Evidence map›Paper›PMID 36423239›Full record

Observational studyJournal of cardiovascular electrophysiology2023

Three-dimensional-guided and ICE-guided transseptal puncture for cardiac ablations: A propensity score match study.

Ronpichai Chokesuwattanaskul, Teetouch Ananwattanasuk, Andrew B Hughey, Elizabeth A Stuart, Muazzum M Shah, Auras R Atreya, Aman Chugh, Frank Bogun, Thomas Crawford, Frank Pelosi and 10 more

Open access · hybridAbstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Journal of cardiovascular electrophysiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.0field-weighted citation impact, top 22% 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

6 citing papers in PubMed, 7 citations in OpenAlex.

  1. Angioplasty Guidewire-Assisted vs. Conventional Transseptal Puncture for Left Atrial Appendage Occlusion: a multicentre randomized controlled trial.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2023
    Trial
  2. Evolution of Radiofrequency Transseptal Puncture Devices.Medical devices (Auckland, N.Z.) · 2026
    Review
  3. Article
  4. Article
  5. Optimizing transseptal puncture guided by three-dimensional mapping: the role of a unipolar electrogram in a needle tip.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2024
    Article
  6. Observational
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

20 authors at 5 institutions in 2 countries.

Ronpichai ChokesuwattanaskulCardiovascular Medicine Department, Center of Excellence in Arrhythmia Research, Faculty of Medicine, King Chulalongkorn Memorial Hospital, Chulalongkorn University, Bangkok, Thailand.ORCID 0000-0002-4463-7447
Teetouch AnanwattanasukDivision of Cardiac Electrophysiology, University of Michigan Health Care, Ann Arbor, Michigan, USA.ORCID 0000-0002-4201-7172
Andrew B HugheyMichigan Heart, Ypsilanti, Michigan, USA.
Elizabeth A StuartDepartment of Biostatistics, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA.
Muazzum M ShahDivision of Cardiac Electrophysiology, University of Michigan Health Care, Ann Arbor, Michigan, USA.ORCID 0000-0001-7324-3052
Auras R AtreyaSection of Cardiac Electrophysiology, AIG Institute of Cardiac Sciences and Research, Hyderabad, India.ORCID 0000-0002-4265-8738
Aman ChughDivision of Cardiac Electrophysiology, University of Michigan Health Care, Ann Arbor, Michigan, USA.ORCID 0000-0003-1270-6337
Frank BogunDivision of Cardiac Electrophysiology, University of Michigan Health Care, Ann Arbor, Michigan, USA.ORCID 0000-0002-0391-7282
Thomas CrawfordDivision of Cardiac Electrophysiology, University of Michigan Health Care, Ann Arbor, Michigan, USA.ORCID 0000-0002-8525-8611
Frank PelosiDivision of Cardiac Electrophysiology, University of Michigan Health Care, Ann Arbor, Michigan, USA.ORCID 0000-0003-0889-9287
Ryan CunnaneDivision of Cardiac Electrophysiology, University of Michigan Health Care, Ann Arbor, Michigan, USA.
Hamid GhanbariDivision of Cardiac Electrophysiology, University of Michigan Health Care, Ann Arbor, Michigan, USA.
Rakesh LatchamsettyDivision of Cardiac Electrophysiology, University of Michigan Health Care, Ann Arbor, Michigan, USA.
Eugene ChungDivision of Cardiac Electrophysiology, University of Michigan Health Care, Ann Arbor, Michigan, USA.
Mohammed SaeedDivision of Cardiac Electrophysiology, University of Michigan Health Care, Ann Arbor, Michigan, USA.
Michael GhannamDivision of Cardiac Electrophysiology, University of Michigan Health Care, Ann Arbor, Michigan, USA.ORCID 0000-0001-6951-5238
Jackson LiangDivision of Cardiac Electrophysiology, University of Michigan Health Care, Ann Arbor, Michigan, USA.ORCID 0000-0001-8608-8899
Hakan OralDivision of Cardiac Electrophysiology, University of Michigan Health Care, Ann Arbor, Michigan, USA.
Fred MoradyDivision of Cardiac Electrophysiology, University of Michigan Health Care, Ann Arbor, Michigan, USA.
Krit JongnarangsinDivision of Cardiac Electrophysiology, University of Michigan Health Care, Ann Arbor, Michigan, USA.
University of Michigan · USChulalongkorn University · THEastern Michigan University · USJohns Hopkins University · USSan Diego Cardiac Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTransseptal puncture (TSP) is routinely performed for left atrial ablation procedures. The use of a three-dimensional (3D) mapping system or intracardiac echocardiography (ICE) is useful in localizing the fossa ovalis and reducing fluoroscopy use. We aimed to compare the safety and efficacy between 3D mapping system-guided TSP and ICE-guided TSP techniques.

methodsWe conducted a prospective observational study of patients undergoing TSP for left atrial catheter ablation procedures (mostly atrial fibrillation ablation). Propensity scoring was used to match patients undergoing 3D-guided TSP with patients undergoing ICE-guided TSP. Logistic regression was used to compare the clinical data, procedural data, fluoroscopy time, success rate, and complications between the groups.

resultsSixty-five patients underwent 3D-guided TSP, and 151 propensity score-matched patients underwent ICE-guided TSP. The TSP success rate was 100% in both the 3D-guided and ICE-guided groups. Median needle time was 4.00 min (interquartile range [IQR]: 2.57-5.08) in patients with 3D-guided TSP compared to 4.02 min (IQR: 2.83-6.95) in those with ICE-guided TSP (p = .22). Mean fluoroscopy time was 0.2 min (IQR: 0.1-0.4) in patients with 3D-guided TSP compared to 1.2 min (IQR: 0.7-2.2) in those with ICE-guided TSP (p < .001). There were no complications related to TSP in both group.

conclusionsThree-dimensional mapping-guided TSP is as safe and effective as ICE-guided TSP without additional cost.

Indexed as

Atrial FibrillationCatheter AblationFluoroscopyHeart AtriaHumansPropensity ScorePuncturesTreatment Outcomeintracardiac echocardiogramthree-dimensional electroanatomic mappingtransseptal puncture

Identifiers

PMID36423239
PMCPMC10108269
OpenAlexW4309905330

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.