{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T12:04:24Z","timestamp":1769601864669,"version":"3.49.0"},"reference-count":20,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2018,6,13]],"date-time":"2018-06-13T00:00:00Z","timestamp":1528848000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Arrhythmia"],"published-print":{"date-parts":[[2018,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Cavotricuspid isthmus (<jats:styled-content style=\"fixed-case\">CTI<\/jats:styled-content>) radiofrequency (<jats:styled-content style=\"fixed-case\">RF<\/jats:styled-content>) catheter ablation is the standard treatment for patients suffering from <jats:styled-content style=\"fixed-case\">CTI<\/jats:styled-content>\u2010dependent atrial flutter (<jats:styled-content style=\"fixed-case\">AFL<\/jats:styled-content>). The aim of this study was to compare the use in clinical practice of 8\u2010mm gold\u2010tip catheter (8mm<jats:styled-content style=\"fixed-case\">RFC<\/jats:styled-content>) and open\u2010irrigated gold\u2010tip catheter (irr<jats:styled-content style=\"fixed-case\">RFC<\/jats:styled-content>) for <jats:styled-content style=\"fixed-case\">RF<\/jats:styled-content> typical <jats:styled-content style=\"fixed-case\">AFL<\/jats:styled-content> ablation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients with typical <jats:styled-content style=\"fixed-case\">AFL<\/jats:styled-content> were treated with 8mm<jats:styled-content style=\"fixed-case\">RFC<\/jats:styled-content> or irr<jats:styled-content style=\"fixed-case\">RFC<\/jats:styled-content> catheters according to investigator preferences. The primary endpoint was the cumulative radiofrequency time (<jats:styled-content style=\"fixed-case\">CRFT<\/jats:styled-content>). Fluoroscopy time, acute and 6\u2010month success rates were secondary endpoints.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>After excluding 3 patients with left <jats:styled-content style=\"fixed-case\">AFL<\/jats:styled-content>, 157 of the enrolled patients (median age 71.8 [interquartile range, 64.1\u201076.2], 76% men, 91% in <jats:styled-content style=\"fixed-case\">NYHA<\/jats:styled-content> class \u2264<jats:styled-content style=\"fixed-case\">II<\/jats:styled-content>, 65% with no structural heart disease) were analyzed: 74 (47%) subjects were treated with the 8mm<jats:styled-content style=\"fixed-case\">RFC<\/jats:styled-content> and 83 (53%) with the irr<jats:styled-content style=\"fixed-case\">RFC<\/jats:styled-content>. The median <jats:styled-content style=\"fixed-case\">CRFT<\/jats:styled-content> was 3 [2\u20106]\u00a0minutes in the 8mm<jats:styled-content style=\"fixed-case\">RFC<\/jats:styled-content> group and 5 [3\u20107]\u00a0minutes in the irr<jats:styled-content style=\"fixed-case\">RFC<\/jats:styled-content> group (<jats:italic>P<\/jats:italic>\u00a0=\u00a0.183). There were no significant differences in ablation success rates, intraprocedural <jats:styled-content style=\"fixed-case\">CTI<\/jats:styled-content> reconnections, audible steam pops, and procedural times. In the 8mm<jats:styled-content style=\"fixed-case\">RFC<\/jats:styled-content> group, a significantly lower fluoroscopy time was observed as compared to the irr<jats:styled-content style=\"fixed-case\">RFC<\/jats:styled-content> group (8 [5\u201012] vs 15 [10\u201020]\u00a0minutes, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.001). During the follow\u2010up period, <jats:styled-content style=\"fixed-case\">AFL<\/jats:styled-content> recurrences were documented in 3 patients in the 8mm<jats:styled-content style=\"fixed-case\">RFC<\/jats:styled-content> group and 2 in the irr<jats:styled-content style=\"fixed-case\">RFC<\/jats:styled-content> group (<jats:italic>P<\/jats:italic>\u00a0=\u00a0.655).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The 8mm<jats:styled-content style=\"fixed-case\">RFC<\/jats:styled-content> and the irr<jats:styled-content style=\"fixed-case\">RFC<\/jats:styled-content> performed similarly in routine practice for <jats:styled-content style=\"fixed-case\">CTI<\/jats:styled-content> ablation in terms of cumulative <jats:styled-content style=\"fixed-case\">RF<\/jats:styled-content> time, acute and 6\u2010month success rates. Fluoroscopy time was significantly lower in the 8mm<jats:styled-content style=\"fixed-case\">RFC<\/jats:styled-content> group.<\/jats:p><\/jats:sec>","DOI":"10.1002\/joa3.12069","type":"journal-article","created":{"date-parts":[[2018,6,14]],"date-time":"2018-06-14T06:56:31Z","timestamp":1528959391000},"page":"402-409","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["A comparison of 8\u2010mm and open\u2010irrigated gold\u2010tip catheters for typical atrial flutter ablation: Data from a prospective multicenter registry"],"prefix":"10.1002","volume":"34","author":[{"given":"Ermenegildo","family":"De Ruvo","sequence":"first","affiliation":[{"name":"Policlinico Casilino Roma Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio","family":"Sagone","sequence":"additional","affiliation":[{"name":"IRCSS Multimedica, Milano, and Ospedale Luigi Sacco Milano Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giovanni","family":"Rovaris","sequence":"additional","affiliation":[{"name":"Azienda Ospedaliera San Gerardo Monza Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Procolo","family":"Marchese","sequence":"additional","affiliation":[{"name":"Ospedale Mazzoni Ascoli Piceno Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matteo","family":"Santamaria","sequence":"additional","affiliation":[{"name":"Fondazione G. Paolo II Campobasso Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesco","family":"Solimene","sequence":"additional","affiliation":[{"name":"Clinica Montevergine Mercogliano Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Werner","family":"Rauhe","sequence":"additional","affiliation":[{"name":"Ospedale di Bolzano Bolzano Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elena","family":"Piazzi","sequence":"additional","affiliation":[{"name":"Azienda Ospedaliera San Gerardo Monza Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luciano","family":"Moretti","sequence":"additional","affiliation":[{"name":"Ospedale Mazzoni Ascoli Piceno Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Quintino","family":"Parisi","sequence":"additional","affiliation":[{"name":"Fondazione G. 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