Evidence map›Paper›PMID 37204671›Full record

Trial reportJournal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing2023

Half versus normal saline irrigation during catheter ablation of outflow tract ventricular arrhythmias (HALF): a multi-center, parallel, open-label, randomized controlled study.

Yan Dong, Hongtao Wang, Kezhong Ma, Zhiyu Ling, Dongsheng Zhao, Yuegang Wang, Zhiyong Zhang, Mingliang Shao, Hejian Song, Wei Jiang and 8 more

Abstract readRandomized Controlled TrialMulticenter Study
PubMed Publisher
In one paragraph

Trial report 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 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.0field-weighted citation impact, top 12% 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

5 citing papers in PubMed, 9 citations in OpenAlex.

  1. Review
  2. Review
  3. Contemporary Trends in Pulsed Field Ablation for Cardiac Arrhythmias.Journal of cardiovascular development and disease · 2024
    Review
  4. Review
  5. 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

18 authors at 8 institutions in 2 countries.

Yan DongSection of Pacing and Electrophysiology, Division of Cardiology, the First Affiliated Hospital with Nanjing Medical University, Guangzhou Road 300, Nanjing, 210029, China.
Hongtao WangDepartment of Cardiology, the Second Affiliated Hospital of Xi'an JiaoTong University, Xi'an, China.
Kezhong MaDepartment of Cardiology, Xiangyang Central Hospital, Affiliated Hospital of Hubei University of Arts and Science, Xiangyang, Hubei, China.
Zhiyu LingDepartment of Cardiology, the Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Dongsheng ZhaoSection of Pacing and Electrophysiology, Division of Cardiology, the First Affiliated Hospital with Nanjing Medical University, Guangzhou Road 300, Nanjing, 210029, China.
Yuegang WangDepartment of Cardiology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Zhiyong ZhangDepartment of Cardiology, the Affiliated Suqian First People's Hospital of Nanjing Medical University, Jiangsu, China.
Mingliang ShaoDepartment of Cardiology, the Affiliated Xuancheng Hospital of Wannan Medical College, Wuhu, China.
Hejian SongDepartment of Cardiology, the First Affiliated Hospital of Kangda College of Nanjing Medical University, Nanjing, China.
Wei JiangDepartment of Cardiology, the Second Affiliated Hospital of Xi'an JiaoTong University, Xi'an, China.
Kai YangDepartment of Cardiology, the First Affiliated Hospital of Kangda College of Nanjing Medical University, Nanjing, China.
Qiushi ChenSection of Pacing and Electrophysiology, Division of Cardiology, the First Affiliated Hospital with Nanjing Medical University, Guangzhou Road 300, Nanjing, 210029, China.
Pipin KojodjojoNational University of Singapore, Asian Heart and Vascular Centre, Singapore, Singapore.
Inam UllahSection of Pacing and Electrophysiology, Division of Cardiology, the First Affiliated Hospital with Nanjing Medical University, Guangzhou Road 300, Nanjing, 210029, China.
Kejiang CaoSection of Pacing and Electrophysiology, Division of Cardiology, the First Affiliated Hospital with Nanjing Medical University, Guangzhou Road 300, Nanjing, 210029, China.
Minglong ChenSection of Pacing and Electrophysiology, Division of Cardiology, the First Affiliated Hospital with Nanjing Medical University, Guangzhou Road 300, Nanjing, 210029, China.
Fengxiang ZhangSection of Pacing and Electrophysiology, Division of Cardiology, the First Affiliated Hospital with Nanjing Medical University, Guangzhou Road 300, Nanjing, 210029, China. njzfx6@njmu.edu.cn.
FHRS and HALF study investigators
Nanjing Medical University · CNSecond Affiliated Hospital of Xi'an Jiaotong University · CNChongqing Medical University · CNKangda College of Nanjing Medical UniversityNational University of Singapore · SGSouthern Medical University · CNWannan Medical College · CNXiangyang Central Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAnimal studies demonstrated that deeper lesions could be achieved during radio-frequency catheter ablation (RFCA) by using half saline (HS) compared to normal saline (NS) as irrigation.

objectivesThis study sought to compare the efficiency and safety of HS and NS for irrigation during RFCA of idiopathic outflow tract ventricular arrhythmia (OT-VA).

methodsIn this multicenter, randomized controlled study, 167 patients undergoing RFCA of OT-VA were randomized 1:1 to receive HS- or NS-irrigated ablation. Acute success was defined as the absence of induced targeted premature ventricular contraction (PVC) at the end of the procedure. The 6-month success was defined as a ≥ 80% reduction of pre-procedural PVC burden.

resultsThere were no differences of baseline characteristics between the HS and NS group. Patients in HS group had shorter total ablation time (259.5 ± 155.5 S vs. 355.6 ± 230.7 S, P = 0.04) than that in NS group. The acute and 6-month success rates were similar between the HS and NS group (92.8 vs. 91.7%, P = 0.79; 90.9 vs. 92.1%, P = 0.79, respectively). No significant difference was observed in the incidence of steam pops between the HS and NS group (2.4 vs. 1.2%, P = 0.62).

conclusionsThe ablation using HS irrigation achieved similar success rate and safety compared to that using NS irrigation but was associated with a shorter total ablation time.

trial registrationChinese Clinical Trial Registry (ChiCTR2200059205).

Indexed as

Catheter AblationVentricular Premature ComplexesAnimalsArrhythmias, CardiacHumansResearch DesignSaline SolutionTimeTreatment OutcomeSaline SolutionHalf salineIrrigated catheter ablationOutcomeOutflow tractVentricular arrhythmia

Identifiers

PMID37204671
OpenAlexW4377094113

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.