{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T08:49:57Z","timestamp":1773305397687,"version":"3.50.1"},"reference-count":17,"publisher":"Springer Science and Business Media LLC","issue":"3","license":[{"start":{"date-parts":[[2018,2,19]],"date-time":"2018-02-19T00:00:00Z","timestamp":1518998400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Interv Card Electrophysiol"],"published-print":{"date-parts":[[2018,4]]},"DOI":"10.1007\/s10840-018-0333-3","type":"journal-article","created":{"date-parts":[[2018,2,19]],"date-time":"2018-02-19T03:27:39Z","timestamp":1519010859000},"page":"215-220","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Implementation of a near-zero fluoroscopy approach in interventional electrophysiology: impact of operator experience"],"prefix":"10.1007","volume":"51","author":[{"given":"Severin","family":"Wannagat","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lena","family":"Loehr","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sebastian","family":"Lask","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katharina","family":"V\u00f6lk","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tamer","family":"Karak\u00f6se","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cemil","family":"\u00d6zcelik","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreas","family":"M\u00fcgge","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Wutzler","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2018,2,19]]},"reference":[{"key":"333_CR1","doi-asserted-by":"publisher","first-page":"211","DOI":"10.1097\/01.HP.0000290614.76386.35","volume":"94","author":"KP Kim","year":"2008","unstructured":"Kim KP, Miller DL, Balter S, Kleinerman RA, Linet MS, Kwon D, et al. Occupational radiation doses to operators performing cardiac catheterization procedures. Health Phys. 2008;94:211\u201327.","journal-title":"Health Phys"},{"key":"333_CR2","doi-asserted-by":"publisher","first-page":"439","DOI":"10.1016\/j.hrthm.2009.01.030","volume":"6","author":"LW Klein","year":"2009","unstructured":"Klein LW, Miller DL, Balter S, Laskey W, Haines D, Norbash A, et al. Occupational health hazards in the interventional laboratory: time for a safer environment. Heart Rhythm. 2009;6:439\u201344.","journal-title":"Heart Rhythm"},{"key":"333_CR3","doi-asserted-by":"publisher","first-page":"144","DOI":"10.15420\/AER.2016.16.2","volume":"5","author":"K Yamagata","year":"2016","unstructured":"Yamagata K, Aldhoon B, Kautzner J. Reduction of fluoroscopy time and radiation dosage during catheter ablation for atrial fibrillation. Arrhythmia Electrophysiol Rev. 2016;5:144\u20139.","journal-title":"Arrhythmia Electrophysiol Rev"},{"key":"333_CR4","doi-asserted-by":"publisher","first-page":"946","DOI":"10.1093\/europace\/eut409","volume":"16","author":"H Heidbuchel","year":"2014","unstructured":"Heidbuchel H, Wittkampf FH, Vano E, Ernst S, Schilling R, Picano E, et al. Practical ways to reduce radiation dose for patients and staff during device implantations and electrophysiological procedures. Europace. 2014;16:946\u201364.","journal-title":"Europace"},{"key":"333_CR5","doi-asserted-by":"publisher","first-page":"425","DOI":"10.1111\/pace.13038","volume":"40","author":"M Razminia","year":"2017","unstructured":"Razminia M, Willoughby MC, Demo H, Keshmiri H, Wang T, D'Silva OJ, et al. Fluoroless catheter ablation of cardiac arrhythmias: a 5-year experience. Pacing Clin Electrophysiol. 2017;40:425\u201333.","journal-title":"Pacing Clin Electrophysiol"},{"key":"333_CR6","doi-asserted-by":"publisher","first-page":"199","DOI":"10.1007\/s10840-015-0088-z","volume":"45","author":"JM S\u00e1nchez","year":"2016","unstructured":"S\u00e1nchez JM, Yanics MA, Wilson P, Doshi A, Kurian T, Pieper S. Fluoroless catheter ablation in adults: a single center experience. J Interv Card Electrophysiol. 2016;45:199\u2013207.","journal-title":"J Interv Card Electrophysiol"},{"key":"333_CR7","doi-asserted-by":"publisher","first-page":"1565","DOI":"10.1093\/europace\/euv344","volume":"18","author":"M Casalla","year":"2016","unstructured":"Casalla M, Russo AD, Pelargonio G, Del Greco M, Zingarini G, Piacenti M, et al. Near zero fluoroscopic exposure during catheter ablation of supravenTricular arrhYthmias: the NO-PARTY multicentre randomized trial. Europace. 2016;18:1565\u201372.","journal-title":"Europace"},{"key":"333_CR8","doi-asserted-by":"publisher","first-page":"150","DOI":"10.1016\/j.hrthm.2015.09.003","volume":"13","author":"M Giaccardi","year":"2016","unstructured":"Giaccardi M, Del Rosso A, Guarnaccia V, Ballo P, Mascia G, Chiodi L, et al. Near-zero x-ray in arrhythmia ablation using a 3-dimensional electroanatomic mapping system: a multicenter experience. Heart Rhythm. 2016;13:150\u20136.","journal-title":"Heart Rhythm"},{"key":"333_CR9","doi-asserted-by":"publisher","first-page":"227","DOI":"10.1093\/rpd\/ncp052","volume":"133","author":"KP Kim","year":"2009","unstructured":"Kim KP, Miller DL. Minimising radiation exposure to physicians performing fluoroscopically guided cardiac catheterisation procedures: a review. Radiat Prot Dosim. 2009;133:227\u201333.","journal-title":"Radiat Prot Dosim"},{"key":"333_CR10","doi-asserted-by":"publisher","first-page":"442","DOI":"10.4330\/wjc.v7.i8.442","volume":"7","author":"R Ponti De","year":"2015","unstructured":"De Ponti R. Reduction of radiation exposure in catheter ablation of atrial brillation: lesson learned. World J Cardiol. 2015;7:442\u20138.","journal-title":"World J Cardiol"},{"key":"333_CR11","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2015.09.014","volume":"13","author":"DP Zipes","year":"2016","unstructured":"Zipes DP, Calkins H, Daubert JP, Ellenbogen KA, Field ME, Fisher JD, et al. 2015 ACC\/AHA\/HRS advanced training statement on clinical cardiac electrophysiology (a revision of the ACC\/AHA 2006 update of the clinical competence statement on invasive electrophysiology studies, catheter ablation, and cardioversion). Heart Rhythm. 2016;13:e3-e37.","journal-title":"Heart Rhythm"},{"issue":"10","key":"333_CR12","doi-asserted-by":"publisher","first-page":"858","DOI":"10.1007\/s00392-016-0994-9","volume":"105","author":"T Kleemann","year":"2016","unstructured":"Kleemann T, Brachmann J, Lewalter T, Andresen D, Willems S, Spitzer SG, et al. Development of radiation exposure in patients undergoing pulmonary vein isolation in Germany between 2007 and 2014: great potential to minimize radiation dosage. Clin Res Cardiol. 2016 Oct;105(10):858\u201364.","journal-title":"Clin Res Cardiol"},{"key":"333_CR13","doi-asserted-by":"publisher","unstructured":"Attanasio P, Schreiber T, Pieske B, Blaschke F, Boldt LH, Haverkamp W, et al. Pushing the limits: establishing an ultra-low framerate and antiscatter grid-less radiation protocol for left atrial ablations. Europace. 2017 Mar 4; \n                    https:\/\/doi.org\/10.1093\/europace\/eux010\n                    \n                  .","DOI":"10.1093\/europace\/eux010"},{"key":"333_CR14","doi-asserted-by":"publisher","first-page":"1406","DOI":"10.1093\/europace\/euv364","volume":"18","author":"F Bourier","year":"2016","unstructured":"Bourier F, Reents T, Ammar-Busch S, Buiatti A, Kottmaier M, Semmler V, et al. Evaluation of a new very low dose imaging protocol: feasibility and impact on Xray dose levels in electrophysiology procedures. Europace. 2016;18:1406\u201310.","journal-title":"Europace"},{"issue":"9","key":"333_CR15","doi-asserted-by":"publisher","first-page":"1945","DOI":"10.1016\/j.hrthm.2015.05.018","volume":"12","author":"Y Huo","year":"2015","unstructured":"Huo Y, Christoph M, Forkmann M, Pohl M, Mayer J, Salmas J, et al. Reduction of radiation exposure during atrial fibrillation ablation using a novel fluoroscopy image integrated 3-dimensional electroanatomic mapping system: a prospective, randomized, single-blind, and controlled study. Heart Rhythm. 2015;12(9):1945\u201355.","journal-title":"Heart Rhythm"},{"issue":"5","key":"333_CR16","doi-asserted-by":"publisher","first-page":"7","DOI":"10.1016\/j.icrp.2011.01.002","volume":"39","author":"E Va\u00f1\u00f3","year":"2009","unstructured":"Va\u00f1\u00f3 E, Rosenstein M, Liniecki J, Rehani MM, Martin CJ, Vetter RJ. ICRP publication 113. Education and training in radiological protection for diagnostic and interventional procedures. Ann ICRP. 2009;39(5):7\u201368.","journal-title":"Ann ICRP"},{"key":"333_CR17","doi-asserted-by":"publisher","first-page":"347","DOI":"10.1016\/j.jcin.2010.11.011","volume":"4","author":"M Mercuri","year":"2011","unstructured":"Mercuri M, Mehta S, Xie C, Valettas N, Velianou JL, Natarajan MK. Radial artery access as a predictor of increased radiation exposure during a diagnostic cardiac catheterization procedure. J Am Coll Cardiol Intv. 2011;4:347\u201352.","journal-title":"J Am Coll Cardiol Intv"}],"container-title":["Journal of Interventional Cardiac Electrophysiology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s10840-018-0333-3\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s10840-018-0333-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s10840-018-0333-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,2,18]],"date-time":"2019-02-18T20:16:28Z","timestamp":1550520988000},"score":1,"resource":{"primary":{"URL":"http:\/\/link.springer.com\/10.1007\/s10840-018-0333-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,2,19]]},"references-count":17,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2018,4]]}},"alternative-id":["333"],"URL":"https:\/\/doi.org\/10.1007\/s10840-018-0333-3","relation":{},"ISSN":["1383-875X","1572-8595"],"issn-type":[{"value":"1383-875X","type":"print"},{"value":"1572-8595","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,2,19]]},"assertion":[{"value":"4 September 2017","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"13 February 2018","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 February 2018","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with ethical standards"}},{"value":"The authors declare that they have no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and research committee and with the 1964 Helsinki declaration and its later amendments. For this type of study, formal consent is not required.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}}]}}