Trajectory Analysis of Ranked Signals), which is not on this map. Cited by 16 papers.
What it found
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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.
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.
Multicenter Randomized Controlled Trial Assessing Targeted Ablation in Persistent Atrial Fibrillation Using the Stochastic Trajectory Analysis of Ranked Signals (STAR Mapping™) Method.
Who cites it
16 citing papers in PubMed.
- Utilizing the novel AI-guided STAR Apollo™ Mapping System in complex redo-ablations: a case report of successful catheter ablation in a patient with persistent left superior vena cava.European heart journal. Case reports · 2025Article
- Statistics and behavior of clinically significant extra-pulmonary vein atrial fibrillation sources: machine-learning-enhanced electrographic flow mapping in persistent atrial fibrillation.Frontiers in cardiovascular medicine · 2025Article
- Stochastic Trajectory Analysis of Ranked Signals (STAR) Apollo mapping system approach to treat persistent atrial fibrillation: A case report.HeartRhythm case reports · 2024Article
- Electrographic flow mapping for atrial fibrillation: theoretical basis and preliminary observations.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2023Review
- Simultaneous Whole-Chamber Non-contact Mapping of Highest Dominant Frequency Sites During Persistent Atrial Fibrillation: A Prospective Ablation Study.Frontiers in physiology · 2022Article
- Spatial and temporal variability of rotational, focal, and irregular activity: Practical implications for mapping of atrial fibrillation.Journal of cardiovascular electrophysiology · 2021Article
- First-in-human demonstration of 18-month spatiotemporal stability of active atrial fibrillation source detected by electrographic flow mapping in persistent atrial fibrillation.HeartRhythm case reports · 2021Article
- Is there rule to the chaos: Defining stable patterns in atrial fibrillation.Journal of cardiovascular electrophysiology · 2021Article
- Novel mapping techniques for rotor core detection using simulated intracardiac electrograms.Journal of cardiovascular electrophysiology · 2021Article
- Ablation guided by STAR-mapping in addition to pulmonary vein isolation is superior to pulmonary vein isolation alone or in combination with CFAE/linear ablation for persistent AF.Journal of cardiovascular electrophysiology · 2021Article
- Comprehensive evaluation of electrophysiological and 3D structural features of human atrial myocardium with insights on atrial fibrillation maintenance mechanisms.Journal of molecular and cellular cardiology · 2021Review
- Electrocardiographic Imaging for Atrial Fibrillation: A Perspective From Computer Models and Animal Experiments to Clinical Value.Frontiers in physiology · 2021Review
- Prospective STAR-Guided Ablation in Persistent Atrial Fibrillation Using Sequential Mapping With Multipolar Catheters.Circulation. Arrhythmia and electrophysiology · 2020Article
- An Uncertainty Modeling Framework for Intracardiac Electrogram Analysis.Bioengineering (Basel, Switzerland) · 2020Article
- Atrial fibrillation source area probability mapping using electrogram patterns of multipole catheters.Biomedical engineering online · 2020Article
- STAR mapping method to identify driving sites in persistent atrial fibrillation: Application through sequential mapping.Journal of cardiovascular electrophysiology · 2019Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
introductionThe optimal way to map localized drivers in persistent atrial fibrillation (AF) remains unclear. The objective of the study was to apply a novel vector mapping approach called Stochastic Trajectory Analysis of Ranked signals (STAR) in AF. METHODS AND
resultsPatients having persistent AF ablation were included. Early sites of activation (ESA) identified on global STAR maps created with basket catheters were used to guide AF ablation post-pulmonary vein isolation (PVI). All patients also had sequential STAR maps created with ≥10 PentaRay recordings of 30 seconds. These were validated offline in their ability to identify the ESA targeted with a study-defined ablation response (AF termination or cycle length [CL] slowing of ≥30 ms). Thirty-two patients were included in whom 92 ESA were identified on the global STAR maps, with 73 of 83 targeted sites demonstrating an ablation response (24 AF termination and 49 CL slowing). Sixty-one out of 73 (83.6%) ESA were also identified on the sequential STAR maps. These showed greater consistency (P < .001), were seen pre- and post-PVI (P < .001) and were more likely to be associated with AF termination on ablation (P = .007). The sensitivity and specificity of sequential mapping for the detection of ESA with an ablation response was 84.9% (95% confidence interval [CI] = 74.6-92.2) and 90.0% (95% CI = 55.5-99.8), respectively. During a follow-up of 19.4 ± 3.7 months, 28 (80%) patients were free from AF/atrial tachycardia.
conclusionsSTAR mapping consistently identified ESA in all patients and the ablation response was compatible with ESA being driver sites. Mechanistically important ESA were successfully identified using sequential recordings.
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