Evidence map›Paper›PMID 38586837›Full record

ArticleJournal of arrhythmia2024

Impact of contact force on the lesion characteristics of very high-power short-duration ablation using a QDOT-MICRO catheter.

Junji Yamaguchi, Masateru Takigawa, Masahiko Goya, Claire A Martin, Miho Negishi, Tasuku Yamamoto, Takashi Ikenouchi, Kentaro Goto, Takatoshi Shigeta, Iwanari Kawamura and 5 more

Abstract read
In one paragraph

Article in Journal of arrhythmia, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

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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

15 authors.

Junji YamaguchiDepartment of Cardiovascular Medicine Tokyo Medical and Dental University Hospital Tokyo Japan.ORCID https://orcid.org/0000-0001-9324-9603
Masateru TakigawaDepartment of Cardiovascular Medicine Tokyo Medical and Dental University Hospital Tokyo Japan.
Masahiko GoyaDepartment of Cardiovascular Medicine Tokyo Medical and Dental University Hospital Tokyo Japan.ORCID https://orcid.org/0000-0002-7210-0671
Claire A MartinDepartment of Cardiology Royal Papworth Hospital Cambridge UK.
Miho NegishiDepartment of Cardiovascular Medicine Tokyo Medical and Dental University Hospital Tokyo Japan.
Tasuku YamamotoDepartment of Cardiovascular Medicine Tokyo Medical and Dental University Hospital Tokyo Japan.
Takashi IkenouchiDepartment of Cardiovascular Medicine Tokyo Medical and Dental University Hospital Tokyo Japan.
Kentaro GotoDepartment of Cardiovascular Medicine Tokyo Medical and Dental University Hospital Tokyo Japan.
Takatoshi ShigetaDepartment of Cardiovascular Medicine Tokyo Medical and Dental University Hospital Tokyo Japan.ORCID https://orcid.org/0000-0003-1781-9218
Iwanari KawamuraDepartment of Cardiovascular Medicine Tokyo Medical and Dental University Hospital Tokyo Japan.
Takuro NishimuraDepartment of Cardiovascular Medicine Tokyo Medical and Dental University Hospital Tokyo Japan.
Tomomasa TakamiyaDepartment of Cardiovascular Medicine Tokyo Medical and Dental University Hospital Tokyo Japan.
Susumu TaoDepartment of Cardiovascular Medicine Tokyo Medical and Dental University Hospital Tokyo Japan.
Shinsuke MiyazakiDepartment of Cardiovascular Medicine Tokyo Medical and Dental University Hospital Tokyo Japan.
Tetsuo SasanoDepartment of Cardiovascular Medicine Tokyo Medical and Dental University Hospital Tokyo Japan.ORCID https://orcid.org/0000-0003-3582-6104

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Lesion size is reported to become larger as contact force (CF) increases. However, this has not been systematically evaluated in temperature-guided very high-power short-duration (vHPSD) ablation, which was therefore the purpose of this study. Methods: Radiofrequency applications (90 W/4 s, temperature-control mode) were performed in excised porcine myocardium with four different CFs of 5, 15, 25, and 35 g using QDOT-MICRO™ catheter. Ten lesions for each combination of settings were created, and lesion metrics and steam-pops were compared. Results: A total of 320 lesions were analyzed. Lesion depth, surface area, and volume were smallest for CF of 5 g than for 15, 25, and 35 g (depth: 2.7 mm vs. 2.9 mm, 3.0 mm, 3.15 mm, Conclusions: For vHPSD ablation, lesion size does not become large once the CF reaches 15 g, and the risk of steam-pops may be mitigated through power titration even in high CFs.

Indexed as

catheter ablationcontact forcelesion sizeQDOT MICRO™very high‐power short‐duration

Identifiers

PMID38586837
PMCPMC10995585

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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.