Evidence map›Paper›PMID 41541730›Full record

ArticleHeart rhythm O22025

Differential inflammatory and myocardial biomarker response after pulsed field ablation for atrial fibrillation using balloon-in-basket vs pentaspline catheters.

Jan-Per Wenzel, Sascha Hatahet, Raed Abdessadok, Charlotte Eitel, Julius Nikorowitsch, Roman Mamaev, Samuel Reincke, Sorin Popescu, Anna Traub, Suzanne de Waha and 3 more

Abstract read
In one paragraph

Article in Heart rhythm O2, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

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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

13 authors.

Jan-Per WenzelDepartment of Rhythmology, Heart Center Lübeck, University Hospital Schleswig-Holstein, Lübeck, Germany.
Sascha HatahetDepartment of Rhythmology, Heart Center Lübeck, University Hospital Schleswig-Holstein, Lübeck, Germany.
Raed AbdessadokDepartment of Rhythmology, Heart Center Lübeck, University Hospital Schleswig-Holstein, Lübeck, Germany.
Charlotte EitelDepartment of Rhythmology, Heart Center Lübeck, University Hospital Schleswig-Holstein, Lübeck, Germany.
Julius NikorowitschDepartment of Rhythmology, Heart Center Lübeck, University Hospital Schleswig-Holstein, Lübeck, Germany.
Roman MamaevDepartment of Rhythmology, Heart Center Lübeck, University Hospital Schleswig-Holstein, Lübeck, Germany.
Samuel ReinckeDepartment of Rhythmology, Heart Center Lübeck, University Hospital Schleswig-Holstein, Lübeck, Germany.
Sorin PopescuDepartment of Rhythmology, Heart Center Lübeck, University Hospital Schleswig-Holstein, Lübeck, Germany.
Anna TraubDepartment of Rhythmology, Heart Center Lübeck, University Hospital Schleswig-Holstein, Lübeck, Germany.
Suzanne de WahaDepartment of Rhythmology, Heart Center Lübeck, University Hospital Schleswig-Holstein, Lübeck, Germany.
Tanja ZellerGerman Center for Cardiovascular Research (DZHK), Partner Site Lübeck, Lübeck, Germany.
Karl-Heinz KuckDepartment of Rhythmology, Heart Center Lübeck, University Hospital Schleswig-Holstein, Lübeck, Germany.
Roland Richard TilzDepartment of Rhythmology, Heart Center Lübeck, University Hospital Schleswig-Holstein, Lübeck, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Pulsed field ablation (PFA) is a nonthermal technique for pulmonary vein isolation (PVI) in atrial fibrillation, offering lesion selectivity with minimal collateral damage. Despite its nonthermal nature, systemic inflammatory and myocardial responses may occur. Catheter design could modulate these effects. Objective: The purpose of this study was to compare inflammatory and myocardial biomarker responses after PFA using balloon-in-basket vs pentaspline catheter systems. Methods: This prospective, nonrandomized, single-center study involved venous blood sampling before and the morning after PFA-based PVI using either catheter type. Biomarkers analyzed included leukocytes, C-reactive protein (CRP), platelets, troponin T, creatine kinase (CK), CK-MB, and myoglobin. Results: Eighty patients were included (balloon-in-basket: n = 40; pentaspline: n = 40). Baseline characteristics were comparable. All patients achieved acute and first-pass PVI. The balloon-in-basket group required fewer PFA applications (16 vs 32; Conclusion: Balloon-in-basket and pentaspline PFA catheters induce distinct inflammatory and myocardial biomarker profiles after PVI. The observed differences in leukocyte, CRP, and platelet responses highlight design-specific biological effects. These findings may support informed catheter selection and help guide postprocedural monitoring strategies.

Indexed as

Atrial fibrillationCatheter designInflammationMyocardial injuryPlateletsPulmonary vein isolationPulsed field ablation

Identifiers

PMID41541730
PMCPMC12800810

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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.