Evidence map›Paper›PMID 36301863›Full record

ArticlePloS one2022

Is there an association between left atrial outpouching structures and recurrence of atrial fibrillation after catheter ablation?

Erkan Celik, Nils Große Hokamp, Lukas Goertz, Wolfgang Fehske, Dinh Quang Nguyen, Lutz Lichtenberg, Robert Peter Reimer, David Maintz, Christoph Düber, Tobias Achenbach

Open access · goldAbstract read
In one paragraph

Article in PloS one, 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
0.3field-weighted citation impact, top 38% 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, 3 citations in OpenAlex.

  1. Article
  2. 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

10 authors at 3 institutions in 1 country.

Erkan CelikDepartment of Diagnostical and Interventional Radiology, St. Vinzenz Hospital, Cologne, Germany.ORCID 0000-0001-5687-7707
Nils Große HokampDepartment of Diagnostic and Interventional Radiology, University of Cologne, Faculty of Medicine and University Hospital Cologne, Cologne, Germany.
Lukas GoertzDepartment of Diagnostic and Interventional Radiology, University of Cologne, Faculty of Medicine and University Hospital Cologne, Cologne, Germany.
Wolfgang FehskeDepartment of Internal Medicine III Cardiology, St. Vinzenz Hospital, Cologne, Germany.
Dinh Quang NguyenDepartment of Internal Medicine III Cardiology, St. Vinzenz Hospital, Cologne, Germany.
Lutz LichtenbergDepartment of Internal Medicine III Cardiology, St. Vinzenz Hospital, Cologne, Germany.
Robert Peter ReimerDepartment of Diagnostic and Interventional Radiology, University of Cologne, Faculty of Medicine and University Hospital Cologne, Cologne, Germany.
David MaintzDepartment of Diagnostic and Interventional Radiology, University of Cologne, Faculty of Medicine and University Hospital Cologne, Cologne, Germany.
Christoph DüberDepartment of Diagnostical and Interventional Radiology, Johannes Gutenberg-University Medical Centre, Mainz, Germany.
Tobias AchenbachDepartment of Diagnostical and Interventional Radiology, St. Vinzenz Hospital, Cologne, Germany.
University of Cologne · DEUniversity Hospital Cologne · DEJohannes Gutenberg University Mainz · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of this study was to investigate the impact of left atrial diverticula (LADs), left sided septal pouches (LSSPs) and middle right pulmonary veins (MRPVs) on recurrent atrial fibrillation (rAF) in patients undergoing laser pulmonary vein isolation procedure (PVI). MATERIAL AND

methodsThis retrospective study enrolled 139 patients with pre-procedural multiple detector computed tomography (MDCT) imaging and 12 months follow-up examination. LADs, LSSPs and MRPV were identified by two radiologists on a dedicated workstation using multiplanar reconstructions and volume rendering technique. Univariate and bivariate regression analyses with patient demographics and cardiovascular risk factors as covariates were performed to reveal independent factors associated with rAF.

resultsLADs were recorded in 41 patients (29%), LSSPs in 20 (14%) and MRPVs in 15 (11%). The right anterosuperior wall of the left atrium was the most prevalent location of LADs (68%). rAF occured in 20 patients, thereof, 15 exhibited an outpouching structure of the left atrium (LAD: 9, LSSP: 2 and MRPV: 3). Presence of an LAD (HR: 2.7, 95%CI: 1.0-8.4, p = 0.04) and permanent AF (HR: 4.8, 95%CI: 1.5-16.3, p = 0.01) were independently associated with rAF.

conclusionsLAD, LSSP and MRPV were common findings on pre-procedural cardiac computed tomography. LADs were revealed as potential independent risk factor of rAF, which might be considered for treatment planning and post-treatment observation.

Indexed as

Atrial FibrillationCatheter AblationDiverticulumPulmonary VeinsHeart AtriaHumansRecurrenceRetrospective StudiesTreatment Outcome

Identifiers

PMID36301863
PMCPMC9612428
OpenAlexW4307410808

What OpenQuestion holds

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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.