Evidence map›Paper›PMID 39139902›Full record

ArticleJournal of arrhythmia2024

Safety and feasibility of 3D-electroanatomical mapping-guided zero or near-zero fluoroscopy catheter ablation for pediatric arrhythmias: Meta-analysis.

Gusti Ngurah Prana Jagannatha, I Made Putra Swi Antara, Anastasya Maria Kosasih, Jonathan Adrian, Brian Mendel, Nikita Pratama Toding Labi, Wingga Chrisna Aji, Bryan Gervais de Liyis, Made Refika Widya Apsari Tangkas, Yosep Made Pius Cardia and 1 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 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
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

11 authors.

Gusti Ngurah Prana JagannathaFaculty of Medicine Udayana University/Prof. Dr. I.G.N.G Ngoerah General Hospital Denpasar Bali Indonesia.ORCID https://orcid.org/0000-0001-7371-4520
I Made Putra Swi AntaraDivision of Electrophysiology and Cardiac Pacing, Department of Cardiology and Vascular Medicine Udayana University/Prof. Dr. I.G.N.G Ngoerah General Hospital Denpasar Bali Indonesia.ORCID https://orcid.org/0000-0002-1865-4163
Anastasya Maria KosasihFaculty of Medicine Udayana University/Prof. Dr. I.G.N.G Ngoerah General Hospital Denpasar Bali Indonesia.ORCID https://orcid.org/0000-0002-8018-2283
Jonathan AdrianFaculty of Medicine Udayana University/Prof. Dr. I.G.N.G Ngoerah General Hospital Denpasar Bali Indonesia.ORCID https://orcid.org/0009-0007-7209-7680
Brian MendelDepartment of Cardiology and Vascular Medicine, Sultan Sulaiman Government Hospital Serdang Bedagai North Sumatera Indonesia.ORCID https://orcid.org/0000-0002-5612-8113
Nikita Pratama Toding LabiFaculty of Medicine Sam Ratulangi University Manado North Sulawesi Indonesia.ORCID https://orcid.org/0009-0005-5895-643X
Wingga Chrisna AjiFaculty of Medicine Muhammadiyah Yogyakarta University Yogyakarta Indonesia.
Bryan Gervais de LiyisFaculty of Medicine Udayana University/Prof. Dr. I.G.N.G Ngoerah General Hospital Denpasar Bali Indonesia.ORCID https://orcid.org/0000-0002-8272-754X
Made Refika Widya Apsari TangkasFaculty of Medicine Udayana University/Prof. Dr. I.G.N.G Ngoerah General Hospital Denpasar Bali Indonesia.
Yosep Made Pius CardiaFaculty of Medicine Udayana University/Prof. Dr. I.G.N.G Ngoerah General Hospital Denpasar Bali Indonesia.
Alif Hakim AlamsyahFaculty of Medicine Udayana University/Prof. Dr. I.G.N.G Ngoerah General Hospital Denpasar Bali Indonesia.ORCID https://orcid.org/0000-0002-7091-2430

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Catheter ablation in the pediatric population using fluoroscopy has been known to cause adverse events. This study aims to assess the effectiveness and safety of zero fluoroscopy (ZF) and near-ZF-guided catheter ablation for the treatment of arrhythmias in the pediatric population. Methods: The PubMed, Embase, and Cochrane library databases were searched and reviewed for relevant studies. Outcomes of interest include safety, short-term, and long-term effectiveness. We classified patients ≤21 years old who underwent ZF or near-ZF ablation with fluoroscopy time ≤1.5 min as our study group and patients within the same age range who underwent conventional fluoroscopy and/or near-ZF ablation with a mean fluoroscopy time >1.5 min as our control group. Both ZF and near-ZF ablation utilized 3D-electroanatomical mapping (3D-EAM). Results: Ten studies composed of 2279 patients were included in this study. Total fluoroscopy time (MD -15.93 min, 95% CI (-22.57 - (-9.29), Conclusion: ZF and near-ZF ablation reduced the overall duration, compares in effectiveness, and shows a superior safety profile compared to control group.

Indexed as

Ablationnear‐zero fluoroscopypediatriczero fluoroscopy

Identifiers

PMID39139902
PMCPMC11317687

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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.