{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T13:51:31Z","timestamp":1773928291876,"version":"3.50.1"},"reference-count":31,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2019,3,15]],"date-time":"2019-03-15T00:00:00Z","timestamp":1552608000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81770331"],"award-info":[{"award-number":["81770331"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004608","name":"Natural Science Foundation of Jiangsu Province","doi-asserted-by":"publisher","award":["BK20151110"],"award-info":[{"award-number":["BK20151110"]}],"id":[{"id":"10.13039\/501100004608","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Cardiology"],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>No data exist on comparisons of efficacy, safety, and recurrence risk factors of paroxysmal and persistent atrial fibrillation (AF) ablation using robotic magnetic navigation system (MNS), respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>About 151 AF patients were prospectively enrolled and divided into paroxysmal AF group (n\u2009=\u2009102) and persistent AF group (n\u2009=\u200949). Circumferential pulmonary vein antrum isolation (CPVI) was performed in all patients. Linear ablation at the left atrial roof and mitral isthmus was performed in patients with persistent AF in addition to CPVI. The procedural time, X\u2010ray exposure time, acute and long\u2010term success rates of CPVI, and procedure\u2010related complications were analyzed. The AF recurrence rates in the two groups were compared during 1 year, and Cox regression was used to analyze the recurrence risk factors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The acute success rates of CPVI in the two groups were 98.04% and 97.96%, respectively. There were no significant differences in the procedural time, X\u2010ray exposure time, and ablation time between the two groups (<jats:italic>P<\/jats:italic>\u2009&gt;\u20090.05). No serious complications appeared in either group. The AF ablation success rates were 70.6% and 57.1% for the paroxysmal and persistent groups respectively at 12\u2010month follow\u2010up (<jats:italic>P<\/jats:italic>\u2009=\u20090.102). AF duration and coronary heart disease prior to ablation were associated with the higher AF recurrence in patients with persistent AF.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Ablation using MNS is effective and safe both in patients with paroxysmal and persistent AF. AF duration and coronary heart disease prior to ablation are two independent risk factors of AF recurrence in patients with persistent AF postoperatively.<\/jats:p><\/jats:sec>","DOI":"10.1002\/clc.23156","type":"journal-article","created":{"date-parts":[[2019,1,17]],"date-time":"2019-01-17T07:22:19Z","timestamp":1547709739000},"page":"418-424","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Comparisons of efficacy, safety, and recurrence risk factors of paroxysmal and persistent atrial fibrillation catheter ablation using robotic magnetic navigation system"],"prefix":"10.1002","volume":"42","author":[{"given":"Xiao\u2010Xi","family":"Zhao","sequence":"first","affiliation":[{"name":"Department of Cardiology The First Hospital Affiliated to Soochow University  Suzhou Jiangsu China"},{"name":"Department of Cardiology Wuxi People's Hospital Affiliated to Nanjing Medical University  Wuxi Jiangsu 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