{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T15:59:48Z","timestamp":1777046388935,"version":"3.51.4"},"reference-count":22,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T00:00:00Z","timestamp":1772755200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T00:00:00Z","timestamp":1772755200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Arrhythmia"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Vascular access and postprocedural access site management remain the leading causes for postprocedural complications following interventional electrophysiological (EP) procedures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Patients were consecutively included in a prospective registry (TRUST, NCT05521451). Two vascular access and groin\u2010site management protocols that changed as an institutional standard at a cut\u2010off date (August 15, 2022) were compared. Group I used conventional access with an 8\u2010h pressure bandage and bed rest. Group II utilized ultrasound\u2010guided access, figure\u2010of\u20108 suture, a 2\u2010h pressure bandage, and 6\u2009h total bed rest. Minor complications included hematoma, bleeding, AV fistula, or pseudoaneurysm not requiring intervention. Major complications involved any incident necessitating intervention (transfusion, surgery, interventional therapy) or retroperitoneal hematoma.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 1672 procedures in 1501 patients (median age 65 (IQR 56.74) years, 38% female) were analyzed. Clinical features were balanced with the exception of a higher body mass index (median 27 [24;31] vs. 26 [24;30],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.011) and more frequent arterial hypertension (63% vs. 56%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.003) in Group I. Total vascular complication rate was 9% (69\/780 procedures) for Group I, and 4% (40\/892 procedures) for Group II (OR 0.48 [95% CI: 0.32\u20130.73],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Major complications occurred in 30\/109 (28%) cases, of which 20\/780 (3%) occurred in Group I and 10\/892 (1%) in Group II (OR 0.43 [95% CI: 0.18\u20130.97],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.042). Hematomata were most frequently observed in both groups (Group I: 46\/69, 67%; Group II: 30\/40, 75%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Vascular complication rates in EP\u2010procedures were significantly reduced by implementing a novel institutional groin\u2010site management standard including ultrasound\u2010guided vascular access and modified post\u2010interventional care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/joa3.70302","type":"journal-article","created":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T12:56:19Z","timestamp":1772974579000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Reduced Vascular Complications After Catheter Ablation Applying Sonography\u2010Guidance and Modified Postprocedural Care"],"prefix":"10.1002","volume":"42","author":[{"given":"Niklas","family":"Schenker","sequence":"first","affiliation":[{"name":"Department of Cardiology University Heart and Vascular Center Hamburg  Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julius","family":"Obergassel","sequence":"additional","affiliation":[{"name":"Department of Cardiology University Heart and Vascular Center Hamburg  Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charlotte","family":"Asbeck","sequence":"additional","affiliation":[{"name":"Department of Cardiology University Heart and Vascular Center Hamburg  Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc D.","family":"Lemoine","sequence":"additional","affiliation":[{"name":"Department of Cardiology University Heart and Vascular Center Hamburg  Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Djemail","family":"Ismaili","sequence":"additional","affiliation":[{"name":"Department of Cardiology University Heart and Vascular Center Hamburg  Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1676-4633","authenticated-orcid":false,"given":"Ilaria","family":"My","sequence":"additional","affiliation":[{"name":"Department of Cardiology University Heart and Vascular Center Hamburg  Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katharina","family":"Govorov","sequence":"additional","affiliation":[{"name":"Department of Cardiology University Heart and Vascular Center Hamburg  Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabian","family":"Moser","sequence":"additional","affiliation":[{"name":"Department of Cardiology University Heart and Vascular Center Hamburg  Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jan","family":"Riess","sequence":"additional","affiliation":[{"name":"Department of Cardiology University Heart and Vascular Center Hamburg  Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9384-4151","authenticated-orcid":false,"given":"Moritz","family":"Nies","sequence":"additional","affiliation":[{"name":"Department of Cardiology University Heart and Vascular Center Hamburg  Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paulus","family":"Kirchhof","sequence":"additional","affiliation":[{"name":"Department of Cardiology University Heart and Vascular Center Hamburg  Hamburg Germany"},{"name":"German Center for Cardiovascular Research (DZHK)  Hamburg\/Kiel\/L\u00fcbeck Germany"},{"name":"Institute of Cardiovascular Sciences University of Birmingham  Birmingham 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Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Rottner","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Vascular Medicine University Hospital Frankfurt, Goethe\u2010University Frankfurt Am Main  Frankfurt Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,3,6]]},"reference":[{"key":"e_1_2_12_2_1","article-title":"2020 ESC Guidelines for the Diagnosis and Management of Atrial Fibrillation Developed in Collaboration With the European Association of Cardio\u2010Thoracic Surgery (EACTS)","volume":"42","author":"Hindricks G.","year":"2020","journal-title":"European Heart 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