Evidence map›Paper›PMID 32453461›Full record

Observational studyClinical cardiology2020

Procedural outcomes and learning curve of cardiac arrhythmias catheter ablation using remote magnetic navigation: Experience from a large-scale single-center study.

Xiang Li, Qi Jin, Ning Zhang, Tianyou Ling, Changjian Lin, Kangni Jia, Yangyang Bao, Yun Xie, Yue Wei, Kang Chen and 3 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Clinical cardiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.6field-weighted citation impact, top 14% 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

12 citing papers in PubMed, 13 citations in OpenAlex.

  1. Review
  2. Optimal power settings have major impact on procedural efficiency in pulmonary vein isolation guided by robotic magnetic navigation.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2026
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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

13 authors at 1 institution in 1 country.

Xiang LiDepartment of Cardiology, Shanghai Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Qi JinDepartment of Cardiology, Shanghai Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.ORCID https://orcid.org/0000-0001-7683-072X
Ning ZhangDepartment of Cardiology, Shanghai Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Tianyou LingDepartment of Cardiology, Shanghai Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Changjian LinDepartment of Cardiology, Shanghai Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Kangni JiaDepartment of Cardiology, Shanghai Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Yangyang BaoDepartment of Cardiology, Shanghai Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Yun XieDepartment of Cardiology, Shanghai Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Yue WeiDepartment of Cardiology, Shanghai Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Kang ChenDepartment of Cardiology, Shanghai Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Wenqi PanDepartment of Cardiology, Shanghai Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Yucai XieDepartment of Cardiology, Shanghai Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Liqun WuDepartment of Cardiology, Shanghai Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Shanghai Jiao Tong University · CN

Funding

Program from Clinical Research Center, Shanghai Jiao Tong University School of Medicine DLY201604Shanghai Municipal Education Commission-Gaofeng Clinical Medicine 20161404
6 · The paper itself

Abstract

backgroundRemote magnetic navigation (RMN)-guided ablation has become an inspiring method of catheter ablation for tachyarrhythmias. HYPOTHESIS: Data from a large-scale single center may provide further insight into the safety of and the learning curve for RMN-guided ablation.

methodsA total of 1003 catheter ablation procedures using RMN for conditions including supraventricular ventricular tachycardia, atrial tachyarrhythmias, and premature ventricular contraction/ventricular tachycardia (PVC/VT) were retrospectively analyzed from an ablation registry. Procedural outcomes, including procedure time, mapping time, X-ray time, and RF time, were assessed. The complications were classified into two categories: major and minor. A subanalysis was used to illustrate the learning curve of RMN-guided ablation by assessing procedure time and total X-ray time of 502 atrial fibrillation (AF) ablation procedures.

resultsAmong these procedures, 556 (55.4%) were AF and 290 (28.9%) were PVC/VT. Electrical pulmonary vein isolation was achieved in 99.0% of AF procedures, and acute success reached 90.3% in PVC/VT procedures. The overall complication rate was 0.5%. In the subanalysis of AF procedures, the overall procedure time and X-ray time of procedures were short (125.9 ± 54.6 and 5.3 ± 3.9 minutes, respectively) and proceeded to decrease from the initial 30 procedures to about 300 procedures, where the learning curve reached plateau, demonstrating maximum procedure efficiency.

conclusionsRMN-guided ablation is safe, as verified by very low overall complication rate and reduced X-ray time. In our study, even the first AF procedures had a relatively low procedure time and total X-ray time, and procedure efficiency improved during the learning curve.

Indexed as

Catheter AblationClinical CompetenceLearning CurveMagneticsSurgery, Computer-AssistedAction PotentialsArrhythmias, CardiacChinaHeart RateHumansPulmonary VeinsRegistriesRetrospective StudiesTime FactorsTreatment Outcomearrhythmiacatheter ablationlearning curveremote magnetic navigation

Identifiers

PMID32453461
PMCPMC7462195
OpenAlexW3030644053

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.