Evidence map›Paper›PMID 36481832›Full record

Observational studyJournal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing2023

Characterization of high-density mapping in catheter ablation for persistent atrial fibrillation: results from the Advisor™ HD Grid Mapping Catheter Observational study.

Lukas Fiedler, Ivo Roca, Faizel Lorgat, Jérôme Lacotte, Haris Haqqani, Emily Jesser, Christopher Williams, Franz Xaver Roithinger, Daniel Steven

Registry-linked trialOpen access · bronzeAbstract readObservational Study
In one paragraph

Observational study in Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03733392 (Advisor High Density), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.3field-weighted citation impact, top 18% 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.

NCT03733392 completednot on this map

Advisor High Density (HD) Grid Mapping Catheter Observational Study

TypeobservationalSponsorAbbott Medical DevicesRan2019 to 2021Enrolled379ConditionsPersistent Atrial Fibrillation, Ventricular TachycardiaArmsAdvisor HD Grid Mapping Catheter, Sensor Enabled
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 10 citations in OpenAlex.

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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

9 authors at 7 institutions in 6 countries.

Lukas FiedlerDepartment of Internal Medicine, Cardiology and Nephrology, Landesklinikum Wiener Neustadt, Corvinusring 3-5, 2700, Wiener Neustadt, Austria. lukas.fiedler@wienerneustadt.lknoe.at.ORCID http://orcid.org/0000-0003-2626-3098
Ivo RocaHospital Clinic I Provincial de Barcelona, 170, 08036, Barcelona, Catalonia, Spain.
Faizel LorgatChristiaan Barnard Memorial Hospital, 181 Longmarket Street, Cape Town, 8001, South Africa.
Jérôme LacotteInstitute Cardio. Paris-Sud - Institut Jacques Cartier, Massy, France.
Haris HaqqaniThe Prince Charles Hospital, Rode Road, Queensland, 4032, Chermside, Australia.
Emily JesserAbbott, 5050 Nathan Ln N, Plymouth, MN, 55441, USA.
Christopher WilliamsAbbott, 5440 Patrick Henry Dr, Santa Clara, CA, 95054, USA.
Franz Xaver RoithingerDepartment of Internal Medicine, Cardiology and Nephrology, Landesklinikum Wiener Neustadt, Corvinusring 3-5, 2700, Wiener Neustadt, Austria.
Daniel StevenHeart center at the University of Cologne, Kerpener Strasse 62, 50937, Cologne, North Rhine, Germany.
Abbott (United States) · USFachhochschule Wiener Neustadt · ATHospital Clínic de Barcelona · ESInstitut Cardiovasculaire Paris Sud · FRParacelsus Medical University · ATPrince Charles Hospital · AUUniversity of Cologne · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe quantified and characterized the outcomes of ablation in persistent atrial fibrillation (PersAF) subjects, and the utility of electroanatomical mapping with a market-released high-density (HD) mapping catheter.

methodsPersAF subjects received electroanatomical mapping with the Advisor™ HD Grid mapping catheter, Sensor Enabled™ (HD Grid) and radiofrequency (RF) ablation to gather data regarding ablation strategies, mapping efficiency, quality, and outcomes. Subjects were enrolled from January 2019 to April 2020 across 25 international sites and followed for 12 months after the procedure.

resultsThree hundred thirty-four PersAF subjects (average age 64.2 years; 76% male; 25.4% previous AF ablation) were enrolled. Multiple map types were generated in a variety of rhythms using HD Grid. Significant differences in low voltage areas were identified in maps generated with the HD Wave Solution™ electrode configuration when compared to the standard configuration, which in some cases, influenced physicians' ablation strategies. PV-only ablation strategy was used in 59.0% of subjects and 34.1% of subjects received PV ablation and additional lesions. Of the subjects, 82.0% were free from recurrent atrial arrhythmias at 12 months and new or increased dose of class I/III antiarrhythmic drugs. About 6.0% of subjects experienced a serious adverse event or serious adverse device effect through 12 months including 1 event deemed related to HD Grid and the index procedure by the investigator and 1 death unrelated to study devices.

conclusionsThe results of this study (NCT03733392) support the safety and utility of electroanatomical mapping with HD Grid in subjects with complex arrhythmias, such as PersAF in the real-world setting.

Indexed as

Atrial FibrillationCatheter AblationPulmonary VeinsRadiofrequency AblationCathetersFemaleHumansMaleMiddle AgedTreatment OutcomeCatheter ablationHigh-density mappingPersistent atrial fibrillationPulmonary vein isolation

Identifiers

PMID36481832
PMCPMC9735148
OpenAlexW4311287282

What OpenQuestion holds

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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.