Evidence map›Paper›PMID 36828976›Full record

ArticleCardiovascular engineering and technology2023

Quantification of Mechanical Characteristics of Conventional Steerable Ablation Catheters for Treatment of Atrial Fibrillation Using a Heart Phantom.

Jacob Miller, Alykhan Sewani, Jeffrey Rezazada, Yara Alawneh, Pedram Kazemian, Maria Terricabras, Graham Wright, M Ali Tavallaei

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In one paragraph

Article in Cardiovascular engineering and technology, 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
0.4field-weighted citation impact, top 36% 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, 2 citations in OpenAlex.

  1. 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

8 authors at 3 institutions in 2 countries.

Jacob MillerToronto Metropolitan University, Toronto, ON, Canada. j12miller@torontomu.ca.ORCID 0000-0003-3736-2315
Alykhan SewaniToronto Metropolitan University, Toronto, ON, Canada.
Jeffrey RezazadaToronto Metropolitan University, Toronto, ON, Canada.
Yara AlawnehToronto Metropolitan University, Toronto, ON, Canada.
Pedram KazemianDeborah Heart and Lung Center, Browns Mills, NJ, USA.
Maria TerricabrasSunnybrook Research Institute, Toronto, ON, Canada.
Graham WrightSunnybrook Research Institute, Toronto, ON, Canada.
M Ali TavallaeiToronto Metropolitan University, Toronto, ON, Canada.
Sunnybrook Hospital · CADeborah Heart and Lung Center · USSunnybrook Health Science Centre · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAccurate and reliable catheter navigation is important in formation of adequate lesions during radiofrequency cardiac catheter ablation. To inform future device design efforts and to characterize the limitations of conventional devices, the focus of this study is to assess and quantify the mechanical performance of manual ablation catheters for pulmonary vein isolation procedures within a phantom heart model.

methodsWe measured three important metrics: accuracy of catheter tip navigation to target anatomical landmarks at the pulmonary veins (PVs), orientation of the catheter relative to the tissue at the targets, and the delivered force values and their stability and variations at those targets. A stereovision system was used for navigational guidance and to measure the catheter's tip position and orientation relative to the targets. To measure force, piezoelectric sensors were used which were integrated at the targets, whereby operators were instructed to stabilize the catheter to achieve a chosen reference force value.

resultsAn overall positioning accuracy of 1.57 ± 1.71 mm was achieved for all targets. No statistical significance was observed in position accuracy between the right and left PVs (p = 0.5138). The orientation of the catheter relative to tissue surface was 41° ± 21° with no statistical significance between targets. The overall force stability was 41 ± 6 g with higher difficulty in force stabilization in the right compared to the left PV (40 ± 8 vs. 43 ± 2 g, p < 0.0001).

conclusionBased on our results, future improvements to manual catheter navigation for ablation should focus on improving device performance in orientation control and improved force stability.

Indexed as

Atrial FibrillationCatheter AblationPulmonary VeinsCathetersEquipment DesignHeartHumansTreatment OutcomeCatheterCatheter ablationCatheter orientationContact forceOrientationPulmonary vein isolation (PVI)

Identifiers

PMID36828976
OpenAlexW4321782989

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.