Evidence map›Paper›PMID 42200692›Full record

ArticleJournal of cardiovascular electrophysiology2026

A Simplified Epicardial Ablation Strategy for Ventricular Tachycardia Integrating CT-Derived Epicardial Adipose Tissue Into Three-Dimensional Electroanatomic Mapping.

Koumei Onuki, Kenichi Hiroshima, Akihiro Isotani, Masato Fukunaga, Michio Nagashima, Kenji Ando

Abstract readCase Reports
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. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Koumei OnukiDepartment of Cardiology, Kokura Memorial Hospital, Kitakyushu, Japan.ORCID 0009-0006-5569-972X
Kenichi HiroshimaDepartment of Cardiology, Kokura Memorial Hospital, Kitakyushu, Japan.
Akihiro IsotaniDepartment of Cardiology, Kokura Memorial Hospital, Kitakyushu, Japan.
Masato FukunagaDepartment of Cardiology, Kokura Memorial Hospital, Kitakyushu, Japan.ORCID 0000-0002-0230-4556
Michio NagashimaDepartment of Cardiology, Kokura Memorial Hospital, Kitakyushu, Japan.
Kenji AndoDepartment of Cardiology, Kokura Memorial Hospital, Kitakyushu, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionEpicardial adipose tissue (EAT) can attenuate electrograms and limit lesion formation during epicardial ventricular tachycardia (VT) ablation. CASE PRESENTATION: We developed a simplified workflow using predefined CT attenuation values to integrate EAT into the CARTO 3 system. We applied this approach in three patients with dilated cardiomyopathy undergoing epicardial VT ablation, where EAT visualization guided target selection, avoided ineffective ablation, and informed alternative endocardial strategies. DISCUSSION: EAT-integrated mapping improved the interpretation of epicardial substrates and influenced procedural decision-making. This workflow may facilitate efficient assessment of epicardial ablation feasibility in complex VT cases.

Indexed as

Catheter AblationElectrophysiologic Techniques, CardiacEpicardial Adipose TissueEpicardial MappingImaging, Three-DimensionalTachycardia, VentricularTomography, X-Ray ComputedAction PotentialsAgedCardiomyopathy, DilatedFemaleHeart RateHumansMaleMiddle AgedPericardiumepicardial ablationepicardial adipose tissuethree‐dimensional electroanatomic mapping systemventricular tachycardia

Identifiers

PMID42200692
PMCPMC13372432

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.