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This case report describes a pulmonary vein isolation in a patient with a paroxysmal atrial fibrillation, complicated by the presence of an oversized Amplatzer device (AGA Medical Corp., Golden Valley, MN). A retrograde approach using the magnetic navigation system (Niobe, Stereotaxis Inc., St Louis, USA) was performed, and showed to provide a feasible, safe and successful alternative for catheter ablation of cardiac arrhythmias in patients in whom the classic transseptal approach is impossible.<\/jats:p>","DOI":"10.1007\/s12471-015-0701-x","type":"journal-article","created":{"date-parts":[[2015,5,27]],"date-time":"2015-05-27T06:50:40Z","timestamp":1432709440000},"page":"368-369","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Retrograde access of the left atrium for pulmonary vein isolation using magnetic navigation after closure of an atrial septum defect"],"prefix":"10.1007","volume":"23","author":[{"given":"L.","family":"De Roeck","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L.","family":"Riahi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Wijchers","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D.","family":"Stockman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Y.","family":"De Greef","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B.","family":"Schwagten","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2015,5,28]]},"reference":[{"key":"701_CR1","doi-asserted-by":"publisher","first-page":"455","DOI":"10.1111\/j.1540-8167.2009.01666.x","volume":"21","author":"S Miyazaki","year":"2010","unstructured":"Miyazaki S, Nault I, Ha\u00efssaguerre M, Hocini M. 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Initial experience with catheter ablation using remote magnetic navigation in adults with complex congenital heart disease and in small children. 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