Evidence map›Paper›PMID 38673710›Full record

ReviewJournal of clinical medicine2024

Vein of Marshall Ethanol Infusion for AF Ablation; A Review.

Louisa O'Neill, Benjamin De Becker, Maarten De Smet, Clara Francois, Rene Tavernier, Mattias Duytschaever, Jean-Benoit Le Polain De Waroux, Sebastien Knecht

Open access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 5% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
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 2 institutions in 2 countries.

Louisa O'NeillDepartment of Cardiology, AZ Sint-Jan Hospital, 8000 Bruges, Belgium.
Benjamin De BeckerDepartment of Cardiology, AZ Sint-Jan Hospital, 8000 Bruges, Belgium.ORCID 0000-0003-1839-3693
Maarten De SmetDepartment of Cardiology, AZ Sint-Jan Hospital, 8000 Bruges, Belgium.
Clara FrancoisDepartment of Cardiology, AZ Sint-Jan Hospital, 8000 Bruges, Belgium.
Rene TavernierDepartment of Cardiology, AZ Sint-Jan Hospital, 8000 Bruges, Belgium.
Mattias DuytschaeverDepartment of Cardiology, AZ Sint-Jan Hospital, 8000 Bruges, Belgium.
Jean-Benoit Le Polain De WarouxDepartment of Cardiology, AZ Sint-Jan Hospital, 8000 Bruges, Belgium.
Sebastien KnechtDepartment of Cardiology, AZ Sint-Jan Hospital, 8000 Bruges, Belgium.
AZ Sint-Jan · BESt Thomas' Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The outcomes of persistent atrial fibrillation (AF) ablation are modest with various adjunctive strategies beyond pulmonary vein isolation (PVI) yielding largely disappointing results in randomised controlled trials. Linear ablation is a commonly employed adjunct strategy but is limited by difficulty in achieving durable bidirectional block, particularly at the mitral isthmus. Epicardial connections play a role in AF initiation and perpetuation. The ligament of Marshall has been implicated as a source of AF triggers and is known to harbour sympathetic and parasympathetic nerve fibres that contribute to AF perpetuation. Ethanol infusion into the Vein of Marshall, a remnant of the superior vena cava and key component of the ligament of Marshall, may eliminate these AF triggers and can facilitate the ease of obtaining durable mitral isthmus block. While early trials have demonstrated the potential of Vein of Marshall 'ethanolisation' to reduce arrhythmia recurrence after persistent AF ablation, further randomised trials are needed to fully determine the potential long-term outcome benefits afforded by this technique.

Indexed as

atrial fibrillationethanol infusionmitral isthmus ablationVein of Marshall

Identifiers

PMID38673710
PMCPMC11050818
OpenAlexW4395000852

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.