Evidence map›Paper›PMID 41852605›Full record

ArticleFrontiers in cardiovascular medicine2026

Biomarker response to balloon-in-basket pulsed field ablation: does posterior wall isolation matter?

Sascha Hatahet, Sorin Popescu, Charlotte Eitel, Suzanne de Waha, Tanja Zeller, Karl-Heinz Kuck, Jan-Per Wenzel, Roland Richard Tilz

Abstract read
In one paragraph

Article in Frontiers in cardiovascular medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

2 citing papers in PubMed.

  1. "Awake but elsewhere": impact of augmented reality glasses on conscious sedation in balloon-in-basket pulsed field ablation.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2026
    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

8 authors.

Sascha HatahetDepartment of Rhythmology, Heart Center Lübeck, University Hospital Schleswig-Holstein, Lübeck, Germany.
Sorin PopescuDepartment of Rhythmology, Heart Center Lübeck, University Hospital Schleswig-Holstein, Lübeck, Germany.
Charlotte EitelDepartment 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, Germany.
Karl-Heinz KuckDepartment of Rhythmology, Heart Center Lübeck, University Hospital Schleswig-Holstein, Lübeck, Germany.
Jan-Per WenzelDepartment 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: A novel balloon-in-basket pulsed field ablation (BiB-PFA) catheter enables efficient pulmonary vein isolation (PVI) and allows posterior wall isolation (PWI) within the same procedure. The incremental biological effect of PWI compared to PVI alone remains uncertain, particularly regarding inflammation, myocardial injury, and hemolysis. Methods: In this prospective, single-center study, consecutive patients with atrial fibrillation underwent first-time BiB-PFA, either PVI only or PVI plus PWI. Venous blood samples were collected before and one day after ablation. Biomarkers included leukocytes, platelets, hemoglobin, C-reactive protein (CRP), haptoglobin, bilirubin, lactate dehydrogenase (LDH), creatinine, estimated glomerular filtration rate (GFR), myoglobin, creatine kinase (CK), and troponin T. Results: A total of 60 patients were enrolled (PVI only Conclusion: BiB-PFA PVI provokes systemic responses involving inflammation, myocardial injury, and hemolysis. Adjunctive PWI increases application number but does not further increase biomarker release, supporting the biological safety of PWI.

Indexed as

atrial fibrillationhemolysisinflammationmyocardial injuryPFAplateletsposterior wall isolationPVI

Identifiers

PMID41852605
PMCPMC12992039

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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.