Evidence map›Paper›PMID 32385975›Full record

ArticleJournal of biomedical optics2020

Intracardiac radiofrequency ablation in living swine guided by polarization-sensitive optical coherence tomography.

Xiaowei Zhao, Orhan Kilinc, Colin J Blumenthal, Deniz Dosluoglu, Michael W Jenkins, Christopher S Snyder, Mauricio Arruda, Andrew M Rollins

Open access · goldAbstract read
In one paragraph

Article in Journal of biomedical optics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.7field-weighted citation impact, top 26% 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, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. Automated analysis framework forBiomedical optics express · 2023
    Article
  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

8 authors at 2 institutions in 1 country.

Xiaowei ZhaoCase Western Reserve University, Department of Biomedical Engineering, Cleveland, United States.
Orhan KilincRainbow Babies and Children's Hospital, The Congenital Heart Collaborative, Cleveland, United States.
Colin J BlumenthalCase Western Reserve University, School of Medicine, Cleveland, United States.
Deniz DosluogluCase Western Reserve University, Department of Electric Engineering and Computer Science, Cleveland, United States.
Michael W JenkinsCase Western Reserve University, Department of Biomedical Engineering, Cleveland, United States.
Christopher S SnyderRainbow Babies and Children's Hospital, The Congenital Heart Collaborative, Cleveland, United States.
Mauricio ArrudaCase Western Reserve University, School of Medicine, Cleveland, United States.
Andrew M RollinsCase Western Reserve University, Department of Biomedical Engineering, Cleveland, United States.
Case Western Reserve University · USRainbow Babies & Children's Hospital · US

Funding

Optical Tools to Assess the Role of Hemodynamics in the Development of Congenital Heart DefectsR01HL126747 · NHLBI · CASE WESTERN RESERVE UNIVERSITY · PI JENKINS, MICHAEL W. · 2015 to 2025
$6.4M
OCT Imaging Technology for Developmental Cardiology ResearchR01HL083048 · NHLBI · CASE WESTERN RESERVE UNIVERSITY · PI ROLLINS, ANDREW MARTIN · 2006 to 2016
$3.2M
Optically guided catheter ablation of atrial fibrillationR01HL149369 · NHLBI · CASE WESTERN RESERVE UNIVERSITY · PI HENDON, CHRISTINE P, LAURITA, KENNETH · 2019 to 2022
$2.8M
Staging of upper tract urothelial cancer with optical coherence tomographyR21CA165398 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI ROLLINS, ANDREW MARTIN, ZHU, HUI · 2012 to 2013
$549k
Cardiac radiofrequency ablation catheter with integrated OCT imagingR21HL129147 · NHLBI · CASE WESTERN RESERVE UNIVERSITY · PI ROLLINS, ANDREW MARTIN · 2015 to 2016
$436k
Hamamatsu Nanozoomer S60 Digital Whole Slide ScannerS10OD024981 · OD · CASE WESTERN RESERVE UNIVERSITY · PI IMANISHI, YOSHIKAZU · 2018 to 2018
$303k
Rap1a mediates ECM remodeling by intersecting AGE/RAGE signaling in type II diabetes mellitusR15HL129174 · NHLBI · MISSISSIPPI STATE UNIVERSITY · PI STEWART, JAMES ALFRED · 2016 to 2016
$64k
NCI NIH HHS R21 CA165398NHLBI NIH HHS R01 HL083048NHLBI NIH HHS R01 HL126747NHLBI NIH HHS R01 HL149369NHLBI NIH HHS R15 HL129174NHLBI NIH HHS R21 HL129147NIH HHS S10 OD024981
6 · The paper itself

Abstract

significancePulmonary vein isolation with catheter-based radiofrequency ablation (RFA) is carried out frequently to treat atrial fibrillation. However, RFA lesion creation is only guided by indirect information (e.g., temperature, impedance, and contact force), which may result in poor lesion quality (e.g., nontransmural) and can lead to reoccurrence or complications.

aimThe feasibility of guiding intracardiac RFA with an integrated polarization-sensitive optical coherence tomography (PSOCT)-RFA catheter in the right atria (RA) of living swine is demonstrated. APPROACH: In total, 12 sparse lesions were created in the RA of three living swine using an integrated PSOCT-RFA catheter with standard ablation protocol. PSOCT images were displayed in real time to guide catheter-tissue apposition. After experiments, post-processed PSOCT images were analyzed to assess lesion quality and were compared with triphenyltetrazolium chloride (TTC) lesion quality analysis.

resultsFive successful lesions identified with PSOCT images were all confirmed by TTC analysis. In two ablations, PSOCT imaging detected gas bubble formation, indicating overtreatment. Unsuccessful lesions observed with PSOCT imaging were confirmed by TTC analysis.

conclusionsThe results demonstrate that the PSOCT-RFA catheter provides real-time feedback to guide catheter-tissue apposition, monitor lesion quality, and possibly help avoid complications due to overtreatment, which may enable more effective and safer RFA treatment.

Indexed as

Catheter AblationPulmonary VeinsRadiofrequency AblationAnimalsHeart AtriaSwineTomography, Optical Coherencecardiac arrhythmiapolarization-sensitive optical coherence tomographyradiofrequency ablation

Identifiers

PMID32385975
PMCPMC7210786
OpenAlexW3022329228

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.