Evidence map›Paper›PMID 32506504›Full record

ArticleClinical cardiology2020

Zero-fluoroscopy transseptal puncture guided by right atrial electroanatomical mapping combined with intracardiac echocardiography: A single-center experience.

Guangping Zhang, Liting Cheng, Zhuo Liang, Junmeng Zhang, Ruiqing Dong, Fei Hang, Xinlu Wang, Ziyu Wang, Lin Zhao, Zefeng Wang and 1 more

Open access · goldAbstract readControlled Clinical Trial
In one paragraph

Article in Clinical cardiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.2field-weighted citation impact, top 19% 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

9 citing papers in PubMed, 15 citations in OpenAlex.

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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

11 authors at 2 institutions in 1 country.

Guangping ZhangDepartment of Cardiology, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
Liting ChengDepartment of Cardiology, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
Zhuo LiangDepartment of Cardiology, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
Junmeng ZhangDepartment of Cardiology, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
Ruiqing DongAffiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Fei HangDepartment of Cardiology, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
Xinlu WangDepartment of Cardiology, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
Ziyu WangDepartment of Cardiology, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
Lin ZhaoDepartment of Cardiology, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
Zefeng WangDepartment of Cardiology, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
Yongquan WuDepartment of Cardiology, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.ORCID https://orcid.org/0000-0001-9156-4669
Capital Medical University · CNHangzhou First People's Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRight atrial electroanatomical mapping may be combined with SoundStar 3D diagnostic ultrasound catheter (EAM-ICE) as a zero-fluoroscopy procedure for radiofrequency catheter ablation (RFCA). We aimed to evaluate the efficiency and safety of zero-fluoroscopy transseptal puncture guided by EAM-ICE and fluoroscopy combined with intracardiac echocardiography (F-ICE) in patients with paroxysmal atrial fibrillation (PAF). HYPOTHESIS: Zero-fluoroscopy transseptal puncture is an effective and safe procedure.

methodsThis study had a prospective design. A total of 57 patients with PAF were enrolled and assigned to two groups. Twenty-seven patients were enrolled in the EAM-ICE group, and 30 patients were enrolled in the F-ICE group.

resultsThere were no statistically significant differences in baseline patient characteristics between groups. Transseptal puncture was successful in all patients (57/57, 100%). Total procedure time and duration of transseptal puncture were lower in the F-ICE group (199.4 ± 26.0 minutes vs 150.7 ± 22.1 minutes, P = 0.000; 118.4 ± 19.7 vs 70.5 ± 13.5 minutes, P = 0.000). There was no use of fluoroscopy in the EAM-ICE group (0 mGy vs 70.5 ± 13.5 mGy); the duration of fluoroscopy in the EAM-ICE group was negligible (0 minutes vs 5.4 ± 1.9 minutes). No procedural complication occurred in either group.

conclusionsEAM-ICE guided zero-fluoroscopy transseptal puncture is an effective and safe procedure.

Indexed as

Cardiac CatheterizationCatheter AblationEchocardiographyElectrophysiologic Techniques, CardiacAgedAtrial FibrillationAtrial SeptumBeijingFemaleHumansMaleMiddle AgedPredictive Value of TestsProspective StudiesPulmonary VeinsPuncturescatheter ablationintracardiac echocardiographyparoxysmal atrial fibrillationright atria electroanatomical mappingzero fluoroscopy

Identifiers

PMID32506504
PMCPMC7462191
OpenAlexW3033718525

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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.