Evidence map›Paper›PMID 35268413›Full record

ArticleJournal of clinical medicine2022

Impact of Contact Force-Sensing Catheters on Fluoroscopy Time in Interventional Electrophysiology: A European Survey.

Lukas Fiedler, Hermann Blessberger, Pawel Balsam, Tom De Potter, Piotr Buchta, Sabine Ernst, Victor Waldmann, Francisco Moscoso Costa, Stefan Bogdan, Alexander Nahler and 7 more

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

17 authors.

Lukas FiedlerDepartment of Internal Medicine, Cardiology, Nephrology and Intensive Care Medicine, Hospital Wiener Neustadt, 2700 Wiener Neustadt, Austria.ORCID 0000-0003-2626-3098
Hermann BlessbergerDepartment of Cardiology, Kepler University Hospital, Medical Faculty, Johannes Kepler University Linz, Krankenhausstrasse 9, 4021 Linz, Austria.
Pawel BalsamFirst Department of Cardiology, Warsaw Medical University, 02-097 Warsaw, Poland.
Tom De PotterDepartment of Cardiology, OLV Hospital, 9300 Aalst, Belgium.
Piotr BuchtaSilesian Center for Heart Diseases, 41-800 Zabrze, Poland.
Sabine ErnstDepartment of Cardiology, Royal Brompton & Harefield Hospital, Imperial College London, London SW7 2BX, UK.ORCID 0000-0003-1258-2477
Victor WaldmannDepartment of Cardiology, Georges Pompidou European Hospital, 75015 Paris, France.
Francisco Moscoso CostaDepartment of Cardiology, Hospital de Santa Cruz, 2790-134 Carnaxide, Portugal.ORCID 0000-0003-4019-5618
Stefan BogdanDepartment of Cardiology, Clinical Emergency Hospital, Carol Davila University of Medicine and Pharmacy, 014461 Bucharest, Romania.
Alexander NahlerDepartment of Cardiology, Kepler University Hospital, Medical Faculty, Johannes Kepler University Linz, Krankenhausstrasse 9, 4021 Linz, Austria.
Denis HrncicDepartment of Cardiology, Kepler University Hospital, Medical Faculty, Johannes Kepler University Linz, Krankenhausstrasse 9, 4021 Linz, Austria.
Thomas LambertDepartment of Cardiology, Kepler University Hospital, Medical Faculty, Johannes Kepler University Linz, Krankenhausstrasse 9, 4021 Linz, Austria.
Robert SchönbauerDepartment of Cardiology, Medical University of Vienna, 1090 Vienna, Austria.
Michael PfefferDepartment of Internal Medicine, Cardiology, Nephrology and Intensive Care Medicine, Hospital Wiener Neustadt, 2700 Wiener Neustadt, Austria.
Franz Xaver RoithingerDepartment of Internal Medicine, Cardiology, Nephrology and Intensive Care Medicine, Hospital Wiener Neustadt, 2700 Wiener Neustadt, Austria.
Clemens SteinwenderDepartment of Internal Medicine II, Paracelsus Medical University, 5020 Salzburg, Austria.
Jedrzej KosiukDepartment of Cardiology, Helios Klinik Koethen, 06366 Koethen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This multicenter European survey systematically evaluated the impact of using contact force-sensing catheters (CFSCs) on fluoroscopy and procedure time in interventional electrophysiology. Data from 25 participating centers were collected and analyzed, also considering important confounders. With the use of CFSCs, fluoroscopy time was reduced for right- and left-sided atrial ablations (median −6.4 to −9.6 min, p < 0.001 for both groups), whereas no such effect could be found for ventricular ablations. Moreover, the use of CFSCs was associated with an increase in procedure time for right-sided atrial and ventricular ablations (median +26.0 and +44.0 min, respectively, p < 0.001 for both groups), but not for left-sided atrial ablations. These findings were confirmed independent of career level and operator volume, except for very highly experienced electrophysiologists, in whom the effect was blunted. In the subset of pulmonary vein isolations (PVIs), CFSCs were shown to reduce both fluoroscopy and procedure time. In conclusion, the use of CFSCs was associated with a reduced fluoroscopy time for atrial ablations and an increased procedure time for right atrial and ventricular ablations. These effects were virtually independent of the operator experience and caseload. When considering only PVIs as an important subset, CFSCs were shown to reduce both fluoroscopy and procedure time.

Indexed as

catheter ablation of arrhythmiascontact force-sensing catheterscurrent practiceelectrophysiologyfluoroscopy

Identifiers

PMID35268413
PMCPMC8911176

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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.