Evidence map›Paper›PMID 36811816›Full record

ArticleJournal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing2023

Electrophysiological characteristics of epicardial atrial tachycardias and endocardial breakthrough site targeting for ablation: a single center experience.

Emir Baskovski, Ali Timucin Altin, Omer Akyurek, Busra Kuru, Kubra Korkmaz, İbrahim Ersoy, Volkan Kozluca, Irem Muge Akbulut, Eralp Tutar

Abstract read
PubMed Publisher
In one paragraph

Article 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. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.1field-weighted citation impact, top 21% 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

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Epicardial muscle bundles in persistent atrial fibrillation: from overlooked bystanders to arrhythmogenic modulators.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2026
    Review
  3. Article
  4. 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

9 authors at 2 institutions in 1 country.

Emir BaskovskiCardiology Department, Ankara University, Ankara, Turkey. emirbaskovski@gmail.com.ORCID http://orcid.org/0000-0002-5492-2508
Ali Timucin AltinCardiology Department, Ankara University, Ankara, Turkey.ORCID https://orcid.org/0000-0001-8562-9673
Omer AkyurekCardiology Department, Ankara University, Ankara, Turkey.ORCID https://orcid.org/0000-0001-6737-3686
Busra KuruCardiology Department, Ankara University, Ankara, Turkey.ORCID https://orcid.org/0000-0001-6645-4927
Kubra KorkmazCardiology Department, Ankara University, Ankara, Turkey.ORCID https://orcid.org/0000-0002-2352-0055
İbrahim ErsoyFaculty of Medicine, Afyonkarahisar Science of Health University, Afyonkarahisar, Turkey.ORCID https://orcid.org/0000-0002-9553-8801
Volkan KozlucaCardiology Department, Ankara University, Ankara, Turkey.ORCID https://orcid.org/0000-0002-4077-4364
Irem Muge AkbulutCardiology Department, Ankara University, Ankara, Turkey.ORCID https://orcid.org/0000-0002-9190-0009
Eralp TutarCardiology Department, Ankara University, Ankara, Turkey.ORCID https://orcid.org/0000-0002-8795-9251
Ankara University · TRAfyon Kocatepe University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite being increasingly observed in daily practice, epicardial atrial tachycardias (Epi AT) have not been extensively characterized. In the present study, we retrospectively characterize electrophysiological properties, electroanatomic ablation targeting, and outcomes of this ablation strategy.

methodsPatients who underwent scar-based macro-reentrant left atrial tachycardia mapping and ablation patients with at least one Epi AT, which had a complete endocardial map, were selected for the inclusion. Based on current electroanatomical knowledge, Epi ATs were classified based by utilization of following epicardial structures: Bachmann's bundle, septopulmonary bundle, vein of Marshall. Endocardial breakthrough (EB) sites were analyzed as well as entrainment parameters. EB site was targeted for initial ablation.

resultsAmong seventy-eight patients undergoing scar-based macro-reentrant left atrial tachycardia ablation, fourteen (17.8%) patients met the inclusion criteria for Epi AT and were included in the study. Sixteen Epi ATs were mapped, four utilizing Bachmann's bundle, five utilizing septopulmonary bundle, and seven utilizing vein of Marshall. Fractionated, low amplitude signals were present at EB sites. Rf terminated the tachycardia in ten patients; activation changed in five patients and in one patient atrial fibrillation ensued. During the follow-up, there were three recurrences.

conclusionsEpicardial left atrial tachycardias are a distinct type of macro-reentrant tachycardias that can be characterized by activation and entrainment mapping, without need for epicardial access. Endocardial breakthrough site ablation reliably terminates these tachycardias with good long-term success.

Indexed as

Catheter AblationEndocardiumPericardiumAdultAgedBody Surface Potential MappingElectrophysiologic Techniques, CardiacEpicardial MappingFemaleHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeAtrial tachycardiaBachmann’s bundleEpicardial bridgingSeptopulmonary bundleVein of Marshall

Identifiers

PMID36811816
OpenAlexW4321483157

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.