Evidence map›Paper›PMID 38984361›Full record

ArticleHeart rhythm O22024

Posterior wall ablation for persistent atrial fibrillation: Very-high-power short-duration versus standard-power radiofrequency ablation.

Paolo Compagnucci, Giovanni Volpato, Laura Cipolletta, Quintino Parisi, Yari Valeri, Francesca Campanelli, Leonardo D'Angelo, Giuseppe Ciliberti, Giulia Stronati, Laura Carboni and 5 more

Abstract read
In one paragraph

Article in Heart rhythm O2, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 3 pooled it
–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

19 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pulsed field ablation for the interventional treatment of atrial fibrillation: a scientific statement of the European Heart Rhythm Association of the European Society of Cardiology, the Heart Rhythm Society, the Asia Pacific Heart Rhythm Society, the Latin American Heart Rhythm Society, and the Canadian Heart Rhythm Society.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2026
    Guideline
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Pulsed field ablation for pulmonary vein isolation with or without posterior wall ablation in patients with persistent atrial fibrillation: a multicenter study.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2026
    Article
  6. Different approaches to persistent and long-standing persistent atrial fibrillation ablation using pulsed field ablation: impact of procedural workflows on arrhythmia termination.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2026
    Article
  7. Article
  8. Pre-procedural time spent in atrial fibrillation using intermittent ECG monitoring is associated with arrhythmia recurrence after ablation: the ISOLATION cohort study.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2026
    Article
  9. Review
  10. Article
  11. Ablation of slow activation areas in addition to pulmonary vein isolation improves the maintenance of the sinus rhythm in patients with persistent atrial fibrillation.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2025
    Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
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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.

Paolo CompagnucciCardiology and Arrhythmology Clinic, Marche University Hospital, Ancona, Italy.
Giovanni VolpatoCardiology and Arrhythmology Clinic, Marche University Hospital, Ancona, Italy.
Laura CipollettaCardiology and Arrhythmology Clinic, Marche University Hospital, Ancona, Italy.
Quintino ParisiCardiology and Arrhythmology Clinic, Marche University Hospital, Ancona, Italy.
Yari ValeriCardiology and Arrhythmology Clinic, Marche University Hospital, Ancona, Italy.
Francesca CampanelliCardiology and Arrhythmology Clinic, Marche University Hospital, Ancona, Italy.
Leonardo D'AngeloCardiology and Arrhythmology Clinic, Marche University Hospital, Ancona, Italy.
Giuseppe CilibertiCardiology and Arrhythmology Clinic, Marche University Hospital, Ancona, Italy.
Giulia StronatiCardiology and Arrhythmology Clinic, Marche University Hospital, Ancona, Italy.
Laura CarboniCardiac Surgery Anesthesia and Critical Care Unit, Marche University Hospital, Ancona, Italy.
Andrea GiovagnoniDepartment of Radiology, University Hospital "Ospedali Riuniti," Ancona, Italy.
Federico GuerraCardiology and Arrhythmology Clinic, Marche University Hospital, Ancona, Italy.
Andrea NataleTexas Cardiac Arrhythmia Institute, St. David's Medical Center, Austin, Texas.
Michela CasellaCardiology and Arrhythmology Clinic, Marche University Hospital, Ancona, Italy.
Antonio Dello RussoCardiology and Arrhythmology Clinic, Marche University Hospital, Ancona, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Posterior wall ablation (PWA) is commonly added to pulmonary vein isolation (PVI) during catheter ablation (CA) of persistent atrial fibrillation (AF). Objective: The purpose of this study was to compare PVI plus PWA using very-high-power short-duration (vHPSD) vs standard-power (SP) ablation index-guided CA among consecutive patients with persistent AF and to determine the voltage correlation between microbipolar and bipolar mapping in AF. Methods: We compared 40 patients undergoing PVI plus PWA using vHPSD to 40 controls receiving PVI plus PWA using SP. The primary efficacy endpoint was recurrence of atrial tachyarrhythmias after a 3-month blanking period. The primary safety outcome was a composite of major complications within 30 days after CA. In the vHPSD group, high-density mapping of the posterior wall was performed using both a multipolar catheter and microelectrodes on the tip of the ablation catheter. Results: PVI was more commonly obtained with vHPSD compared to SP ablation (98%vs 75%; Conclusion: vHPSD PWA plus PVI may be faster and as safe as SP CA among patients with persistent AF, with a trend for superior efficacy. Adapted voltage cutoffs should be used for identifying atrial low-voltage areas with microbipolar mapping.

Indexed as

Left atrial posterior wall ablationMicrobipolar mappingPentaRayPersistent atrial fibrillationQDOT MicroTMVery-high-power short-duration ablation

Identifiers

PMID38984361
PMCPMC11228279

What OpenQuestion holds

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Registered trials

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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.