Evidence map›Paper›PMID 39158516›Full record

ArticleCardiology journal2024

Zero-fluoroscopy catheter ablation of premature ventricular contractions: comparative outcomes from the right ventricular outflow tract and other ventricular sites.

Dariusz Rodkiewicz, Karol Momot, Edward Koźluk, Agnieszka Piątkowska, Karolina Rogala, Liana Puchalska, Artur Mamcarz

Abstract readComparative Study
In one paragraph

Article in Cardiology journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. 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

7 authors.

Dariusz RodkiewiczDepartment of Cardiology and Internal Diseases, Regional Hospital in Międzylesie, Warsaw, Poland.
Karol MomotDepartment of Cardiology and Internal Diseases, Regional Hospital in Międzylesie, Warsaw, Poland. karolmomot@icloud.com.ORCID 0000-0001-8659-2948
Edward KoźlukDepartment of Cardiology and Internal Diseases, Regional Hospital in Międzylesie, Warsaw, Poland.
Agnieszka PiątkowskaDepartment of Cardiology and Internal Diseases, Regional Hospital in Międzylesie, Warsaw, Poland.
Karolina RogalaDepartment of Cardiology and Internal Diseases, Regional Hospital in Międzylesie, Warsaw, Poland.
Liana PuchalskaDepartment of Experimental and Clinical Physiology, Laboratory of Centre for Preclinical Research, Medical University of Warsaw, Poland.
Artur Mamcarz3rd Department of Internal Medicine and Cardiology, Medical University of Warsaw, Warsaw, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe three-dimensional electroanatomic mapping (EAM) system allows performing catheter ablation (CA) without fluoroscopy in patients with premature ventricular contractions (PVCs). The right ventricle outflow tract (RVOT) location is favorable for performing zero-fluoroscopy CA. Non-RVOT zero-fluoroscopy CA is a challenging procedure. The study aimed to evaluate the efficacy and safety of zero-fluoroscopy CA using the EAM in patients with PVCs from RVOT and non-RVOT.

methodsCompletely zero-fluoroscopy CA of PVCs guided by EAM was performed in 107 patients with PVCs. 54 patients underwent zero-fluoroscopy RVOT CA. The remaining 53 patients underwent zero-fluoroscopy non-RVOT CA. Demographic and clinical baseline characteristics, procedure parameters, and follow-up were obtained from medical records. Primary outcomes were the acute and the permanent success rate (12-month follow-up), complications, and procedure time.

resultsThere were no significant differences between groups regarding baseline characteristics. Acute procedural success was achieved in 52 patients (94,44%) in the RVOT zero-fluoroscopy CA group and in 45 patients (86,54%) in the non-RVOT zero-fluoroscopy CA group (ns). A long-term success rate was achieved in 50 patients (90,74%) in the RVOT zero-fluoroscopy CA group and in 44 patients (84,62%) in the non-RVOT zero-fluoroscopy CA group (ns). The median procedure time was 80.5 minutes in the RVOT group and 90 minutes in the non-RVOT group (ns). There were two complications in the non-RVOT group (ns).

conclusionsThere were no differences in procedure time efficacy and safety zero-fluoroscopy ablation between RVOT and non-RVOT locations. Non-fluoroscopy CA of PVCs is a feasible, safe, and efficient procedure.

Indexed as

Catheter AblationHeart VentriclesVentricular Premature ComplexesAdultElectrophysiologic Techniques, CardiacFemaleFluoroscopyFollow-Up StudiesHumansImaging, Three-DimensionalMaleMiddle AgedRetrospective StudiesTime FactorsTreatment Outcomefluoroscopy eliminationpremature ventricular contractionsright ventricular outflow tractventricular arrhythmiazero-fluoroscopy catheter ablation

Identifiers

PMID39158516
PMCPMC11706260

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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.