Evidence map›Paper›PMID 39816999›Full record

ArticleJournal of arrhythmia2025

High-density mapping in catheter ablation for atrial fibrillation in Asia Pacific region: An observational study.

Yu-Shan Huang, Hui-Nam Pak, Kenichi Hiroshima, Takanori Yamaguchi, Yung-Lung Chen, Hidehira Fukaya, Kyoko Soejima, Bryan Ping-Yen Yan, Itsuro Morishima, Satoshi Shizuta and 7 more

Registry-linked trialAbstract read
In one paragraph

Article in Journal of arrhythmia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04022954 (HD Mapping Observational Study - Asia Pacific), which is not on this 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.

NCT04022954 completednot on this map

HD Mapping Observational Study - Asia Pacific

Typeobservational_patient_registrySponsorAbbott Medical DevicesRan2019 to 2021Enrolled200ConditionsParoxysmal Atrial Fibrillation, Persistent Atrial FibrillationArmsCatheter ablation
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. 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

17 authors.

Yu-Shan HuangTaipei Veterans General Hospital Taipei Taiwan.
Hui-Nam PakSeverance Hospital Yonsei University Health System Seoul Republic of Korea.ORCID https://orcid.org/0000-0002-3256-3620
Kenichi HiroshimaKokura Memorial Hospital Fukuoka Japan.
Takanori YamaguchiSaga University Hospital Saga Japan.ORCID https://orcid.org/0000-0002-0613-8591
Yung-Lung ChenKaohsiung Chang Gung Memorial Hospital Taiwan China.
Hidehira FukayaKitasato University Hospital Sagamihara Japan.ORCID https://orcid.org/0000-0002-7588-554X
Kyoko SoejimaKyorin University Hospital Tokyo Japan.
Bryan Ping-Yen YanThe Chinese University of Hong Kong Hong Kong China.ORCID https://orcid.org/0000-0003-0430-5752
Itsuro MorishimaOgaki Municipal Hospital Gifu Japan.ORCID https://orcid.org/0000-0002-1444-090X
Satoshi ShizutaKyoto University Hospital Kyoto Japan.ORCID https://orcid.org/0000-0003-4587-9031
Kenji OkuboYokosuka Kyosai Hospital Yokosuka Japan.ORCID https://orcid.org/0000-0003-2370-461X
Qiangsun ZhengThe Second Affiliated Hospital of Xi'an Jiaotong University Xi An China.
Jong-Il ChoiKorea University Anam Hospital Seoul Republic of Korea.ORCID https://orcid.org/0000-0001-6617-508X
Chenyang JiangSir Run Shaw Hospital Hangzhou China.
Masaki IedaKeio University Hospital Tokyo, Japan / University of Tsukuba Hospital Ibaraki Japan.ORCID https://orcid.org/0000-0003-4724-3299
Eric Emil HorvathAbbott Laboratories Abbott Park Ilinois USA.ORCID https://orcid.org/0009-0002-2526-7070
Li-Wei LoTaipei Veterans General Hospital Taipei Taiwan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Few clinical studies of atrial fibrillation (AF) have focused on Asian patients; data are lacking on current mapping and ablation strategies in the Asia Pacific region (APAC). Objective: The HD Mapping Observational Study (NCT04022954) was designed to characterize electroanatomic mapping (EAM) with market-released high-density mapping (HDM) catheters in subjects with AF in APAC. Methods: Subjects undergoing HDM and indicated for radiofrequency ablation (RFA) to treat AF were prospectively enrolled in APAC. Data included mapping strategy and ablation targets. EAM was performed using one of two commercially available HDM catheters (Advisor™ HD Grid, Sensor Enabled™, Abbott [GRID] or Inquiry™ AFocus II™ Double Loop, Abbott [DL]). Procedure-related adverse events were collected. Results: Two hundred subjects were enrolled at 15 centers: 164 with symptomatic paroxysmal (PAF) and 36 with symptomatic persistent (PersAF) AF for de novo ablation. GRID and DL were used in 186 and 14 cases, respectively. All subjects underwent voltage mapping, with conservative thresholds (low voltage ≤0.5 mV and very low voltage/electrical scar ≤0.1 mV) used in 60.2% and 35.4% of maps, respectively. Focal impulses, rotors, complex fractionated electrograms, and other substrate targets were each searched for in <3% of subjects. Median time to generate a map was 9.0 (Q1: 5.0, Q3: 13.0) minutes. Ablation strategy included pulmonary vein (PV) isolation in all, and non-PV triggers in 75/200 (37.5%) subjects. Five serious adverse events were reported. Conclusions: The study demonstrated an efficient strategy with the feasibility and safety of using HDM during AF ablation procedures in APAC.

Indexed as

atrial fibrillationcatheter ablationEnSite mapping systemhigh‐density electroanatomic mapping

Identifiers

PMID39816999
PMCPMC11730715

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Registered trials

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.