{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T12:55:39Z","timestamp":1791982539902,"version":"4.4.0"},"reference-count":31,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T00:00:00Z","timestamp":1790035200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T00:00:00Z","timestamp":1790035200000},"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":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>In very high\u2010power (51\u201390\u2009W), short\u2010duration (4\u2009s) radiofrequency applications (QMODE+) using the QDOT MICRO catheter, the optimal power setting at the left atrial (LA) posterior wall adjacent to the esophagus for treating atrial fibrillation (AF) remains unclear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>We evaluated the efficacy and safety of 60\u2009W versus 90\u2009W QMODE+ radiofrequency applications in the periesophageal region.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Fifty AF patients were randomized into two groups based on the QMODE+ power applied to the periesophageal region: 60\u2009W (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200924) and 90\u2009W (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200926). We compared the incidence of residual conduction gaps in the periesophageal region and endoscopic esophageal lesions, as well as the 1\u2010year atrial tachyarrhythmia (AT) recurrence rate between the two groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Median contact force was significantly higher in the\n                      <jats:styled-content style=\"fixed-case\">60\u2009W<\/jats:styled-content>\n                      group than in the\n                      <jats:styled-content style=\"fixed-case\">90\u2009W<\/jats:styled-content>\n                      group (12.9\u2009g [\n                      <jats:styled-content style=\"fixed-case\">IQR<\/jats:styled-content>\n                      10.2, 15.8] in the\n                      <jats:styled-content style=\"fixed-case\">60\u2009W<\/jats:styled-content>\n                      group and 10.9\u2009g [\n                      <jats:styled-content style=\"fixed-case\">IQR<\/jats:styled-content>\n                      8.4, 14.2] in the\n                      <jats:styled-content style=\"fixed-case\">90\u2009W<\/jats:styled-content>\n                      group,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). The rates of residual conduction gaps (8.3% and 11.5%, respectively,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20091.00) and esophageal lesions (4.2% in each group) were similar between the two groups. The 1\u2010year\n                      <jats:styled-content style=\"fixed-case\">AT<\/jats:styled-content>\n                      recurrence rate did not significantly differ between the two groups (20.8% vs. 7.7%, respectively,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.24).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>60\u2009W and 90\u2009W QMODE+ RF applications for the periesophageal region achieved comparable rates of acute conduction block, endoscopy\u2010detected esophageal injury, and 12\u2010month AT recurrence\u2010free survival, although contact force was significantly higher in the 60\u2009W group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>Japan Registry of Clinical Trials (jRCT); jRCT1072230115 (Registered on February 8, 2024)<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/joa3.70476","type":"journal-article","created":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T04:36:38Z","timestamp":1790138198000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Efficacy and Safety of\n                    <scp>60\u2009W<\/scp>\n                    Versus\n                    <scp>90\u2009W<\/scp>\n                    , 4\u2010s Radiofrequency Applications to the Esophagus\u2010Adjacent Left Atrial Posterior Wall During Pulmonary Vein Isolation: A Pilot Study"],"prefix":"10.1002","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8122-3561","authenticated-orcid":false,"given":"Hideharu","family":"Okamatsu","sequence":"first","affiliation":[{"name":"Division of Cardiology Saiseikai Kumamoto Hospital  Kumamoto Japan"},{"name":"Department of Cardiology and Nephrology Hirosaki University Graduate School of Medicine  Hirosaki Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3202-7203","authenticated-orcid":false,"given":"Ken","family":"Okumura","sequence":"additional","affiliation":[{"name":"Division of Cardiology Saiseikai Kumamoto Hospital  Kumamoto Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kakeru","family":"Tomaru","sequence":"additional","affiliation":[{"name":"Division of Cardiology Saiseikai Kumamoto Hospital  Kumamoto Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junya","family":"Matsura","sequence":"additional","affiliation":[{"name":"Division of Cardiology Saiseikai Kumamoto Hospital  Kumamoto Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5148-1674","authenticated-orcid":false,"given":"Kodai","family":"Negishi","sequence":"additional","affiliation":[{"name":"Division of Cardiology Saiseikai Kumamoto Hospital  Kumamoto Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takuo","family":"Tsurugi","sequence":"additional","affiliation":[{"name":"Division of Cardiology Saiseikai Kumamoto Hospital  Kumamoto Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasuaki","family":"Tanaka","sequence":"additional","affiliation":[{"name":"Division of Cardiology Saiseikai Misumi Hospital  Kumamoto Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masayoshi","family":"Uehara","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology Saiseikai Kumamoto Hospital  Kumamoto Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7907-2960","authenticated-orcid":false,"given":"Junjiro","family":"Koyama","sequence":"additional","affiliation":[{"name":"Division of Cardiology Saiseikai Kumamoto Hospital  Kumamoto Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8149-3043","authenticated-orcid":false,"given":"Hirofumi","family":"Tomita","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Nephrology Hirosaki University Graduate School of Medicine  Hirosaki Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,22]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehad250"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2020.10.021"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/jce.15676"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/jce.15782"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/euae284"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/joa3.70213"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/jce.16483"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/joa3.70199"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacep.2019.04.009"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.4022\/jafib.20200460"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/euab261"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacep.2022.10.019"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/jce.16678"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hroo.2024.09.020"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10840\u2010021\u201001093\u2010w"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2015.04.005"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/euaa209"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2021.02.003"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2018.09.027"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1038\/bmt.2012.244"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1161\/circulationaha.105.551291"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/jce.15731"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/euad053"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/jce.13671"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1002\/joa3.12992"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1161\/circep.121.009897"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacep.2017.06.023"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/euad221"},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/euad296"},{"key":"e_1_2_12_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/pace.70040"},{"key":"e_1_2_12_32_1","doi-asserted-by":"publisher","DOI":"10.1111\/jce.15011"}],"container-title":["Journal of Arrhythmia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/joa3.70476","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/joa3.70476","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/joa3.70476","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T12:43:45Z","timestamp":1791981825000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/joa3.70476"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,22]]},"references-count":31,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1002\/joa3.70476"],"URL":"https:\/\/doi.org\/10.1002\/joa3.70476","archive":["Portico"],"relation":{},"ISSN":["1880-4276","1883-2148"],"issn-type":[{"value":"1880-4276","type":"print"},{"value":"1883-2148","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,22]]},"assertion":[{"value":"2026-07-16","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-15","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-22","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70476"}}