{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T04:15:57Z","timestamp":1781756157696,"version":"3.54.5"},"reference-count":20,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,3,7]],"date-time":"2024-03-07T00:00:00Z","timestamp":1709769600000},"content-version":"vor","delay-in-days":6,"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":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Catheter ablation has become one of the main treatment strategies in patients with premature ventricular complexes (PVC).\u00a0The successful mapping and ablation can be performed with an ablation catheter without additional diagnostic catheters.<\/jats:p><\/jats:sec><jats:sec><jats:title>Hypothesis<\/jats:title><jats:p>We hypothesize that using a single catheter for PVC ablation may decrease complications, procedure time, and fluoroscopy exposure while maintaining comparable success rates.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Sixty\u2010nine\u00a0consecutive patients with PVC were treated with a single catheter approach compared to a historical cohort, in which a conventional setup was used. Propensity score matching was conducted with a 1:1 ratio. Outcome parameters included acute procedural success with elimination of all premature ventricular contractions after catheter ablation, procedural data as well as complication rates.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Patients treated with a single catheter approach had shorter total procedure (60\u2009minutes [IQR:\u00a047,5\u201369,0\u2009minutes] vs. 90\u2009minutes [IQR\u00a060\u2013120\u2009minutes]; <jats:italic>p<\/jats:italic>\u2009=\u20090.001) and fluoroscopy times (218\u2009seconds\u00a0[IQR:\u00a0110,5\u2013446\u2009seconds] vs. 310\u2009seconds\u00a0[IQR\u00a0190\u2013640\u2009seconds]; <jats:italic>p<\/jats:italic>\u2009=\u20090.012), which consecutively leads to a reduction of radiation exposure signified by a lower dose area product (155\u2009cGycm\u00b2 [IQR\u00a074.4\u2013334.5\u2009cGycm\u00b2] vs. 368.4\u2009cGycm\u00b2 [IQR:\u00a0126\u2013905.4\u2009cGycm\u00b2]; <jats:italic>p<\/jats:italic> value 0.009). Acute procedural success rates were comparable in both groups (54 [84.3%] in the single catheter approach group and 58 [90.6%] in the conventional group; <jats:italic>p<\/jats:italic>: 0.287).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>A single catheter approach for the treatment of PVC is associated with a reduction of procedure\u2010 and fluoroscopy time, as well as a lesser radiation exposure, while maintaining equivalent acute success and complication rates compared with a conventionally used catheter setup.<\/jats:p><\/jats:sec>","DOI":"10.1002\/clc.24250","type":"journal-article","created":{"date-parts":[[2024,3,7]],"date-time":"2024-03-07T11:32:09Z","timestamp":1709811129000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Single catheter approach for treatment of premature ventricular contractions"],"prefix":"10.1002","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8482-6413","authenticated-orcid":false,"given":"Patrick","family":"Dilk","sequence":"first","affiliation":[{"name":"Department for Electrophysiology Heart Centre Leipzig Leipzig Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1104-8491","authenticated-orcid":false,"given":"Borislav","family":"Dinov","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Angiology University Hospital of Giessen Giessen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angeliki","family":"Darma","sequence":"additional","affiliation":[{"name":"Department for Electrophysiology Heart Centre Leipzig Leipzig Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5441-3906","authenticated-orcid":false,"given":"Andreas","family":"Bollmann","sequence":"additional","affiliation":[{"name":"Department for Electrophysiology Heart Centre Leipzig Leipzig Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikolas","family":"Dagres","sequence":"additional","affiliation":[{"name":"Department for Electrophysiology Deutsches Herzzentrum der Charit\u00e9 Berlin Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0132-0773","authenticated-orcid":false,"given":"Gerhard","family":"Hindricks","sequence":"additional","affiliation":[{"name":"Department for Electrophysiology Deutsches Herzzentrum der Charit\u00e9 Berlin Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-7610-9314","authenticated-orcid":false,"given":"Arash","family":"Arya","sequence":"additional","affiliation":[{"name":"Department for Electrophysiology University Halle Halle 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