Evidence map›Paper›PMID 41164219›Full record

ArticleJournal of arrhythmia2025

Wall Thickness-Guided vs. Voltage-Guided Pulmonary Vein Isolation for Atrial Fibrillation.

Moyuru Hirata, Ryuta Watanabe, Koichi Nagashima, Yuji Wakamatsu, Naoto Otsuka, Shu Hirata, Yuji Saito, Masanaru Sawada, Shiro Nakahara, Yasuo Okumura

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

10 authors.

Moyuru HirataDivision of Cardiology, Department of Medicine Nihon University School of Medicine Tokyo Japan.ORCID https://orcid.org/0000-0003-2701-486X
Ryuta WatanabeDivision of Cardiology, Department of Medicine Nihon University School of Medicine Tokyo Japan.ORCID https://orcid.org/0000-0003-2664-7139
Koichi NagashimaDivision of Cardiology, Department of Medicine Nihon University School of Medicine Tokyo Japan.ORCID https://orcid.org/0000-0003-2326-225X
Yuji WakamatsuDivision of Cardiology, Department of Medicine Nihon University School of Medicine Tokyo Japan.ORCID https://orcid.org/0000-0002-1540-8514
Naoto OtsukaDivision of Cardiology, Department of Medicine Nihon University School of Medicine Tokyo Japan.
Shu HirataDivision of Cardiology, Department of Medicine Nihon University School of Medicine Tokyo Japan.ORCID https://orcid.org/0000-0003-0226-466X
Yuji SaitoDivision of Cardiology, Department of Medicine Nihon University School of Medicine Tokyo Japan.
Masanaru SawadaDivision of Cardiology, Department of Medicine Nihon University School of Medicine Tokyo Japan.ORCID https://orcid.org/0000-0002-9663-7617
Shiro NakaharaDepartment of Cardiology Dokkyo Medical University Saitama Medical Center Koshigaya Japan.ORCID https://orcid.org/0000-0002-6388-4398
Yasuo OkumuraDivision of Cardiology, Department of Medicine Nihon University School of Medicine Tokyo Japan.ORCID https://orcid.org/0000-0002-2960-4241

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The efficacy and safety of tailored pulmonary vein isolation (PVI) guided by either left atrial wall thickness (LAWT) or bipolar voltage remain unclear. Objective: The aim of this prospective study was to evaluate the efficacy and safety of each ablation strategy. Methods: We conducted a prospective analysis of 97 patients with non-valvular atrial fibrillation (AF) who underwent an initial RF catheter ablation procedure known as an extensive encircling PVI. Fifty patients underwent PVI using a wall thickness (WT)-guided approach using ADAS 3D software and 47 patients using a voltage-guided approach. In each strategy, high-power short-duration (HPSD) ablation was applied to regions with increased LAWT or elevated bipolar voltage, respectively, while very high-power short-duration (vHPSD) ablation was delivered to the remaining regions. Results: The first-pass PVI rate tended to be higher in the WT-guided group compared to the Voltage-guided group (43 [86%] vs. 34 [72%], Conclusions: WT-guided ablation was associated with a significantly lower incidence of PV gaps than a conventional bipolar voltage-guided strategy.

Indexed as

atrial fibrillationvery high‐power short‐duration ablationvoltageswall thickness

Identifiers

PMID41164219
PMCPMC12559026

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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.