{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T22:03:15Z","timestamp":1791237795259,"version":"4.1.0"},"reference-count":19,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2020,6,7]],"date-time":"2020-06-07T00:00:00Z","timestamp":1591488000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Cardiology"],"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Right atrial electroanatomical mapping may be combined with SoundStar 3D diagnostic ultrasound catheter (EAM\u2010ICE) as a zero\u2010fluoroscopy procedure for radiofrequency catheter ablation (RFCA). We aimed to evaluate the efficiency and safety of zero\u2010fluoroscopy transseptal puncture guided by EAM\u2010ICE and fluoroscopy combined with intracardiac echocardiography (F\u2010ICE) in patients with paroxysmal atrial fibrillation (PAF).<\/jats:p><\/jats:sec><jats:sec><jats:title>Hypothesis<\/jats:title><jats:p>Zero\u2010fluoroscopy transseptal puncture is an effective and safe procedure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study had a prospective design. A total of 57 patients with PAF were enrolled and assigned to two groups. Twenty\u2010seven patients were enrolled in the EAM\u2010ICE group, and 30 patients were enrolled in the F\u2010ICE group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were no statistically significant differences in baseline patient characteristics between groups. Transseptal puncture was successful in all patients (57\/57, 100%). Total procedure time and duration of transseptal puncture were lower in the F\u2010ICE group (199.4\u2009\u00b1\u200926.0 minutes vs 150.7\u2009\u00b1\u200922.1 minutes, <jats:italic>P<\/jats:italic> = 0.000; 118.4\u2009\u00b1\u200919.7 vs 70.5\u2009\u00b1\u200913.5 minutes, <jats:italic>P<\/jats:italic> = 0.000). There was no use of fluoroscopy in the EAM\u2010ICE group (0 mGy vs 70.5\u2009\u00b1\u200913.5 mGy); the duration of fluoroscopy in the EAM\u2010ICE group was negligible (0 minutes vs 5.4\u2009\u00b1\u20091.9 minutes). No procedural complication occurred in either group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>EAM\u2010ICE guided zero\u2010fluoroscopy transseptal puncture is an effective and safe procedure.<\/jats:p><\/jats:sec>","DOI":"10.1002\/clc.23401","type":"journal-article","created":{"date-parts":[[2020,6,7]],"date-time":"2020-06-07T14:12:07Z","timestamp":1591539127000},"page":"1009-1016","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Zero\u2010fluoroscopy transseptal puncture guided by right atrial electroanatomical mapping combined with intracardiac echocardiography: A single\u2010center experience"],"prefix":"10.1002","volume":"43","author":[{"given":"Guangping","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Cardiology Beijing Anzhen Hospital, Capital Medical University  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liting","family":"Cheng","sequence":"additional","affiliation":[{"name":"Department of Cardiology Beijing Anzhen Hospital, Capital Medical University  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhuo","family":"Liang","sequence":"additional","affiliation":[{"name":"Department of Cardiology Beijing Anzhen Hospital, Capital Medical University  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junmeng","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Cardiology Beijing Anzhen Hospital, Capital Medical University  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruiqing","family":"Dong","sequence":"additional","affiliation":[{"name":"Affiliated Hangzhou First People's Hospital Zhejiang University School of Medicine  Hangzhou 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China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zefeng","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Cardiology Beijing Anzhen Hospital, Capital Medical University  Beijing China"},{"name":"Department of Lung and Blood Vessel Disease Beijing Institute of Heart  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9156-4669","authenticated-orcid":false,"given":"Yongquan","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Cardiology Beijing Anzhen Hospital, Capital Medical University  Beijing 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