Evidence map›Paper›PMID 36607137›Full record

ArticleEuropace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology2023

Electroanatomic visualization of coronary arteries: a case series to elicit safety, feasibility, and diagnostic value in complex ablation procedures.

Bastian Fries, Victoria Johnson, Nikita Schneider, Oliver Dörr, Ritvan Chasan, Shibu Mathew, Christian W Hamm, Joern Schmitt

Open access · hybridAbstract readComment
In one paragraph

Article in 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. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 49% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Transcoronary mapping with an over-the-wire multielectrode catheter in scar-related ventricular tachycardia patients.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
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Bastian FriesDepartment of Cardiology, University Hospital Giessen and Marburg, Klinikstrasse 33, 35392 Giessen, Germany.ORCID 0000-0002-5202-0885
Victoria JohnsonDepartment of Cardiology, University Hospital Giessen and Marburg, Klinikstrasse 33, 35392 Giessen, Germany.ORCID 0000-0002-8614-6857
Nikita SchneiderDepartment of Cardiology, University Hospital Giessen and Marburg, Klinikstrasse 33, 35392 Giessen, Germany.
Oliver DörrDepartment of Cardiology, University Hospital Giessen and Marburg, Klinikstrasse 33, 35392 Giessen, Germany.ORCID 0000-0003-4526-6956
Ritvan ChasanDepartment of Cardiology, University Hospital Giessen and Marburg, Klinikstrasse 33, 35392 Giessen, Germany.
Shibu MathewDepartment of Cardiology, University Hospital Giessen and Marburg, Klinikstrasse 33, 35392 Giessen, Germany.ORCID 0000-0001-6884-9690
Christian W HammDepartment of Cardiology, University Hospital Giessen and Marburg, Klinikstrasse 33, 35392 Giessen, Germany.ORCID 0000-0001-6763-4161
Joern SchmittDepartment of Cardiology, University Hospital Giessen and Marburg, Klinikstrasse 33, 35392 Giessen, Germany.ORCID 0000-0002-5412-5656
Universitätsklinikum Gießen und Marburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsThe goal of this case series was to evaluate the feasibility, safety, and advantages of a wire-based approach for the live visualization of coronary arteries (CAs) in an electroanatomic mapping (EAM) system and to assess its diagnostic information. METHODS AND

resultsFor this single-centre case series, we included procedures in which close proximity of a possible ablation site to any epicardial vessel was suspected. An uncoated-tip guidewire was introduced into the relevant CAs after exclusion of critical CA stenosis by coronary angiography. By connecting this wire to the EAM system using a clip and pin connection, mapping and live visualization of the wire tip is possible, as well as the assessment of the local electrograms within the respective CAs. Procedural wire insertion and intracoronary mapping was performed by EP specialists and was assisted to judge the relevance of CA disease by an interventional cardiologist. A total of nine procedures in nine patients were included in this case series, four ventricular tachycardia ablation procedures and five procedures for the ablation of premature ventricular contractions. The left CAs were mapped in eight cases and the right CA was mapped in one case. In two cases, epicardial mapping was combined with visualization of the right or left CAs. There were no complications attributed to coronary wiring and mapping in this case.

conclusionWe demonstrated the feasibility and safety of CA visualization and integration in an EAM. The live visualization of the CAs added valuable information without the need for preprocedural planning or the purchase of separate software. Electroanatomic visualization was achieved intraprocedurally in a safe and straightforward manner, adding critical diagnostic information without excessive costs or risks.

Indexed as

Catheter AblationTachycardia, VentricularVentricular Premature ComplexesCoronary VesselsEpicardial MappingFeasibility StudiesHeartHumansTreatment OutcomeCoronary arteriesElectroanatomic mappingImage integrationPremature ventricular contractionsVentricular tachycardia

Identifiers

PMID36607137
PMCPMC10105871
OpenAlexW4313595626

What OpenQuestion holds

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LicenceCC BY-NC
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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.