Evidence map›Paper›PMID 35446440›Full record

ArticleClinical cardiology2022

Improved procedural workflow for catheter ablation of paroxysmal AF with high-density mapping system and advanced technology: Rationale and study design of a multicenter international study.

Francesco Solimene, Giuseppe Stabile, Pablo Ramos, Luca Segreti, Filippo Maria Cauti, Valerio De Sanctis, Ruggero Maggio, Javier Ramos-Maqueda, Lluis Mont, Vincenzo Schillaci and 2 more

Registry-linked trialOpen access · goldAbstract readMulticenter Study
In one paragraph

Article in Clinical cardiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05005143 (Improved Procedural Workflow For Catheter Ablation Of Paroxysmal AF With High Density Mapping System And Advanced Technology), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

NCT05005143 unknown statusnot on this map

Improved Procedural Workflow For Catheter Ablation Of Paroxysmal AF With High Density Mapping System And Advanced Technology: DELETE AF Study

TypeobservationalSponsorClinica Universidad de Navarra, Universidad de NavarraRan2021 to 2023Enrolled200ConditionsCardiac Arrhythmias, Atrial Fibrillation
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Article
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 8 institutions in 3 countries.

Francesco SolimeneClinica Montevergine, Mercogliano, Italy.
Giuseppe StabileClinica Montevergine, Mercogliano, Italy.ORCID http://orcid.org/0000-0003-4646-0865
Pablo RamosDepartment of Cardiology and Cardiovascular Surgery, Clìnica Universidad de Navarra, Pamplona, Spain.
Luca SegretiSecond Division of Cardiology, Cardiac-Thoracic-Vascular Department, New Santa Chiara Hospital, Azienda Ospedaliero Universitaria Pisana, Pisa, Italy.
Filippo Maria CautiArrhythmology Unit, Ospedale San Giovanni Calibita, Fatebefratelli, Isola Tiberina, Rome, Italy.
Valerio De SanctisIstituto Clinico Sant'Ambrogio, Milan, Italy.
Ruggero MaggioInfermi Hospital, Rivoli, Italy.
Javier Ramos-MaquedaDepartment of Cardiology, Section for Electrophysiology, Lozano Blesa Clinical University Hospital, Zaragoza, Spain.
Lluis MontHospital Clínic, University of Barcelona, Barcelona, Spain.
Vincenzo SchillaciClinica Montevergine, Mercogliano, Italy.
Maurizio MalacridaBoston Scientific, Scientific Communications, Milano, Italy.ORCID http://orcid.org/0000-0001-8823-0334
Ignacio Garcia-BolaoDepartment of Cardiology and Cardiovascular Surgery, Clìnica Universidad de Navarra, Pamplona, Spain.
Navarre Institute of Health Research · ESAzienda Ospedaliera Universitaria Pisana · ITBoston Scientific (United States) · USFatebenefratelli Hospital · ITHospital Clínico Universitario Lozano Blesa · ESIstituto Clinico Sant'Ambrogio · ITOspedale di Rivoli · ITUniversitat de Barcelona · ES

Funding

Boston Scientific Corporation
6 · The paper itself

Abstract

backgroundThe antral region of pulmonary veins (PV)s seems to play a key role in a strategy aimed at preventing atrial fibrillation (AF) recurrence. Particularly, low-voltage activity in tissue such as the PV antra and residual potential within the antral scar likely represent vulnerabilities in antral lesion sets, and ablation of these targets seems to improve freedom from AF. The aim of this study is to validate a structured application of an approach that includes the complete abolition of any antral potential achieving electrical quiescence in antral regions.

methodsThe improveD procEdural workfLow for cathETEr ablation of paroxysmal AF with high density mapping system and advanced technology (DELETE AF) study is a prospective, single-arm, international post-market cohort study designed to demonstrate a low rate of clinical atrial arrhythmias recurrence with an improved procedural workflow for catheter ablation of paroxysmal AF, using the most advanced point-by-point RF ablation technology in a multicenter setting. About 300 consecutive patients with standard indications for AF ablation will be enrolled in this study. Post-ablation, all patients will be monitored with ambulatory event monitoring, starting within 30 days post-ablation to proactively detect and manage any recurrences within the 90-day blanking period, as well as Holter monitoring at 3, 6, 9, and 12 months post-ablation. Healthcare resource utilization, clinical data, complications, patients' medical complaints related to the ablation procedure and patient's reported outcome measures will be prospectively traced and evaluated. DISCUSSION: The DELETE AF trial will provide additional knowledge on long-term outcome following a structured ablation workflow, with high density mapping, advanced algorithms and local impedance technology, in an international multicentric fashion. DELETE AF is registered at ClinicalTrials.gov (NCT05005143).

Indexed as

Atrial FibrillationCatheter AblationPulmonary VeinsCohort StudiesHumansProspective StudiesRecurrenceTreatment OutcomeWorkflowantral potentialatrial fibrillationcatheter ablationhigh-density mapping systemlocal impedanceLumipointTM

Identifiers

PMID35446440
PMCPMC9175242
OpenAlexW4224239757

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.