Evidence map›Paper›PMID 33471947›Full record

ArticleClinical cardiology2021

Remote magnetic-guided ablation for three origins of idiopathic ventricular arrhythmias with right bundle branch block and superior axis.

Xiang Li, Wentao Shang, Ning Zhang, Yun Xie, Yue Wei, Changjian Lin, Tianyou Ling, Kang Chen, Wenqi Pan, Liqun Wu and 2 more

Open access · goldAbstract read
In one paragraph

Article in Clinical cardiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 42% 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

3 citing papers in PubMed, 2 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

12 authors at 2 institutions in 1 country.

Xiang LiDepartment of Cardiology, Shanghai Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Wentao ShangDepartment of Cardiology, Taihe County People's Hospital, Hefei, China.
Ning ZhangDepartment 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.
Changjian LinDepartment 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.
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.
Liqun WuDepartment 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.
Qi JinDepartment of Cardiology, Shanghai Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.ORCID https://orcid.org/0000-0001-7683-072X
Shanghai Jiao Tong University · CNHefei First People's Hospital · 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

backgroundIdiopathic ventricular arrhythmias (IVAs) with right bundle branch block (RBBB) and superior axis commonly originate from posterior mitral annulus (PMA), the left ventricular (LV) posterior fascicle (LPF), and the LV posterior papillary muscles (PPM). HYPOTHESIS: Remote magnetic navigation (RMN)-guided ablation might be safe and effective for these three origins of IVAs.

methodsThirty consecutive IVA patients with RBBB and superior axis (11 MPA-IVAs, 11 LPF-IVAs, and 8 PPM-IVAs) were included in this study. Electrical mapping and ablation with RMN were performed in the LV through a trans-septal approach. Navigation index, defined as the ratio of total radiofrequency (RF) time and the time from first burn to last burn, was used to determine the efficiency of RMN-guided ablation.

resultsThe overall acute success rate was achieved in 93% (PMA, 100%; LPF, 91%; PPM, 88%; p > 0.05). No complication occurred in this study. The procedure time of PPM-IVAs group was 34 and 14 min longer when compared with MPA-IVAs and LPF-IVAs group, respectively, without an increase of X-ray time. The mean navigation index was 0.45 ± 0.20. The PPM-IVAs group had an underperforming navigation index value (0.29 ± 0.11) (p < 0.01), as longer RF time was required in the PPM-IVAs group.

conclusionsRMN-guided ablation can achieve a high acute success rate for IVAs with RBBB and superior axis. The lower navigation index for PPM-IVAs indicated that increasing the RF time and improving the catheter contact should be considered when using RMN.

Indexed as

Catheter AblationTachycardia, VentricularArrhythmias, CardiacBundle-Branch BlockHumansMagnetic PhenomenaMagneticsTreatment Outcomecatheter ablationidiopathic ventricular arrhythmiaremote magnetic navigation

Identifiers

PMID33471947
PMCPMC7943890
OpenAlexW3121838657

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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.