Evidence map›Paper›PMID 39210241›Full record

ArticleJournal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing2025

Peri-procedural anesthesia and patient pain experience in pulmonary vein isolation by means of very high-power short-duration radiofrequency ablation.

Sara Poggi, Teresa Strisciuglio, Assunta Iuliano, Giorgio Spiniello, Vincenzo Schillaci, Alberto Arestia, Gergana Shopova, Armando Mariano Salito, Giovanni Marano, Vincenzo La Rocca and 8 more

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In one paragraph

Article in Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Anaesthetic Techniques for Cardiac Ablation-A Scoping Review.Acta anaesthesiologica Scandinavica · 2026
    Article
  2. Review
  3. Very high-power short duration radiofrequency ablation to achieve pulmonary vein isolation: the AIR HPSD registry.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2026
    Article
  4. Observational
  5. Review
  6. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors.

Sara PoggiMediterranea Cardiocentro, Via Orazio 2, 80131, Naples, Italy.
Teresa StrisciuglioDepartment of Advanced Biomedical Sciences, University of Naples Federico II, Naples, Italy.
Assunta IulianoMediterranea Cardiocentro, Via Orazio 2, 80131, Naples, Italy.
Giorgio SpinielloMediterranea Cardiocentro, Via Orazio 2, 80131, Naples, Italy.
Vincenzo SchillaciClinica Montevergine, Mercogliano, AV, Italy.
Alberto ArestiaClinica Montevergine, Mercogliano, AV, Italy.
Gergana ShopovaClinica Montevergine, Mercogliano, AV, Italy.
Armando Mariano SalitoClinica Montevergine, Mercogliano, AV, Italy.
Giovanni MaranoClinica Montevergine, Mercogliano, AV, Italy.
Vincenzo La RoccaClinica San Michele, Maddaloni, CE, Italy.
Alessia AgrestaClinica San Michele, Maddaloni, CE, Italy.
Riccardo RicciolinoClinica San Michele, Maddaloni, CE, Italy.
Cosimo Damiano Di CandiaAnthea Hospital, Bari, Italy.
Tommaso InfusinoAnthea Hospital, Bari, Italy.
Marco MicilloMediterranea Cardiocentro, Via Orazio 2, 80131, Naples, Italy.
Antonio De SimoneClinica San Michele, Maddaloni, CE, Italy.
Francesco SolimeneClinica Montevergine, Mercogliano, AV, Italy.
Giuseppe StabileMediterranea Cardiocentro, Via Orazio 2, 80131, Naples, Italy. gmrstabile@tin.it.ORCID http://orcid.org/0000-0003-4646-0865

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVery high-power short-duration (vHPSD) temperature-controlled radiofrequency ablation (vHPSD) may reduce ablation times and improve patient tolerability, permitting pulmonary vein (PV) isolation under mild conscious sedation. We evaluated of the anesthetic drugs use and patients' pain experience during vHPSD PV isolation.

methodsFifty-eight patients, with paroxysmal and persistent atrial fibrillation (AF), treated with QDot Micro catheter and vHPSD (90 w for 4 s) (vHPSD group), were compared with the last 33 patients treated with a surround flow contact force-sensing catheter guided by the ablation index (450 anteriorly at 50 W, 330 posteriorly at 40 W) (AI group). Anesthetic drugs use was compared as well as pain experience, measured using a 0-10 scale.

resultsAll PVs were acutely isolated. Procedural time (78 ± 10 min vs 84 ± 12 min, p = 0.012), fluoroscopy time (369 ± 139 s vs 441 ± 172 s, p = 0.03), and RF time in the vHPSD group (8.3 ± 2.1 min) were shorter than in the AI group (25 ± 11 min, p < 0.001). Only 4 patients experienced an access site-related vascular complication (groin hematoma). Midazolam was required in 36 (62%) vHPSD group patients vs 31 (94%) AI group patients (p < 0.001). Fentanyl was required in 4 (7%) vHPSD group patients vs 25 (76%) AI group patients (p < 0.001). No patients required general anesthesia. Twenty-two (38%) vHPSD group patients underwent PV isolation without any anesthetic drug. Pain experience was significantly lower in vHPSD group (4.9 ± 2 vs 6.6 ± 1.8, p < 0.001).

conclusionsvHPSD radiofrequency ablation for PVI can be performed under conscious sedation using only benzodiazepine in most of patients without compromising patient pain experience.

Indexed as

Atrial FibrillationCatheter AblationPulmonary VeinsAgedFemaleHumansMaleMiddle AgedPain MeasurementTreatment OutcomeAtrial fibrillationCatheter ablationSedationVHPSD

Identifiers

PMID39210241

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.