Evidence map›Paper›PMID 42138378›Full record

ArticleJournal of cardiovascular electrophysiology2026

Real-World Adverse Events Associated With the Sphere-9 Dual-Energy Arrhythmia Ablation Catheter.

Ahmed Ashraf Morgan, Suraj Adhikari, Adir Alper, Robert Faillace, Alexander Kushnir

Abstract read
In one paragraph

Article 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. 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

5 authors.

Ahmed Ashraf MorganDepartment of Medicine, Jacobi Medical Center, Albert Einstein College of Medicine, New York, New York, USA.ORCID 0009-0006-9444-2126
Suraj AdhikariDepartment of Medicine, Jacobi Medical Center, Albert Einstein College of Medicine, New York, New York, USA.ORCID 0000-0001-9079-1587
Adir AlperDepartment of Medicine, Jacobi Medical Center, Albert Einstein College of Medicine, New York, New York, USA.
Robert FaillaceDepartment of Medicine, Jacobi Medical Center, Albert Einstein College of Medicine, New York, New York, USA.
Alexander KushnirDepartment of Medicine, NYU Grossman School of Medicine, New York, New York, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSphere-9 is a lattice tip ablation catheter (Medtronic, USA) capable of delivering both pulsed field and radiofrequency ablation. It is approved for the treatment of atrial fibrillation. Adverse events related to this device have been reported to national databases. A systematic assessment of these reports is needed to understand the nature of device-related complications.

methodsWe queried the FDA Manufacturer and User Facility Device Experience (MAUDE) database between October 24, 2024 and October 24, 2025 to identify reports related to the Sphere-9 catheter. A total of 222 reports were included in the final analysis.

resultsOf 222 reports, 148 (67%) resulted in clinical events. Of these, 107 were suspected to be related to the Sphere-9, including: VT/VF during/following energy delivery (n = 30), Stroke/TIA (n = 25), sinus node dysfunction/AV block (n = 23), pericardial effusion (n = 7), coronary spasm (n = 9), and phrenic nerve injury (n = 2). Catheter/defibrillator (ICD) related interactions were suspected in 10 of the VT/VF reports. There were 65 catheter related reports that did not appear to be associated with adverse clinical events, which included tissue/char formation on the catheter tip (n = 24), steam pop (n = 25), and mechanical entrapment (n = 7).

conclusionThis early analysis of adverse events reported for the Sphere-9 catheter highlights complications including arrhythmias, such as VT/VF and AV block, and the risks associated with ICD-catheter related interactions.

Indexed as

Arrhythmias, CardiacAtrial FibrillationCardiac CathetersCatheter AblationDatabases, FactualEquipment DesignHeart RateHumansRisk AssessmentRisk FactorsTime FactorsTreatment Outcomeablationadverse eventsatrial fibrillationdevice safetypulsed fieldradiofrequencysphere‐9

Identifiers

PMID42138378
PMCPMC13372405

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.