{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T04:29:16Z","timestamp":1781670556142,"version":"3.54.5"},"reference-count":30,"publisher":"Elsevier BV","issue":"11","license":[{"start":{"date-parts":[[2021,11,1]],"date-time":"2021-11-01T00:00:00Z","timestamp":1635724800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,11,1]],"date-time":"2021-11-01T00:00:00Z","timestamp":1635724800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2022,11,1]],"date-time":"2022-11-01T00:00:00Z","timestamp":1667260800000},"content-version":"vor","delay-in-days":365,"URL":"http:\/\/www.elsevier.com\/open-access\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,11,1]],"date-time":"2021-11-01T00:00:00Z","timestamp":1635724800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2021,11,1]],"date-time":"2021-11-01T00:00:00Z","timestamp":1635724800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2021,11,1]],"date-time":"2021-11-01T00:00:00Z","timestamp":1635724800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2021,11,1]],"date-time":"2021-11-01T00:00:00Z","timestamp":1635724800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2021,11,1]],"date-time":"2021-11-01T00:00:00Z","timestamp":1635724800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Archives of Cardiovascular Diseases"],"published-print":{"date-parts":[[2021,11]]},"DOI":"10.1016\/j.acvd.2021.06.012","type":"journal-article","created":{"date-parts":[[2021,10,5]],"date-time":"2021-10-05T20:03:39Z","timestamp":1633464219000},"page":"707-714","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":3,"title":["Single-catheter simplified stepwise approach to persistent atrial fibrillation ablation: A feasibility study"],"prefix":"10.1016","volume":"114","author":[{"given":"Fr\u00e9d\u00e9ric A.","family":"Sebag","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edouard","family":"Simeon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manel","family":"Miled","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pierre","family":"Jorrot","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivier","family":"Villejoubert","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean-Marc","family":"Darondel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Hamon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicolas","family":"Lellouche","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicolas","family":"Mignot","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.acvd.2021.06.012_bib0155","doi-asserted-by":"crossref","first-page":"2746","DOI":"10.1093\/eurheartj\/eht280","article-title":"Projections on the number of individuals with atrial fibrillation in the European Union, from 2000 to 2060","volume":"34","author":"Krijthe","year":"2013","journal-title":"Eur Heart J"},{"key":"10.1016\/j.acvd.2021.06.012_bib0160","doi-asserted-by":"crossref","first-page":"659","DOI":"10.1056\/NEJM199809033391003","article-title":"Spontaneous initiation of atrial fibrillation by ectopic beats originating in the pulmonary veins","volume":"339","author":"Haissaguerre","year":"1998","journal-title":"N Engl J Med"},{"key":"10.1016\/j.acvd.2021.06.012_bib0165","doi-asserted-by":"crossref","first-page":"2893","DOI":"10.1093\/eurheartj\/ehw210","article-title":"2016 ESC Guidelines for the management of atrial fibrillation developed in colla*boration with EACTS","volume":"37","author":"Kirchhof","year":"2016","journal-title":"Eur Heart J"},{"key":"10.1016\/j.acvd.2021.06.012_bib0170","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1093\/europace\/eux275","article-title":"2017 HRS\/EHRA\/ECAS\/APHRS\/SOLAECE expert consensus statement on catheter and surgical ablation of atrial fibrillation: Executive summary","volume":"20","author":"Calkins","year":"2018","journal-title":"Europace"},{"issue":"Suppl 1","key":"10.1016\/j.acvd.2021.06.012_bib0175","first-page":"S90","article-title":"Left atrial linear ablation to modify the substrate of atrial fibrillation using a new nonfluoroscopic imaging system","volume":"28","author":"Takahashi","year":"2005","journal-title":"Pacing Clin Electrophysiol"},{"key":"10.1016\/j.acvd.2021.06.012_bib0180","doi-asserted-by":"crossref","first-page":"2996","DOI":"10.1161\/01.CIR.0000146917.75041.58","article-title":"Technique and results of linear ablation at the mitral isthmus","volume":"110","author":"Jais","year":"2004","journal-title":"Circulation"},{"key":"10.1016\/j.acvd.2021.06.012_bib0185","doi-asserted-by":"crossref","first-page":"1216","DOI":"10.1016\/j.hrthm.2010.01.038","article-title":"Atrial fibrillation termination as a procedural endpoint during ablation in long-standing persistent atrial fibrillation","volume":"7","author":"Elayi","year":"2010","journal-title":"Heart Rhythm"},{"key":"10.1016\/j.acvd.2021.06.012_bib0190","doi-asserted-by":"crossref","first-page":"1105","DOI":"10.1093\/eurheartj\/ehp063","article-title":"Long-term follow-up of persistent atrial fibrillation ablation using termination as a procedural endpoint","volume":"30","author":"O\u2019Neill","year":"2009","journal-title":"Eur Heart J"},{"key":"10.1016\/j.acvd.2021.06.012_bib0195","doi-asserted-by":"crossref","first-page":"1440","DOI":"10.1016\/j.jacep.2018.07.007","article-title":"Single-Procedure Outcomes and Quality-of-Life Improvement 12 Months Post-Cryoballoon Ablation in Persistent Atrial Fibrillation: Results From the Multicenter CRYO4PERSISTENT AF Trial","volume":"4","author":"Boveda","year":"2018","journal-title":"JACC Clin Electrophysiol"},{"key":"10.1016\/j.acvd.2021.06.012_bib0200","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1016\/j.jacep.2017.06.023","article-title":"Evaluation of a Strategy Aiming to Enclose the Pulmonary Veins With Contiguous and Optimized Radiofrequency Lesions in Paroxysmal Atrial Fibrillation: A Pilot Study","volume":"4","author":"Taghji","year":"2018","journal-title":"JACC Clin Electrophysiol"},{"key":"10.1016\/j.acvd.2021.06.012_bib0205","doi-asserted-by":"crossref","first-page":"665","DOI":"10.1111\/j.1540-8167.2009.01681.x","article-title":"The modified anterior line: an alternative linear lesion in perimitral flutter","volume":"21","author":"Tzeis","year":"2010","journal-title":"J Cardiovasc Electrophysiol"},{"key":"10.1016\/j.acvd.2021.06.012_bib0210","doi-asserted-by":"crossref","first-page":"791","DOI":"10.1016\/j.acvd.2020.05.021","article-title":"Definition of success criteria for ablation of typical right atrial flutter with a single-catheter approach: A pilot study","volume":"113","author":"Sebag","year":"2020","journal-title":"Arch Cardiovasc Dis"},{"key":"10.1016\/j.acvd.2021.06.012_bib0215","doi-asserted-by":"crossref","first-page":"2148","DOI":"10.1111\/jce.14381","article-title":"Is pulmonary vein isolation enough for persistent atrial fibrillation?","volume":"31","author":"Terricabras","year":"2020","journal-title":"J Cardiovasc Electrophysiol"},{"key":"10.1016\/j.acvd.2021.06.012_bib0220","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1016\/j.jacc.2016.10.065","article-title":"AF Ablation Guided by Spatiotemporal Electrogram Dispersion Without Pulmonary Vein Isolation: A Wholly Patient-Tailored Approach","volume":"69","author":"Seitz","year":"2017","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.acvd.2021.06.012_bib0225","doi-asserted-by":"crossref","first-page":"530","DOI":"10.1161\/CIRCULATIONAHA.113.005421","article-title":"Driver domains in persistent atrial fibrillation","volume":"130","author":"Haissaguerre","year":"2014","journal-title":"Circulation"},{"key":"10.1016\/j.acvd.2021.06.012_bib0230","doi-asserted-by":"crossref","first-page":"628","DOI":"10.1016\/j.jacc.2012.05.022","article-title":"Treatment of atrial fibrillation by the ablation of localized sources: CONFIRM (Conventional Ablation for Atrial Fibrillation With or Without Focal Impulse and Rotor Modulation) trial","volume":"60","author":"Narayan","year":"2012","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.acvd.2021.06.012_bib0235","doi-asserted-by":"crossref","first-page":"1329","DOI":"10.1046\/j.1540-8167.2003.03222.x","article-title":"Role of the coronary sinus in maintenance of atrial fibrillation","volume":"14","author":"Oral","year":"2003","journal-title":"J Cardiovasc Electrophysiol"},{"key":"10.1016\/j.acvd.2021.06.012_bib0240","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1111\/jce.13797","article-title":"MARSHALL bundles elimination, Pulmonary veins isolation and Lines completion for ANatomical ablation of persistent atrial fibrillation: MARSHALL-PLAN case series","volume":"30","author":"Pambrun","year":"2019","journal-title":"J Cardiovasc Electrophysiol"},{"key":"10.1016\/j.acvd.2021.06.012_bib0245","doi-asserted-by":"crossref","first-page":"208","DOI":"10.1111\/pace.13570","article-title":"Impact of left atrial box surface ratio on the recurrence after ablation for persistent atrial fibrillation","volume":"42","author":"Kece","year":"2019","journal-title":"Pacing Clin Electrophysiol"},{"key":"10.1016\/j.acvd.2021.06.012_bib0250","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1016\/j.ahj.2019.11.010","article-title":"Safety and efficacy outcomes of left atrial posterior wall isolation compared to pulmonary vein isolation and pulmonary vein isolation with linear ablation for the treatment of persistent atrial fibrillation","volume":"220","author":"Sutter","year":"2020","journal-title":"Am Heart J"},{"key":"10.1016\/j.acvd.2021.06.012_bib0255","first-page":"369","article-title":"The convergent procedure: a hybrid approach for long lasting persistent atrial fibrillation ablation","volume":"61","author":"Zannis","year":"2020","journal-title":"J Cardiovasc Surg (Torino)"},{"key":"10.1016\/j.acvd.2021.06.012_bib0260","doi-asserted-by":"crossref","first-page":"1812","DOI":"10.1056\/NEJMoa1408288","article-title":"Approaches to catheter ablation for persistent atrial fibrillation","volume":"372","author":"Verma","year":"2015","journal-title":"N Engl J Med"},{"key":"10.1016\/j.acvd.2021.06.012_bib0265","doi-asserted-by":"crossref","first-page":"476","DOI":"10.1016\/j.hrthm.2016.12.033","article-title":"Impact of acute atrial fibrillation termination and prolongation of atrial fibrillation cycle length on the outcome of ablation of persistent atrial fibrillation: A substudy of the STAR AF II trial","volume":"14","author":"Kochhauser","year":"2017","journal-title":"Heart Rhythm"},{"key":"10.1016\/j.acvd.2021.06.012_bib0270","doi-asserted-by":"crossref","first-page":"e18045","DOI":"10.1097\/MD.0000000000018045","article-title":"Is ablation to atrial fibrillation termination of persistent atrial fibrillation the end point?.: A systematic review and meta-analysis","volume":"98","author":"Li","year":"2019","journal-title":"Medicine (Baltimore)"},{"key":"10.1016\/j.acvd.2021.06.012_bib0275","doi-asserted-by":"crossref","first-page":"701","DOI":"10.1111\/jce.12396","article-title":"Mechanisms of pulmonary vein reconnection after radiofrequency ablation of atrial fibrillation: the deterministic role of contact force and interlesion distance","volume":"25","author":"Park","year":"2014","journal-title":"J Cardiovasc Electrophysiol"},{"key":"10.1016\/j.acvd.2021.06.012_bib0280","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1093\/europace\/euu218","article-title":"Higher contact-force values associated with better mid-term outcome of paroxysmal atrial fibrillation ablation using the SmartTouch catheter","volume":"17","author":"Providencia","year":"2015","journal-title":"Europace"},{"key":"10.1016\/j.acvd.2021.06.012_bib0285","first-page":"775","article-title":"Ablation index, a novel marker of ablation lesion quality: prediction of pulmonary vein reconnection at repeat electrophysiology study and regional differences in target values","volume":"19","author":"Das","year":"2017","journal-title":"Europace"},{"key":"10.1016\/j.acvd.2021.06.012_bib0290","first-page":"1027","article-title":"The Role Of Contact Force In Atrial Fibrillation Ablation","volume":"7","author":"Nakagawa","year":"2014","journal-title":"J Atr Fibrillation"},{"key":"10.1016\/j.acvd.2021.06.012_bib0295","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1016\/j.hrthm.2016.12.008","article-title":"Contact-force guided single-catheter approach for pulmonary vein isolation: Feasibility, outcomes, and cost-effectiveness","volume":"14","author":"Pambrun","year":"2017","journal-title":"Heart Rhythm"},{"key":"10.1016\/j.acvd.2021.06.012_bib0300","doi-asserted-by":"crossref","first-page":"2359","DOI":"10.1093\/eurheartj\/ehn302","article-title":"Left atrial linear lesions are required for successful treatment of persistent atrial fibrillation","volume":"29","author":"Knecht","year":"2008","journal-title":"Eur Heart J"}],"container-title":["Archives of Cardiovascular Diseases"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1875213621001364?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1875213621001364?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T13:47:09Z","timestamp":1761745629000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1875213621001364"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,11]]},"references-count":30,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2021,11]]}},"alternative-id":["S1875213621001364"],"URL":"https:\/\/doi.org\/10.1016\/j.acvd.2021.06.012","relation":{},"ISSN":["1875-2136"],"issn-type":[{"value":"1875-2136","type":"print"}],"subject":[],"published":{"date-parts":[[2021,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Single-catheter simplified stepwise approach to persistent atrial fibrillation ablation: A feasibility study","name":"articletitle","label":"Article Title"},{"value":"Archives of Cardiovascular Diseases","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.acvd.2021.06.012","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2021 Elsevier Masson SAS.","name":"copyright","label":"Copyright"}]}}