Evidence map›Paper›PMID 32368376›Full record

ReviewThe Journal of innovations in cardiac rhythm management2020

State of Fluoroless Procedures in Cardiac Electrophysiology Practice.

Ugur Canpolat, Michela Faggioni, Domenico G Della Rocca, Qiong Chen, Huseyin Ayhan, Andrew A Vu, Sanghamitra Mohanty, Chintan Trivedi, Carola Gianni, Mohammed Bassiouny and 6 more

Abstract readReview
In one paragraph

Review in The Journal of innovations in cardiac rhythm management, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

  1. When low is not low enough: zero-fluoroscopy atrial fibrillation ablation using the VARIPULSE™ pulsed field system-a prospective single-center study.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. Twenty-five years of research in cardiac imaging in electrophysiology procedures for atrial and ventricular arrhythmias.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 · 2023
    Article
  6. Steerable sheath visualizable under 3D electroanatomical mapping facilitates paroxysmal atrial fibrillation ablation with minimal fluoroscopy.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2023
    Article
  7. Rhythmia zero-fluoroscopy workflow with high-power, short-duration ablation: retrospective analysis of procedural data.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2022
    Observational
  8. Fluoroscopy-free ablation in congenital heart disease of moderate or great complexity.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2022
    Article
  9. Article
  10. Article
  11. Acute Safety and Efficacy of Fluoroless Cryoballoon Ablation for Atrial Fibrillation.The Journal of innovations in cardiac rhythm management · 2021
    Article
  12. Article
  13. A New Era in Zero X-ray Ablation.Arrhythmia & electrophysiology review · 2020
    Review
  14. Letter from the Editor in Chief.The Journal of innovations in cardiac rhythm management · 2020
    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

16 authors.

Ugur CanpolatTexas Cardiac Arrhythmia Institute, St. David's Medical Center, Austin, TX, USA.
Michela FaggioniJames J. Peters Veterans Affairs Medical Center, Bronx, NY, USA.
Domenico G Della RoccaTexas Cardiac Arrhythmia Institute, St. David's Medical Center, Austin, TX, USA.
Qiong ChenTexas Cardiac Arrhythmia Institute, St. David's Medical Center, Austin, TX, USA.
Huseyin AyhanTexas Cardiac Arrhythmia Institute, St. David's Medical Center, Austin, TX, USA.
Andrew A VuTexas Cardiac Arrhythmia Institute, St. David's Medical Center, Austin, TX, USA.
Sanghamitra MohantyTexas Cardiac Arrhythmia Institute, St. David's Medical Center, Austin, TX, USA.
Chintan TrivediTexas Cardiac Arrhythmia Institute, St. David's Medical Center, Austin, TX, USA.
Carola GianniTexas Cardiac Arrhythmia Institute, St. David's Medical Center, Austin, TX, USA.
Mohammed BassiounyTexas Cardiac Arrhythmia Institute, St. David's Medical Center, Austin, TX, USA.
Amin Al-AhmadTexas Cardiac Arrhythmia Institute, St. David's Medical Center, Austin, TX, USA.
J David BurkhardtTexas Cardiac Arrhythmia Institute, St. David's Medical Center, Austin, TX, USA.
Javier E SanchezTexas Cardiac Arrhythmia Institute, St. David's Medical Center, Austin, TX, USA.
G Joseph GallinghouseTexas Cardiac Arrhythmia Institute, St. David's Medical Center, Austin, TX, USA.
Andrea NataleTexas Cardiac Arrhythmia Institute, St. David's Medical Center, Austin, TX, USA.
Rodney P HortonTexas Cardiac Arrhythmia Institute, St. David's Medical Center, Austin, TX, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In the past decade, the use of interventional electrophysiological (EP) procedures for the diagnosis and treatment of cardiac arrhythmias has exponentially increased. These procedures usually require fluoroscopy to guide the advancement and frequent repositioning of intracardiac catheters, resulting in both the patient and the operator being subjected to a considerable degree of radiation exposure. Although shielding options such as lead gowns, glasses, and pull-down shields are useful for protecting the operator, they do not lessen the patient's level of exposure. Furthermore, the prolonged use of lead gowns can exponentiate the onset of orthopedic problems among operators. Recent advancements in three-dimensional cardiac mapping systems and the use of radiation-free imaging technologies such as magnetic resonance imaging and intracardiac ultrasound allow operators to perform EP procedures with minimal or even no fluoroscopy. In this review, we sought to describe the state of fluoroless procedures in EP practice.

Indexed as

Catheter ablationelectrophysiological studyfluoroscopyimaging

Identifiers

PMID32368376
PMCPMC7192123

What OpenQuestion holds

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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.