Evidence map›Paper›PMID 40741054›Full record

ArticleJournal of arrhythmia2025

Impact of Breathing and Anatomical Constraints on Subxiphoid Epicardial Puncture: Insights From a Japanese Cohort.

Natnicha Pongbangli, Hirotsugu Ikewaki, Kyoko Hoshida, Kyoko Soejima

Abstract 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. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

4 authors.

Natnicha PongbangliDepartment of Cardiovascular Medicine Kyorin University School of Medicine Mitaka Japan.
Hirotsugu IkewakiDepartment of Cardiovascular Medicine Kyorin University School of Medicine Mitaka Japan.
Kyoko HoshidaDepartment of Cardiovascular Medicine Kyorin University School of Medicine Mitaka Japan.
Kyoko SoejimaDepartment of Cardiovascular Medicine Kyorin University School of Medicine Mitaka Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The subxiphoid approach is increasingly utilized for epicardial interventions. Understanding the effect of respiration on the distance from the xiphoid process to the pericardium is essential for improving procedural safety and efficacy. Methods: A cross-sectional study was conducted on 51 patients undergoing preprocedural ultrasound imaging. Measurements were taken in the supine position during spontaneous breathing at end-inspiration and end-expiration, with the probe directed toward both the midline and the left shoulder. Differences between respiratory phases and probe orientations were analyzed. Results: The mean xiphoid-to-pericardium distance increased significantly from inspiration to expiration for both probe orientations (midline: 42.2 ± 12.2 mm vs. 54.6 ± 14.1 mm, Conclusions: Respiratory phase and anthropometric parameters significantly influence the distance to the pericardium. These findings may guide safer planning of subxiphoid epicardial procedures.

Indexed as

cardiac ultrasoundepicardial accesspericardium distancerespirationsubxiphoid approach

Identifiers

PMID40741054
PMCPMC12310301

What OpenQuestion holds

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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.