Evidence map›Paper›PMID 38939771›Full record

ArticleJournal of arrhythmia2024

Characteristics of radiofrequency lesions in patients with symptomatic periesophageal vagal nerve injury after pulmonary vein isolation.

Shingo Yoshimura, Yutaka Take, Kenichi Kaseno, Koji Goto, Yuji Matsuo, Hideyuki Aoki, Takehito Sasaki, Yuko Miki, Kohki Nakamura, Shigeto Naito

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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 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

10 authors.

Shingo YoshimuraDivision of Cardiology Gunma Prefectural Cardiovascular Center Maebashi Japan.ORCID https://orcid.org/0000-0003-2744-0738
Yutaka TakeDivision of Cardiology Gunma Prefectural Cardiovascular Center Maebashi Japan.
Kenichi KasenoDivision of Cardiology Gunma Prefectural Cardiovascular Center Maebashi Japan.
Koji GotoDivision of Cardiology Gunma Prefectural Cardiovascular Center Maebashi Japan.
Yuji MatsuoDivision of Cardiology Gunma Prefectural Cardiovascular Center Maebashi Japan.
Hideyuki AokiDivision of Cardiology Gunma Prefectural Cardiovascular Center Maebashi Japan.
Takehito SasakiDivision of Cardiology Gunma Prefectural Cardiovascular Center Maebashi Japan.
Yuko MikiDivision of Cardiology Gunma Prefectural Cardiovascular Center Maebashi Japan.ORCID https://orcid.org/0000-0002-2535-0360
Kohki NakamuraDivision of Cardiology Gunma Prefectural Cardiovascular Center Maebashi Japan.ORCID https://orcid.org/0000-0002-9777-4592
Shigeto NaitoDivision of Cardiology Gunma Prefectural Cardiovascular Center Maebashi Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Periesophageal vagal nerve injury (PNI) is an unpredictable and serious complication of atrial fibrillation (AF) ablation. We aimed to identify the factors associated with symptomatic PNI. Methods: This study included 1391 patients who underwent ablation index-guided pulmonary vein isolation (PVI) using the CARTO system. The target ablation index was set at 550, except for the left atrial (LA) posterior wall near the esophagus, where radiofrequency (RF) power and duration were limited. Ten patients (0.72%) were diagnosed with symptomatic PNI. We randomly selected 40 patients without PNI (1:4 ratio) matched based on age, sex, body mass index, LA diameter, type of AF, and esophageal location. We measured the shortest distance from the RF lesions to the esophagus (LED) and classified the RF lesions according to the LED into four groups: 0-5, 5-10, 10-15, and 15-20 mm. We conducted a comparative analysis of classified RF lesions between patients with PNI ( Results: The contact force at LED 0-5 mm was significantly higher in patients with PNI than in those without (14.6 ± 1.7 vs. 12.0 ± 2.9 g; Conclusions: The symptomatic PNI was significantly associated with a higher contact force near the esophagus. Strategies for regulating contact force near the esophagus may aid in the prevention of PNI.

Indexed as

atrial fibrillationcatheter ablationperiesophageal vagal nerve injurypulmonary vein isolationradiofrequency lesions

Identifiers

PMID38939771
PMCPMC11199810

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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.