Evidence map›Paper›PMID 34621428›Full record

ArticleJournal of arrhythmia2021

A novel approach for effective superior vena cava isolation using the CARTO electroanatomical mapping system.

Dai Inagaki, Seiji Fukamizu, Sayuri Tokioka, Takashi Kimura, Masao Takahashi, Takeshi Kitamura, Rintaro Hojo

Open access · goldAbstract read
In one paragraph

Article in Journal of arrhythmia, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.6field-weighted citation impact, top 29% 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

6 citing papers in PubMed, 8 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

7 authors at 1 institution in 1 country.

Dai InagakiDepartment of Cardiology Tokyo Metropolitan Hiroo Hospital Tokyo Japan.ORCID https://orcid.org/0000-0002-4184-0896
Seiji FukamizuDepartment of Cardiology Tokyo Metropolitan Hiroo Hospital Tokyo Japan.ORCID https://orcid.org/0000-0002-0291-9702
Sayuri TokiokaDepartment of Cardiology Tokyo Metropolitan Hiroo Hospital Tokyo Japan.ORCID https://orcid.org/0000-0003-0751-1674
Takashi KimuraDepartment of Cardiology Tokyo Metropolitan Hiroo Hospital Tokyo Japan.
Masao TakahashiDepartment of Cardiology Tokyo Metropolitan Hiroo Hospital Tokyo Japan.
Takeshi KitamuraDepartment of Cardiology Tokyo Metropolitan Hiroo Hospital Tokyo Japan.
Rintaro HojoDepartment of Cardiology Tokyo Metropolitan Hiroo Hospital Tokyo Japan.ORCID https://orcid.org/0000-0001-6332-2355
Tokyo Metropolitan Hiroo Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrevious studies have demonstrated that some patients have spontaneous right atrium (RA)-superior vena cava (SVC) conduction block, which could be utilized to isolate the SVC effectively by using the Rhythmia mapping system (Boston Scientific). However, employing this approach for SVC isolation using the CARTO electroanatomical mapping system (Biosense Webster) has not yet been clarified. This study aimed to evaluate the safety and efficacy of SVC isolation using the extended early meets late (EEML) tool with the CARTO system.

methodsThe patients who underwent SVC isolation using the CARTO system were enrolled in this study. The RA-SVC conduction block was visualized with an EEML tool. We prospectively assessed the safety and efficacy of SVC isolation using this system.

resultsWe analyzed 54 patients, and all SVCs were successfully isolated with no complications. Altogether, 44 patients (81.5%) had spontaneous RA-SVC conduction block, and the remaining 10 patients (18.5%) did not. The block group required fewer radiofrequency deliveries for the SVC isolation than the nonblock group (10.7 ± 5.0 vs 15.5 ± 4.8,

conclusionsApproximately 80% of the patients in this study developed a spontaneous RA-SVC conduction block, which might contribute to shortening the time of ablation and avoiding complications.

Indexed as

atrial fibrillationCARTO systemextended early meets latelower thresholdsuperior vena cava isolation

Identifiers

PMID34621428
PMCPMC8485816
OpenAlexW3195031088

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.