Evidence map›Paper›PMID 36589913›Full record

ArticleHeart rhythm O22022

Safety of continuous left atrial phased-array intracardiac echocardiography during left atrial ablation for atrial fibrillation.

Larry R Jackson, Fredrik Holmqvist, Alice Parish, Cynthia L Green, Jonathan P Piccini, Tristram D Bahnson

Open access · goldAbstract read
In one paragraph

Article in Heart rhythm O2, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 30% 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, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Safety and efficacy of intracardiac echocardiography in atrial fibrillation ablation: a meta-analysis.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 · 2026
    Pooled it
  2. Article
  3. Review
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

6 authors at 3 institutions in 2 countries.

Larry R JacksonDuke Center for Atrial Fibrillation and Clinical Cardiac Electrophysiology Section, Duke University Health System, Durham, North Carolina.
Fredrik HolmqvistDuke Center for Atrial Fibrillation and Clinical Cardiac Electrophysiology Section, Duke University Health System, Durham, North Carolina.
Alice ParishDepartment of Biostatistics and Bioinformatics, Duke University Medical Center, Durham, North Carolina.
Cynthia L GreenDepartment of Biostatistics and Bioinformatics, Duke University Medical Center, Durham, North Carolina.
Jonathan P PicciniDuke Center for Atrial Fibrillation and Clinical Cardiac Electrophysiology Section, Duke University Health System, Durham, North Carolina.
Tristram D BahnsonDuke Center for Atrial Fibrillation and Clinical Cardiac Electrophysiology Section, Duke University Health System, Durham, North Carolina.
Duke University Health System · USDuke University · USSkåne University Hospital · SE

Funding

MAESTRO-PAF for Major Adverse Events and Stroke in Paroxysmal Atrial FibrillationR01HL128595 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI CHENG, ALAN, GUALLAR, ELISEO · 2016 to 2019
$3.1M
Shared Decision-Making to Reduce Racial Disparities in Oral Anticoagulation Use in Patients with Non-Valvular Atrial FibrillationK01HL159041 · NHLBI · DUKE UNIVERSITY · PI JACKSON, LARRY R · 2021 to 2025
$774k
NHLBI NIH HHS K01 HL159041NHLBI NIH HHS R01 HL128595
6 · The paper itself

Abstract

Background: Pulmonary vein (PV) isolation using radiofrequency ablation (RFA) to treat atrial fibrillation (AF) requires delivery of contiguous transmural lesions at the PV antra while avoiding injury to the esophagus. Continuous 2-dimensional phased-array intracardiac echocardiography (ICE) from within the left atrium (LA) can provide consistent high-resolution images of catheter tip contact and location during ablation. Objective: The purpose of this study was to compare near-term safety outcomes of therapeutic AF ablation with and without ICE imaging from within the LA. Methods: The study cohort included 590 consecutive patients undergoing RFA for AF including continuous ICE imaging during ablation from within either the right atrium (RA) or the LA. Subjects were followed prospectively, and periprocedural complications within 30 days were identified and recorded. Results: All subjects had RA ICE imaging to guide transseptal catheterization. Ultrasound imaging from both RA and LA was used in 243 (41.2%). Respectively, the LA vs RA only imaging cohorts were comparable with respect to age (median 64 [interquartile range 57.4-71.2] years vs 64 [56.2-70.6] years; Conclusions: Routine continuous LA ICE imaging seems to be safe and holds potential to facilitate lesion delivery during RFA for AF.

Indexed as

Atrial fibrillationCatheter ablationIntracardiac echocardiographyRadiofrequency ablationUltrasound Imaging

Identifiers

PMID36589913
PMCPMC9795249
OpenAlexW4290999241

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.