Evidence map›Paper›PMID 39007968›Full record

ArticleJournal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing2024

Safety and feasibility of pulmonary vein isolation utilizing pulsed field ablation in patients with symptomatic atrial fibrillation and implanted Watchman devices.

Ivana Garza, Haider Al Taii, Arun Narayanan, Hani Jneid, Dean Sabayon

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Article in Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
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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.

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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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

5 authors.

Ivana GarzaDivision of Cardiovascular Medicine, University of Texas Medical Branch, 301 University Blvd, Galveston, TX, 77555, USA.
Haider Al TaiiCardiac Electrophysiology Section, Division of Cardiovascular Medicine, University of Texas Medical Branch, 301 University Blvd, Galveston, TX, USA.
Arun NarayananCardiac Electrophysiology Section, Division of Cardiovascular Medicine, University of Texas Medical Branch, 301 University Blvd, Galveston, TX, USA.
Hani JneidDivision of Cardiovascular Medicine, University of Texas Medical Branch, 301 University Blvd, Galveston, TX, 77555, USA.
Dean SabayonDivision of Cardiovascular Medicine, University of Texas Medical Branch, 301 University Blvd, Galveston, TX, 77555, USA. musabayo@utmb.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPulsed field ablation (PFA) is a novel method of non-thermal cardiac ablation for atrial fibrillation (AF). Its use on patients with pre-existing Watchman devices has not been studied.

methodsPulmonary vein isolation (PVI) utilizing PFA was performed in 7 patients with symptomatic AF and implanted Watchman devices. All cases were conducted at a single academic center.

resultsSuccessful PVI in patients with Watchman devices implanted at a median time of 534 days prior to the index ablation procedure (IQR 365 days) was achieved in all cases. No major adverse events (intraprocedural CVA, post-procedural CVA, major or minor bleeding events, device embolization, or cardiac tamponade) were observed. In 6 of 7 patients, a low-dose direct oral anticoagulant (DOAC) strategy was implemented post-PFA.

conclusionWe present the first reported case series of PFA in patients with AF and implanted Watchman devices. This study highlights the safety and feasibility of the FARAPULSE PFA system in this patient population.

Indexed as

Atrial FibrillationCatheter AblationFeasibility StudiesPulmonary VeinsAgedFemaleHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeLeft atrial appendage closure devicePulmonary vein isolationPulse field ablation

Identifiers

PMID39007968

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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.