Evidence map›Paper›PMID 42147202›Full record

ArticleJournal of arrhythmia2026

Interlesion Time as a Key Metric of Procedural Proficiency in Atrial Fibrillation Ablation: From Fellow to Attending.

Hitoshi Mori, Daisuke Kawano, Masataka Narita, Kazuhisa Matsumoto, Tsukasa Naganuma, Wataru Sasaki, Naomichi Tanaka, Kazuhiko Kuinose, Kei Matsumoto, Yoshifumi Ikeda and 2 more

Abstract read
In one paragraph

Article in Journal of arrhythmia, 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

12 authors.

Hitoshi MoriDepartment of Cardiology Saitama Medical University, International Medical Center Hidaka Japan.ORCID https://orcid.org/0000-0002-1172-2995
Daisuke KawanoDepartment of Cardiology Saitama Medical University, International Medical Center Hidaka Japan.ORCID https://orcid.org/0000-0002-3347-6772
Masataka NaritaDepartment of Cardiology Saitama Medical University, International Medical Center Hidaka Japan.ORCID https://orcid.org/0009-0008-0624-9639
Kazuhisa MatsumotoDepartment of Cardiology Saitama Medical University, International Medical Center Hidaka Japan.ORCID https://orcid.org/0000-0002-5648-8135
Tsukasa NaganumaDepartment of Cardiology Saitama Medical University, International Medical Center Hidaka Japan.
Wataru SasakiDepartment of Cardiology Saitama Medical University, International Medical Center Hidaka Japan.ORCID https://orcid.org/0000-0003-1418-6566
Naomichi TanakaDepartment of Cardiology Saitama Medical University, International Medical Center Hidaka Japan.
Kazuhiko KuinoseDepartment of Cardiology Saitama Medical University, International Medical Center Hidaka Japan.
Kei MatsumotoDepartment of Cardiology Saitama Medical University, International Medical Center Hidaka Japan.
Yoshifumi IkedaDepartment of Cardiology Saitama Medical University, International Medical Center Hidaka Japan.
Kazuo MatsumotoDepartment of Cardiology Saitama Medical University, International Medical Center Hidaka Japan.
Ritsushi KatoDepartment of Cardiology Saitama Medical University, International Medical Center Hidaka Japan.ORCID https://orcid.org/0000-0002-9989-8708

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Pulmonary vein isolation (PVI) is a cornerstone of atrial fibrillation (AF) ablation. Unlike balloon-based or pulsed field ablation, radiofrequency ablation requires precise catheter control and poses a steeper learning curve. This study aimed to compare technical parameters between attending and fellow electrophysiologists (EPs) using data extracted via cloud-based analysis. Methods: A total of 194 patients undergoing first-time AF ablation between April 2023 and September 2024 were analyzed. Procedural metrics, including contact force (CF), inter-lesion time (ILT), and catheter stability, were compared across six anatomical regions between three attending and five fellow EPs. Results: Attending EPs achieved significantly shorter ILTs in PVI with moderate-to-large effect sizes (Attending vs. Fellows, sec; right PV, 4.8 [4.3-8.4] vs. 9.6 [5.5-15.6], Discussion: ILT best reflected operator experience, with shorter ILTs likely contributing to improved lesion continuity and procedural proficiency. Fellows demonstrated comparable CF and catheter stability, potentially aided by steerable sheath use. Mastery of anatomical navigation may be key to advancing proficiency. Conclusion: Shorter ILTs by attending EPs reflect greater procedural proficiency. Emphasizing anatomical understanding and deliberate catheter manipulation during training may enhance skill development and improve clinical outcomes.

Indexed as

ablation skillatrial fibrillationCARTONETpulmonary vein isolation

Identifiers

PMID42147202
PMCPMC13176641

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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.