Evidence map›Paper›PMID 35029769›Full record

SynthesisJournal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing2022

Very low tidal volume, high-frequency ventilation in atrial fibrillation ablation: a systematic review.

Anis John Kadado, Kyle Gobeil, Fadi Fakhoury, Abdullah Pervaiz, Fadi Chalhoub

Abstract readCase ReportsSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.1field-weighted citation impact, top 12% 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

7 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Jet ventilation.BJA education · 2025
    Review
  5. Article
  6. Article
  7. 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
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 2 countries.

Anis John KadadoDepartment of Cardiology, UMass Chan Medical School-Baystate, 759 Chestnut Street, Springfield, MA, 01199, USA. anisjohn.kadado@baystatehealth.org.ORCID http://orcid.org/0000-0003-4029-2020
Kyle GobeilDepartment of Cardiology, UMass Chan Medical School-Baystate, 759 Chestnut Street, Springfield, MA, 01199, USA.
Fadi FakhouryDepartment of Anesthesiology and Pain Management, Centre Hospitalo-Universitaire Caremeau, Nimes, France.
Abdullah PervaizDepartment of Cardiology, UMass Chan Medical School-Baystate, 759 Chestnut Street, Springfield, MA, 01199, USA.
Fadi ChalhoubDepartment of Cardiology, UMass Chan Medical School-Baystate, 759 Chestnut Street, Springfield, MA, 01199, USA.
University of Massachusetts Chan Medical School · USCentre Hospitalier Universitaire de Nîmes · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVentilation strategies in atrial fibrillation ablation affect procedure outcomes by influencing catheter stability. Studies have highlighted favorable atrial fibrillation (AF) ablation outcomes with the use of high-frequency jet ventilation (HFJV) which has been shown to improve lesion durability, energy delivery, and tissue contact. However, this mode of ventilation is not readily available. In this systematic review, we highlight the available data on the use of very low tidal volume, high-frequency ventilation using standard ventilators that aim to provide settings similar to HFJV during AF ablations.

methodsUsing a combination of search terms in databases and manual searches in bibliographies of identified articles, we reviewed all published data reported in the English language on the use of very low tidal volume with high-frequency ventilation during atrial fibrillation ablation.

resultsA total of 4 manuscripts were identified; 3 cohort studies and 1 case report. The utilization of standard ventilators with a high-frequency, very low tidal volume ventilation strategy appears to closely mimic the catheter stability benefits that HFJV ventilators provide. Across the 3 cohort identified studies, the use of this ventilation strategy was associated with improved catheter stability, tissue contact, and a decrease in radiofrequency time. No increased risk was identified compared to standard ventilation.

conclusionWith a purpose of limiting thoracic excursion and cardiac movement, limited and sparse studies have shown improved outcomes with a very low tidal volume, high-frequency ventilation strategy. Additional studies are needed to solidify this easily accessible and widely available mode of ventilation.

Indexed as

Atrial FibrillationCatheter AblationHigh-Frequency Jet VentilationHigh-Frequency VentilationHumansTidal VolumeAtrial fibrillation ablationHigh-frequency jet ventilationLow tidal volume

Identifiers

PMID35029769
OpenAlexW4206338689

What OpenQuestion holds

Textmetadata
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.