Evidence map›Paper›PMID 39669915›Full record

ArticleJournal of arrhythmia2024

Investigating the role of electroanatomical mapping in single-shot pulsed field catheter ablation.

Ourania Kariki, Panagiotis Mililis, Athanasios Saplaouras, Theodoros Efremidis, Anastasios Chatziantoniou, Ioannis Panagiotopoulos, Stylianos Dragasis, Konstantinos P Letsas, Michael Efremidis

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 6 papers, 1 of them a synthesis that pooled it.

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

6 citing papers in PubMed, 1 synthesis or guideline 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
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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

9 authors.

Ourania KarikiArrhythmia Unit Onassis Cardiac Surgery Center Athens Greece.
Panagiotis MililisArrhythmia Unit Onassis Cardiac Surgery Center Athens Greece.
Athanasios SaplaourasArrhythmia Unit Onassis Cardiac Surgery Center Athens Greece.
Theodoros EfremidisArrhythmia Unit Onassis Cardiac Surgery Center Athens Greece.
Anastasios ChatziantoniouArrhythmia Unit Onassis Cardiac Surgery Center Athens Greece.ORCID https://orcid.org/0009-0000-4937-1396
Ioannis PanagiotopoulosArrhythmia Unit Onassis Cardiac Surgery Center Athens Greece.ORCID https://orcid.org/0000-0003-0907-7920
Stylianos DragasisArrhythmia Unit Onassis Cardiac Surgery Center Athens Greece.
Konstantinos P LetsasArrhythmia Unit Onassis Cardiac Surgery Center Athens Greece.ORCID https://orcid.org/0000-0001-8924-8261
Michael EfremidisArrhythmia Unit Onassis Cardiac Surgery Center Athens Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Pulsed field ablation (PFA) is a form of nonthermal energy that has been recently introduced for pulmonary vein isolation (PVI). A multi-electrode pentaspline catheter for delivery of PFA guided by fluoroscopy has become widely available for clinical use. Methods and Results: In this study, we aimed to assess whether the addition of electroanatomical mapping (EAM) for confirmation of PVI in the acute phase can increase the efficacy of the procedure in terms of arrhythmia recurrences. A total of 51 patients with atrial fibrillation (AF) scheduled for first time PVI were included in the study. Participants were assigned to receive PVI using fluoroscopy guidance only (Fluoro-only group: 31 patients) or additional validation with EAM (EAM group: 20 patients). Endpoints included arrhythmia recurrence and procedural characteristics. During a 11.2 ± 1.3 months follow-up period, arrhythmia recurrences did not statistically differ between groups (16.1% vs. 20%, Conclusion: In a cohort of patients with AF undergoing first time PVI using a pentaspline PFA catheter, PVI validation with EAM did not lead to significantly different arrhythmia recurrence rates compared to PVI without EAM. In the acute phase, the rate of nonisolated PVs was low.

Indexed as

atrial fibrillationcatheter ablationelectroanatomical mappingpulmonary vein isolationpulsed field ablation

Identifiers

PMID39669915
PMCPMC11632236

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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.