Evidence map›Paper›PMID 35147225›Full record

SynthesisPacing and clinical electrophysiology : PACE2022

Catheter ablation for papillary muscle arrhythmias: A systematic review.

Marco Valerio Mariani, Agostino Piro, Michele Magnocavallo, Cristina Chimenti, Domenico Della Rocca, Pasquale Santangeli, Andrea Natale, Francesco Fedele, Carlo Lavalle

Abstract readSystematic Review
In one paragraph

Synthesis in Pacing and clinical electrophysiology : PACE, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–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

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Catheter ablation for papillary muscle arrhythmias: A systematic review.Pacing and clinical electrophysiology : PACE · 2022
    Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Robotics, remote medicine, AI: Oh my!HeartRhythm case reports · 2024
    Article
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  10. Article
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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

9 authors.

Marco Valerio MarianiDepartment of Cardiovascular, Respiratory, Nephrological, Aenesthesiological and Geriatric Sciences "Sapienza", University of Rome, Rome, Italy.ORCID 0000-0002-9480-1209
Agostino PiroDepartment of Cardiovascular, Respiratory, Nephrological, Aenesthesiological and Geriatric Sciences "Sapienza", University of Rome, Rome, Italy.
Michele MagnocavalloDepartment of Cardiovascular, Respiratory, Nephrological, Aenesthesiological and Geriatric Sciences "Sapienza", University of Rome, Rome, Italy.
Cristina ChimentiDepartment of Cardiovascular, Respiratory, Nephrological, Aenesthesiological and Geriatric Sciences "Sapienza", University of Rome, Rome, Italy.
Domenico Della RoccaSt. David's Medical Center, Texas Cardiac Arrhythmia Institute, Austin, Texas, USA.
Pasquale SantangeliElectrophysiology Section, Cardiovascular Division, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Andrea NataleSt. David's Medical Center, Texas Cardiac Arrhythmia Institute, Austin, Texas, USA.ORCID 0000-0002-5487-0728
Francesco FedeleDepartment of Cardiovascular, Respiratory, Nephrological, Aenesthesiological and Geriatric Sciences "Sapienza", University of Rome, Rome, Italy.
Carlo LavalleDepartment of Cardiovascular, Respiratory, Nephrological, Aenesthesiological and Geriatric Sciences "Sapienza", University of Rome, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCatheter ablation of papillary muscle ventricular arrhythmias (PM-VAs) has been associated with unsatisfactory results. Features that may affect acute and long-term procedural outcomes are not well established.

objectiveTo systematically review the available data in the literature assessing efficacy and safety of PM-VAs catheter ablation.

methodsAn online search of PubMed, Cochrane Registry, Web of Science, Scopus and EMBASE libraries (from inception to March 1, 2021) was performed, in addition to manual screening. Twenty-one observational noncontrolled case-series were considered eligible for the systematic review, including 536 patients.

resultsPostero-medial PM harbored 60.8% of PM-VAs, while antero-lateral PM and right ventricular PMs 34.9% and 4.3% of cases, respectively. The mean acute success rate of the index ablation procedure was 88.1% (95% CI 82.8% to 91.9%, p < .001, I

conclusionsCatheter ablation is an effective and safe strategy for PM-VAs, with an acute success rate of 88.1%, a long-term success rate of 69.2%, with a relatively low procedural complication rate. The use of ICE, irrigated catheters and catheters with CFS capability was associated with higher rates of arrhythmia-freedom at long-term follow-up.

Indexed as

Catheter AblationTachycardia, VentricularVentricular Premature ComplexesHeart VentriclesHumansPapillary MusclesTreatment Outcomeintracardiac echocardiographyirrigated ablation catheterspapillary muscleventricular arrhythmias

Identifiers

PMID35147225
PMCPMC9302647

What OpenQuestion holds

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LicenceCC BY-NC
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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.