Evidence map›Paper›PMID 32877256›Full record

ArticleCirculation. Arrhythmia and electrophysiology2020

Reduction in Pulmonary Vein Stenosis and Collateral Damage With Pulsed Field Ablation Compared With Radiofrequency Ablation in a Canine Model.

Brian Howard, David E Haines, Atul Verma, Douglas Packer, Nicole Kirchhof, Noah Barka, Birce Onal, Steve Fraasch, Damijan Miklavčič, Mark T Stewart

Open access · bronzeAbstract readComparative Study
In one paragraph

Article in Circulation. Arrhythmia and electrophysiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 2 pooled it
7.2field-weighted citation impact, top 2% 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

59 citing papers in PubMed, 2 syntheses or guidelines pooled it, 105 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. First-in-human clinical series of a novel conformable large-lattice pulsed field ablation catheter for pulmonary vein isolation.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 · 2024
    Trial
  5. How does the level of pulmonary venous isolation compare between pulsed field ablation and thermal energy ablation (radiofrequency, cryo, or laser)?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 · 2021
    Trial
  6. Specific effects of Pulsed Field Ablation on the cardiac tissue, the nervous system and the conduction system in experimental and clinical studies.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 · 2026
    Review
  7. The importance of electrode-tissue proximity in creating pulsed field ablation lesions: insights from a sub-acute preclinical model.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2026
    Article
  8. A single centre experience of pulsed field ablation for atrial fibrillation using the Medtronic PulseSelect System: an analysis of the first 100 patients.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2026
    Article
  9. Review
  10. Review
  11. Pulsed field ablation: focused on atrial fibrillation ablation.The Korean journal of internal medicine · 2026
    Review
  12. Article
  13. Article
  14. Coronary Spasm Due to Pulsed Field Ablation: A State-of-the-Art Review.Pacing and clinical electrophysiology : PACE · 2026
    Review
  15. Article
  16. Latest Advances and Ongoing Challenges in Pulsed Field Ablation.Arrhythmia & electrophysiology review · 2026
    Review
  17. Article
  18. Acute outcomes and learning curve from the initial patients treated with the PulseSelect system: a real-world multicenter experience of pulsed field ablation.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2025
    Article
  19. Article
  20. Pulsed Field Ablation: A Systematic Review.Health science reports · 2025
    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

10 authors at 5 institutions in 4 countries.

Brian HowardMedtronic, Inc, Minneapolis, MN (B.H., N.K., N.B., B.O., S.F., M.T.S.).
David E HainesOakland University William Beaumont School of Medicine, Royal Oak, MI (D.E.H.).
Atul VermaSouthlake Regional Health Centre, Newmarket, ON, Canada (A.V.).
Douglas PackerMayo Clinic, Rochester, MN (D.P.).
Nicole KirchhofMedtronic, Inc, Minneapolis, MN (B.H., N.K., N.B., B.O., S.F., M.T.S.).
Noah BarkaMedtronic, Inc, Minneapolis, MN (B.H., N.K., N.B., B.O., S.F., M.T.S.).
Birce OnalMedtronic, Inc, Minneapolis, MN (B.H., N.K., N.B., B.O., S.F., M.T.S.).
Steve FraaschMedtronic, Inc, Minneapolis, MN (B.H., N.K., N.B., B.O., S.F., M.T.S.).
Damijan MiklavčičUniversity of Ljubljana, Slovenia (D.M.).
Mark T StewartMedtronic, Inc, Minneapolis, MN (B.H., N.K., N.B., B.O., S.F., M.T.S.).
Medtronic (Ireland) · IEMayo Clinic · USOakland University · USSouthlake Regional Health Center · CAUniversity of Ljubljana · SI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPulmonary vein (PV) stenosis is a highly morbid condition that can result after catheter ablation for PV isolation. We hypothesized that pulsed field ablation (PFA) would reduce PV stenosis risk and collateral injury compared with irrigated radiofrequency ablation (IRF).

methodsIRF and PFA deliveries were randomized in 8 dogs with 2 superior PVs ablated using one technology and 2 inferior PVs ablated using the other technology. IRF energy (25-30 W) or PFA was delivered (16 pulse trains) at each PV in a proximal and in a distal site. Contrast computed tomography scans were collected at 0, 2, 4, 8, and 12-week (termination) time points to monitor PV cross-sectional area at each PV ablation site.

resultsMaximum average change in normalized cross-sectional area at 4-weeks was -46.1±45.1% post-IRF compared with -5.5±20.5% for PFA (

conclusionsPFA significantly reduced risk of PV stenosis compared with IRF postprocedure in a canine model. IRF also caused vagus nerve, esophageal, and lung injury while PFA did not.

Indexed as

Pulsed Radiofrequency TreatmentAnimalsCatheter AblationDogsEsophagusFemaleLung InjuryMaleModels, AnimalPulmonary VeinsStenosis, Pulmonary VeinTherapeutic IrrigationTime FactorsVagus Nerve Injuriesatrial fibrillationcardiac electrophysiologycatheter ablationdilationpulmonary vein stenosis

Identifiers

PMID32877256
PMCPMC7495982
OpenAlexW3045423783

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.