Evidence mapPaperPMID 40195230Full record

ReviewJournal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing2025

The use of cardiac imaging in patients undergoing atrial fibrillation ablation.

Gaia Filiberti, Giulia Antonelli, Giulio Falasconi, Alessandro Villaschi, Stefano Figliozzi, Martina Maria Ruffo, Antonio Taormina, Guido Del Monaco, Alessia Chiara Latini, Sebastiano Carli and 16 more

Abstract readReview
PubMed Publisher
In one paragraph

Review in Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Intracardiac Echocardiography during Invasive Electrophysiological Procedures: a Scientific Statement of the European Heart Rhythm Association of the ESC, and the European Association of Percutaneous Cardiovascular Interventions of the ESC.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2026
    Guideline
  2. Personalized pulmonary vein isolation guided by left atrial wall thickness for persistent atrial fibrillation ablation: the PeAF-by-LAWT randomized trial.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2025
    Trial
  3. Left atrial anterior wall flutter: clinical, anatomical, and electrophysiological characteristics.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2026
    Article
  4. When low is not low enough: zero-fluoroscopy atrial fibrillation ablation using the VARIPULSE™ pulsed field system-a prospective single-center study.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2026
    Article
  5. Atypical atrial flutter ablation: clinical practice on patient selection, mapping, ablation strategies, and procedural endpoints-results from a European Heart Rhythm Association survey.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2025
    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

26 authors.

Gaia FilibertiDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy.
Giulia AntonelliDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy.
Giulio FalasconiArrhythmia Department, Teknon Medical Centre, Heart Institute, Calle Villana 12 (08022), Barcelona, Spain.
Alessandro VillaschiDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy.
Stefano FigliozziDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy.
Martina Maria RuffoDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy.
Antonio TaorminaHumanitas Research Hospital IRCCS, Rozzano, Milan, Italy.
Guido Del MonacoDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy.
Alessia Chiara LatiniDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy.
Sebastiano CarliDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy.
Kamil StankowskiDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy.
Stefano ValcherDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy.
Nicola CesaniDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy.
Francesco AmataDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy.
Alessandro Giaj LevraDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy.
Filippo GiuntiDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy.
Giacomo CarellaDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy.
David Soto-IglesiasArrhythmia Department, Teknon Medical Centre, Heart Institute, Calle Villana 12 (08022), Barcelona, Spain.
Dario TurturielloArrhythmia Department, Teknon Medical Centre, Heart Institute, Calle Villana 12 (08022), Barcelona, Spain.
Federico LandraDivision of Cardiology, Università Degli Studi Di Siena, Viale Bracci 4, 53100, Siena, Italy.
Andrea SagliettoArrhythmia Department, Teknon Medical Centre, Heart Institute, Calle Villana 12 (08022), Barcelona, Spain.
Emanuele CurtiArrhythmia Department, Teknon Medical Centre, Heart Institute, Calle Villana 12 (08022), Barcelona, Spain.
Pietro FranciaArrhythmia Department, Teknon Medical Centre, Heart Institute, Calle Villana 12 (08022), Barcelona, Spain.
Julio Martí-AlmorArrhythmia Department, Teknon Medical Centre, Heart Institute, Calle Villana 12 (08022), Barcelona, Spain.
Diego PenelaDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy.
Antonio BerruezoArrhythmia Department, Teknon Medical Centre, Heart Institute, Calle Villana 12 (08022), Barcelona, Spain. antonio.berruezo@quironsalud.es.ORCID http://orcid.org/0000-0002-5418-383X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cardiac imaging (CI), including echocardiography, multidetector computed tomography (MDCT), and cardiac magnetic resonance (CMR), is gaining increasing interest to aid atrial fibrillation (AF) ablation procedures, from pre-procedural planning to intra-procedural guidance. Transthoracic echocardiography is widely used for imaging, especially for preprocedural assessment, while transesophageal and intracardiac echocardiography (ICE) are used for intraprocedural guidance during transseptal puncture. Cardiac MDCT, leveraging its high spatial resolution, offers a detailed anatomical visualization of cardiac chambers and adjacent structures; moreover, left atrial wall thickness assessed by MDCT may guide radiofrequency energy titration to enhance procedural safety and efficiency. At the same time, CMR allows for detailed myocardial tissue characterization and the detection of fibrosis. ICE, MDCT, and CMR also permit intra-procedural image integration with electroanatomical maps, allowing to be aware of a greater amount of intra-procedural real-time information regarding the anatomy and the local characteristics of the tissue in contact with the ablation catheter. One of the primary objectives of performing CI-aided AF ablations is to increase procedural safety and to permit more personalized procedures, according to the characteristics of each patient. This review offers a comprehensive overview of the current applications of CI during the different phases of AF ablation and explores the potential future applications of CI in this context.

Indexed as

Atrial FibrillationCatheter AblationSurgery, Computer-AssistedEchocardiographyHumansMagnetic Resonance ImagingAtrial fibrillationCardiac imagingCardiac magnetic resonanceEchocardiographyMultidetector computed tomographyTranscatheter ablation

Identifiers

What Socratic holds

Textmetadata
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 Socratic graph.