Evidence map›Paper›PMID 36588311›Full record

ArticleCardiology journal2023

First clinical experience using the DiamondTemp catheter and a novel omnipolar high-resolution mapping system for atrial fibrillation ablation.

Christian Sohns, Thomas Fink, Leonard Bergau, Martin Braun, Mustapha El Hamriti, Vanessa Sciacca, Denise Guckel, Moneeb Khalaph, Guram Imnadze, Philipp Sommer

Open access · goldAbstract read
In one paragraph

Article in Cardiology journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.1field-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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Atrial fibrillation ablation workflow optimization facilitated by high-power short-duration ablation and high-resolution mapping.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
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 1 institution in 1 country.

Christian SohnsClinic for Electrophysiology, Herz- und Diabeteszentr um NRW, Bad Oeynhausen, Ger many. csohns@hdz-nrw.de.ORCID 0000-0003-0490-5862
Thomas FinkClinic for Electrophysiology, Herz- und Diabeteszentr um NRW, Bad Oeynhausen, Ger many.ORCID 0000-0002-6665-7326
Leonard BergauClinic for Electrophysiology, Herz- und Diabeteszentr um NRW, Bad Oeynhausen, Ger many.ORCID 0000-0002-0215-6688
Martin BraunClinic for Electrophysiology, Herz- und Diabeteszentr um NRW, Bad Oeynhausen, Ger many.
Mustapha El HamritiClinic for Electrophysiology, Herz- und Diabeteszentr um NRW, Bad Oeynhausen, Ger many.
Vanessa SciaccaClinic for Electrophysiology, Herz- und Diabeteszentr um NRW, Bad Oeynhausen, Ger many.
Denise GuckelClinic for Electrophysiology, Herz- und Diabeteszentr um NRW, Bad Oeynhausen, Ger many.
Moneeb KhalaphClinic for Electrophysiology, Herz- und Diabeteszentr um NRW, Bad Oeynhausen, Ger many.
Guram ImnadzeClinic for Electrophysiology, Herz- und Diabeteszentr um NRW, Bad Oeynhausen, Ger many.
Philipp SommerClinic for Electrophysiology, Herz- und Diabeteszentr um NRW, Bad Oeynhausen, Ger many.
Heart and Diabetes Center North Rhine-Westphalia · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe DiamondTemp (DT) radiofrequency ablation (RFA) catheter has been introduced as a new tool for atrial fibrillation (AF) ablation. The new technology allows for temperature-controlled irrigated ablation and real-time lesion assessment. Recently, the EnSite X mapping system became commercially available allowing for omnipolar and ultra-high-resolution mapping. We aimed to assess the feasibility of the new DT RFA catheter in performing AF ablation procedures in conjunction with the novel EnSite X system under routine clinical conditions.

methodsWe analyzed data from 10 consecutive patients who underwent AF ablation using the DT RFA catheter guided by EnSite X. Procedural data and short-term follow-up were assessed as well as potential technical issues.

resultsNine out of 10 patients underwent de-novo pulmonary vein isolation (PVI), and 1 patient underwent repeat ablation. First-pass isolation was observed in 7/10 patients. Total procedure duration (skin-to-skin) was 88.9 ± 30.1 min, and left atrium dwell time was 70 ± 22.3 min. The mean number of RF applications needed for PVI and additional ablation was 70.52 ± 26.70. The HD Grid SE mapping catheter was utilized in 8 patients and the Advisor SE in 2 patients. Bidirectional block of the applied lines was achieved in all patients. No steam pops were observed, and no intraprocedural complications occurred.

conclusionsThis first clinical series demonstrated that temperature-controlled irrigated ablation in combination with the novel omnipolar and high-resolution mapping system resulted in rapid, efficient, and durable lesion formation under routine clinical conditions. Randomized controlled trials are needed to elucidate the impact on lesion formation, long-term outcomes, and reproducibility of our initial findings.

Indexed as

Atrial FibrillationCatheter AblationPulmonary VeinsCathetersEquipment DesignHumansReproducibility of ResultsTreatment Outcomeatrial fibrillationDiamondTempEnSite Xpulmonary vein isolationradiofrequency ablation

Identifiers

PMID36588311
PMCPMC9987535
OpenAlexW4313423968

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.