Evidence map›Paper›PMID 41772804›Full record

Observational studyJournal of cardiovascular electrophysiology2026

Comparison of Integrated 3D Electroanatomic Mapping and Conventional Mapping Systems for Pentaspline Pulsed Field Ablation of Atrial Fibrillation.

Auroa Badin, Andrea K Robinson, Allyson Farrah, Saanvi Billakanty, David M Nemer, Ankur N Shah, Jaret D Tyler, Eugene Y Fu, Nagesh Chopra, Anish K Amin

Abstract readComparative StudyMulticenter StudyObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Journal of cardiovascular electrophysiology, 2026. 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. Observational
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.

Auroa BadinDivision of Cardiac Electrophysiology, OhioHealth Heart and Vascular Physicians, Riverside Methodist Hospital, Columbus, Ohio, USA.ORCID 0000-0001-5525-5316
Andrea K RobinsonDivision of Cardiac Electrophysiology, OhioHealth Heart and Vascular Physicians, Riverside Methodist Hospital, Columbus, Ohio, USA.
Allyson FarrahDivision of Cardiac Electrophysiology, OhioHealth Heart and Vascular Physicians, Riverside Methodist Hospital, Columbus, Ohio, USA.
Saanvi BillakantyDepartment of Immunity and Inflammation, Cleveland Clinic Research, Cleveland, Ohio, USA.
David M NemerDivision of Cardiac Electrophysiology, OhioHealth Heart and Vascular Physicians, Riverside Methodist Hospital, Columbus, Ohio, USA.
Ankur N ShahDivision of Cardiac Electrophysiology, OhioHealth Heart and Vascular Physicians, Riverside Methodist Hospital, Columbus, Ohio, USA.
Jaret D TylerDivision of Cardiac Electrophysiology, OhioHealth Heart and Vascular Physicians, Riverside Methodist Hospital, Columbus, Ohio, USA.
Eugene Y FuDivision of Cardiac Electrophysiology, OhioHealth Heart and Vascular Physicians, Riverside Methodist Hospital, Columbus, Ohio, USA.
Nagesh ChopraDivision of Cardiac Electrophysiology, OhioHealth Heart and Vascular Physicians, Riverside Methodist Hospital, Columbus, Ohio, USA.
Anish K AminDivision of Cardiac Electrophysiology, OhioHealth Heart and Vascular Physicians, Riverside Methodist Hospital, Columbus, Ohio, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPulsed field ablation (PFA) is an established therapy for atrial fibrillation (AF), yet optimal mapping strategies during pentaspline PFA remain uncertain. We compared procedural characteristics and material costs of an integrated 3D electroanatomic mapping (EAM) platform with conventional mapping systems. METHODS AND

resultsIn a multicenter observational study of 448 consecutive AF ablations done using pentaspline catheter (62 integrated mapping; 386 conventional mapping) performed between February 2024 and August 2025, baseline characteristics were similar between groups. Compared with conventional mapping, the integrated platform was associated with shorter total procedure time (49 ± 16 vs. 66 ± 26 min, p < 0.001), shorter left atrial dwell time (35 ± 12 vs. 46 ± 30 min, p < 0.001), reduced fluoroscopy time (6 ± 4 vs. 12 ± 7 min, p < 0.001), lower radiation dose (36 ± 10 vs. 93 ± 18 mGy, p < 0.001), and lower mean material cost ($12 958 ± 164 vs. $14 739 ± 1192, p < 0.001). Differences were consistent across lesion sets. Acute pulmonary vein isolation was achieved in all patients, with two major complications occurring in the conventional mapping group.

conclusionIntegrated 3D EAM during pentaspline PFA was associated with shorter procedures, lower radiation exposure, and reduced material costs. These findings support the procedural and operational advantages of integrated mapping platforms in contemporary AF ablation practice.

Indexed as

Action PotentialsAtrial FibrillationCatheter AblationElectrophysiologic Techniques, CardiacImaging, Three-DimensionalPulmonary VeinsAgedCost-Benefit AnalysisCost SavingsFemaleHeart RateHumansMaleMiddle AgedOperative TimePredictive Value of Testsatrial fibrillationcost analysiselectroanatomic mappingprocedural efficiencypulmonary vein isolationpulsed field ablationradiation exposurethree‐dimensional mapping

Identifiers

PMID41772804
PMCPMC13269870

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.