Evidence map›Paper›PMID 31814064›Full record

Observational studyJournal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing2020

Comparison between His-bundle pacing guided by Ensite NavX system and conventional fluoroscopy.

Yiran Hu, Ligang Ding, Wei Hua, Min Gu, Minsi Cai, Xuhua Chen, Xiaohan Fan, HongXia Niu, Shu Zhang

Abstract readComparative StudyObservational Study
PubMed Publisher
In one paragraph

Observational study in Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

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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.

Yiran HuState Key Laboratory of Cardiovascular Disease, Arrhythmia Center, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Ligang DingState Key Laboratory of Cardiovascular Disease, Arrhythmia Center, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Wei HuaState Key Laboratory of Cardiovascular Disease, Arrhythmia Center, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. drhuaweifw@sina.com.
Min GuState Key Laboratory of Cardiovascular Disease, Arrhythmia Center, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Minsi CaiState Key Laboratory of Cardiovascular Disease, Arrhythmia Center, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Xuhua ChenState Key Laboratory of Cardiovascular Disease, Arrhythmia Center, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Xiaohan FanState Key Laboratory of Cardiovascular Disease, Arrhythmia Center, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
HongXia NiuState Key Laboratory of Cardiovascular Disease, Arrhythmia Center, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Shu ZhangState Key Laboratory of Cardiovascular Disease, Arrhythmia Center, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundConventional fluoroscopy guidance, permanent His-bundle pacing (HBP) usually involves high fluoroscopy exposure. This study aims to explore the feasibility of Ensite NavX system and compare its pacing parameters and fluoroscopy doses (FD) with that of conventional fluoroscopy guiding HBP. METHODS AND

resultsA total of 30 patients receiving HBP from June to January 2019 were prospectively enrolled into this study (15 patients guided by conventional fluoroscopy and 15 patients by NavX system). Procedure time, FD, and pacing parameters were recorded at implant and 3-month follow-up. Fourteen patients (93.3%) underwent successful HBP using Ensite NavX system. The total FD was 1.4 ± 0.5 mGy in NavX group and 16.1 ± 2.2 mGy in conventional group (P < 0.001). The His lead FD was 0.4 ± 0.3 mGy in NavX group and 12.5 ± 2.2 mGy in conventional group (P < 0.001). There was no significant difference in pacing parameters at implant and follow-up between the two groups.

conclusionGuided by Ensite NavX system, HBP is efficient with a significant reduction in fluoroscopy exposure.

Indexed as

Epicardial MappingAgedBradycardiaBundle of HisCardiac Pacing, ArtificialChinaElectrocardiographyFemaleFluoroscopyHumansImaging, Three-DimensionalMaleProspective StudiesElectroanatomic mappingEnsite NavX systemFluoroscopyHis-bundle pacingPacemaker implantation

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Registered trials

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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.