Evidence map›Paper›PMID 33024468›Full record

ArticleJournal of arrhythmia2020

Optimal local impedance drops for an effective radiofrequency ablation during cavo-tricuspid isthmus ablation.

Takehito Sasaki, Kohki Nakamura, Mitsuho Inoue, Kentaro Minami, Yuko Miki, Koji Goto, Yutaka Take, Kenichi Kaseno, Eiji Yamashita, Keiko Koyama and 1 more

Abstract read
In one paragraph

Article in Journal of arrhythmia, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. Article
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  4. 2024 European Heart Rhythm Association/Heart Rhythm Society/Asia Pacific Heart Rhythm Society/Latin American Heart Rhythm Society expert consensus statement on catheter and surgical ablation of atrial fibrillation.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
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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.

Takehito SasakiDivision of Cardiology Gunma Prefectural Cardiovascular Center Maebashi City Japan.
Kohki NakamuraDivision of Cardiology Gunma Prefectural Cardiovascular Center Maebashi City Japan.ORCID https://orcid.org/0000-0002-9777-4592
Mitsuho InoueDivision of Cardiology Gunma Prefectural Cardiovascular Center Maebashi City Japan.
Kentaro MinamiDivision of Cardiology Gunma Prefectural Cardiovascular Center Maebashi City Japan.ORCID https://orcid.org/0000-0002-0071-0673
Yuko MikiDivision of Cardiology Gunma Prefectural Cardiovascular Center Maebashi City Japan.ORCID https://orcid.org/0000-0002-2535-0360
Koji GotoDivision of Cardiology Gunma Prefectural Cardiovascular Center Maebashi City Japan.
Yutaka TakeDivision of Cardiology Gunma Prefectural Cardiovascular Center Maebashi City Japan.
Kenichi KasenoDivision of Cardiology Gunma Prefectural Cardiovascular Center Maebashi City Japan.
Eiji YamashitaDivision of Cardiology Gunma Prefectural Cardiovascular Center Maebashi City Japan.
Keiko KoyamaDivision of Radiology Gunma Prefectural Cardiovascular Center Maebashi City Japan.
Shigeto NaitoDivision of Cardiology Gunma Prefectural Cardiovascular Center Maebashi City Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeA novel ablation catheter capable of local impedance (LI) monitoring (IntellaNav MiFi OI, Boston Scientific) has been recently introduced to clinical practice. We aimed to determine the optimal LI drops for an effective radiofrequency ablation during cavo-tricuspid isthmus (CTI) ablation.

methodsThis retrospective observational study enrolled 50 consecutive patients (68 ± 9 years; 34 males) who underwent a CTI ablation using the IntellaNav MiFi OI catheter, guided by Rhythmia. The LI at the start of radiofrequency applications (initial LI) and minimum LI during radiofrequency applications were evaluated. The absolute and percentage LI drops were defined as the difference between the initial and minimum LIs and 100× absolute LI drop/initial LI, respectively.

resultsA total of 518 radiofrequency applications were analyzed. The absolute and percentage LI drops were significantly greater at effective ablation sites than ineffective sites (median, 15 ohms vs 8 ohms,

conclusionsDuring the LI-guided CTI ablation, the effective RF ablation sites exhibited significantly greater absolute and percentage LI drops than the ineffective RF ablation sites. Absolute and percentage LI drops of 12 ohms and 11.6% may be suitable targets for effective ablation.

Indexed as

atrial fluttercavo‐tricuspid isthmushigh‐resolution mappinglocal impedanceradiofrequency catheter ablation

Identifiers

PMID33024468
PMCPMC7532274

What OpenQuestion holds

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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.