Evidence map›Paper›PMID 35536500›Full record

Observational studyJournal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing2022

Performance and acute procedural outcomes of the EnSite Precision™ cardiac mapping system for electrophysiology mapping and ablation procedures: results from the EnSite Precision™ observational study.

Jonathan C Hsu, Douglas Darden, Benedict M Glover, B Judson Colley, Christian Steinberg, Bernard Thibault, Coty Jewell, Michael Bernard, Paul B Tabereaux, Usman Siddiqui and 4 more

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study 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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.1field-weighted citation impact, top 21% 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

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. First experience of wave speed guided point-by-point cavo-tricuspid isthmus ablation for typical atrial flutter.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2023
    Article
  3. 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

14 authors at 12 institutions in 3 countries.

Jonathan C Hsu *University of California San Diego, 4952 Medical Center Dr, ACTRI Bldg, 3rd Floor, Room 3E-313, MC7411, La Jolla, CA, 92037, USA. Jonathan.hsu@ucsd.edu.ORCID http://orcid.org/0000-0002-1523-573X
Douglas Darden *University of California San Diego, 4952 Medical Center Dr, ACTRI Bldg, 3rd Floor, Room 3E-313, MC7411, La Jolla, CA, 92037, USA.
Benedict M GloverUniversity of Toronto, Toronto, Canada.
B Judson ColleyJackson Heart Clinic, Jackson, MS, USA.
Christian SteinbergInstitut Universitaire de Cardiologie Et Pneumologie de Québec (IUCPQ-UL), Laval University, Quebec, Canada.
Bernard ThibaultMontreal Heart Institute, Montreal, Canada.
Coty JewellOklahoma Heart Hospital South, Oklahoma City, OK, USA.
Michael BernardOchsner Medical Center, Jefferson, LA, USA.
Paul B TabereauxHeart Center Research, LLC., Huntsville, AL, USA.
Usman SiddiquiFlorida Electrophysiology, Atlantis, FL, USA.
Jingyun LiAbbott Laboratories, Zephyrhills, FL, USA.
Eric E HorvathAbbott Laboratories, Zephyrhills, FL, USA.
Daniel CooperWashington University School of Medicine, St. Louis, MO, USA.
David LinHospital of the University of Pennsylvania, Philadelphia, PA, USA.
Abbott (United Kingdom) · GBUniversity of California San Diego · USAZ Technology (United States) · USFlorida Atlantic University · USHospital of the University of Pennsylvania · USInstitut universitaire de cardiologie et de pneumologie de Québec · CAJackson Memorial Hospital · USMontreal Heart Institute · CAOchsner Medical Center · USOklahoma Heart Hospital · USUniversity of Toronto · CAWashington University in St. Louis · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe EnSite Precision™ cardiac mapping system (Abbott) is a catheter navigation and mapping system capable of displaying the three-dimensional (3D) position of conventional and sensor-enabled electrophysiology catheters, as well as displaying cardiac electrical activity as waveform traces and dynamic 3D maps of cardiac chambers. The EnSite Precision™ Observational Study (NCT-03260244) was designed to quantify and characterize the use of the EnSite Precision™ cardiac mapping system for mapping and ablation of cardiac arrhythmias in a real-world environment and evaluate procedural outcomes.

methodsA total of 1065 patients were enrolled at 38 centers in the USA and Canada between 2017 and 2018 and were followed for 12 months post procedure for arrhythmia recurrence, medication use, and quality-of-life changes. Eligible subjects were adults undergoing a cardiac electrophysiology mapping and radiofrequency ablation procedure using the EnSite Precision™ System.

resultsA final cohort of 925 patients (64.3 years of age, 30.2% female) were analyzed. The primary procedural indication was atrial flutter in 48.1% (445/925), atrial fibrillation in 46.5% (430/925), and other arrhythmias in 5% (50/925). Electroanatomic mapping was performed in 81.5% (754/925) of patients. Mapping was stable throughout 79.8% (738/925) of procedures with initial mapping time of 8.6 min (IQR 4.7-15.0). Average mapping efficiency created with AutoMap or TurboMap was 164.9 ± 365.7 used points per minute. Median number of mapping points collected and used was 1752.5 and 811.0, respectively. Only 335/925 (36.2%) required editing and 66.0% (221/335) of these patients required editing of less than 10 points. Fluoroscopy was utilized in most cases (n = 811/925, 87.4%) with fluoroscopy time of 11.0 min (IQR 6.0-18.0). Overall median procedure time was 101.0 min (IQR 59.0-152.0). Acute procedural success was high for both atrial fibrillation (n = 422/430, 98.1%) and atrial flutter (n = 434/445, 97.5%).

conclusionIn a real-world study analysis, use of the EnSite Precision™ mapping system was associated with high procedural stability, short mapping times, high point density requiring infrequent editing, low fluoroscopy time, and high prevalence of acute procedural success.

Indexed as

Atrial FibrillationAtrial FlutterCatheter AblationAdultCardiac ElectrophysiologyFemaleFluoroscopyHumansMaleTreatment OutcomeCatheter ablationElectroanatomical mappingEnsite mapping systemImage processing

Identifiers

PMID35536500
PMCPMC9550718
OpenAlexW4280496537

What OpenQuestion holds

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LicenceCC BY
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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.