{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T04:07:54Z","timestamp":1789790874405,"version":"4.0.1"},"reference-count":17,"publisher":"Elsevier BV","issue":"7","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T00:00:00Z","timestamp":1774483200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","heartrhythmopen.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Heart Rhythm O2"],"published-print":{"date-parts":[[2026,7]]},"DOI":"10.1016\/j.hroo.2026.03.029","type":"journal-article","created":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T08:09:14Z","timestamp":1775030954000},"page":"1231-1241","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"title":["Rotor-guided tailor-made pulmonary vein isolation for persistent atrial fibrillation: Identification of the left atrial septum as a common arrhythmogenic substrate"],"prefix":"10.1016","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6790-0914","authenticated-orcid":false,"given":"Yuya","family":"Suzuki","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaoru","family":"Takami","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daisuke","family":"Shiraishi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tatsuru","family":"Nomura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takamichi","family":"Ishihata","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomohiro","family":"Nozawa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akihiro","family":"Yoshida","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.hroo.2026.03.029_bib1","doi-asserted-by":"crossref","first-page":"e31","DOI":"10.1016\/j.hrthm.2024.03.017","article-title":"2024 European Heart Rhythm Association\/Heart Rhythm Society\/Asia Pacific Heart Rhythm Society\/Latin American Heart Rhythm Society expert consensus statement on catheter and surgical ablation of atrial fibrillation","volume":"21","author":"Tzeis","year":"2024","journal-title":"Heart Rhythm"},{"key":"10.1016\/j.hroo.2026.03.029_bib2","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.hroo.2026.03.029_bib3","doi-asserted-by":"crossref","first-page":"176","DOI":"10.1002\/joa3.12036","article-title":"Not all rotors, effective ablation targets for nonparoxysmal atrial fibrillation, are included in areas suggested by conventional indirect indicators of atrial fibrillation drivers: ExTRa Mapping project","volume":"34","author":"Sakata","year":"2018","journal-title":"J Arrhythm"},{"key":"10.1016\/j.hroo.2026.03.029_bib4","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1007\/s10840-023-01588-8","article-title":"Distributions and number of drivers on real-time phase mapping associated with successful atrial fibrillation termination during catheter ablation for non-paroxysmal atrial fibrillation","volume":"67","author":"Riku","year":"2024","journal-title":"J Interv Card Electrophysiol"},{"key":"10.1016\/j.hroo.2026.03.029_bib5","doi-asserted-by":"crossref","first-page":"1999","DOI":"10.1111\/jce.16772","article-title":"Efficacy of additional ExTRa Mapping-guided substrate ablation beyond pulmonary vein isolation in persistent atrial fibrillation: the ROTATE trial","volume":"36","author":"Kawaji","year":"2025","journal-title":"J Cardiovasc Electrophysiol"},{"key":"10.1016\/j.hroo.2026.03.029_bib6","doi-asserted-by":"crossref","DOI":"10.1161\/CIRCEP.119.007247","article-title":"Repeat ablation for atrial fibrillation recurrence post cryoballoon or radiofrequency ablation in the FIRE AND ICE trial","volume":"12","author":"Kuck","year":"2019","journal-title":"Circ Arrhythm Electrophysiol"},{"key":"10.1016\/j.hroo.2026.03.029_bib7","doi-asserted-by":"crossref","first-page":"579","DOI":"10.1016\/j.hrthm.2014.01.009","article-title":"Active or passive pulmonary vein in atrial fibrillation: is pulmonary vein isolation always essential?","volume":"11","author":"Seitz","year":"2014","journal-title":"Heart Rhythm"},{"key":"10.1016\/j.hroo.2026.03.029_bib8","doi-asserted-by":"crossref","DOI":"10.1161\/CIRCEP.117.005789","article-title":"Long-term outcome of pulmonary vein isolation with and without focal impulse and rotor modulation mapping: insights from a meta-analysis","volume":"11","author":"Mohanty","year":"2018","journal-title":"Circ Arrhythm Electrophysiol"},{"key":"10.1016\/j.hroo.2026.03.029_bib9","doi-asserted-by":"crossref","first-page":"921","DOI":"10.1111\/jce.12474","article-title":"Initial independent outcomes from focal impulse and rotor modulation ablation for atrial fibrillation: multicenter FIRM registry","volume":"25","author":"Miller","year":"2014","journal-title":"J Cardiovasc Electrophysiol"},{"key":"10.1016\/j.hroo.2026.03.029_bib10","doi-asserted-by":"crossref","first-page":"636","DOI":"10.1016\/j.hrthm.2015.10.031","article-title":"Long-term clinical outcomes of focal impulse and rotor modulation for treatment of atrial fibrillation: a multicenter experience","volume":"13","author":"Buch","year":"2016","journal-title":"Heart Rhythm"},{"key":"10.1016\/j.hroo.2026.03.029_bib11","doi-asserted-by":"crossref","first-page":"531","DOI":"10.1002\/joa3.12897","article-title":"Association with the nonparoxysmal atrial fibrillation duration and outcome of ExTRa Mapping-guided rotor ablation","volume":"39","author":"Okuyama","year":"2023","journal-title":"J Arrhythm"},{"key":"10.1016\/j.hroo.2026.03.029_bib12","doi-asserted-by":"crossref","first-page":"699","DOI":"10.1007\/s00380-022-02209-6","article-title":"Effect of pulmonary vein isolation on rotor\/multiple wavelet dynamics in persistent atrial fibrillation, association with vagal response and implications for adjunctive ablation","volume":"38","author":"Nishimura","year":"2023","journal-title":"Heart Vessels"},{"key":"10.1016\/j.hroo.2026.03.029_bib13","doi-asserted-by":"crossref","first-page":"1005","DOI":"10.1111\/jce.14933","article-title":"Late-gadolinium enhancement properties associated with atrial fibrillation rotors in patients with persistent atrial fibrillation","volume":"32","author":"Nakamura","year":"2021","journal-title":"J Cardiovasc Electrophysiol"},{"key":"10.1016\/j.hroo.2026.03.029_bib14","doi-asserted-by":"crossref","DOI":"10.1161\/JAHA.121.024521","article-title":"Atrial structural remodeling in patients with atrial fibrillation is a diffuse fibrotic process: evidence from high-density voltage mapping and atrial biopsy","volume":"11","author":"Yamaguchi","year":"2022","journal-title":"J Am Heart Assoc"},{"key":"10.1016\/j.hroo.2026.03.029_bib15","doi-asserted-by":"crossref","first-page":"622","DOI":"10.1161\/CIRCEP.111.962928","article-title":"Characterization of fractionated atrial electrograms critical for maintenance of atrial fibrillation: a randomized, controlled trial of ablation strategies (the CFAE AF trial)","volume":"4","author":"Hunter","year":"2011","journal-title":"Circ Arrhythm Electrophysiol"},{"key":"10.1016\/j.hroo.2026.03.029_bib16","doi-asserted-by":"crossref","first-page":"4426","DOI":"10.1093\/eurheartj\/ehaf451","article-title":"Cryoballoon vs radiofrequency ablation in persistent atrial fibrillation: the CRRF-PeAF trial","volume":"46","author":"Miyamoto","year":"2025","journal-title":"Eur Heart J"},{"key":"10.1016\/j.hroo.2026.03.029_bib17","first-page":"924","article-title":"Comparing safety and efficacy of irrigated radiofrequency catheter ablation versus combined cryoballoon and catheter ablation for persistent atrial fibrillation","volume":"6","author":"Kosmidou","year":"2013","journal-title":"J Atr Fibrillation"}],"container-title":["Heart Rhythm O2"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S266650182600139X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S266650182600139X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T08:58:49Z","timestamp":1784537929000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S266650182600139X"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":17,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["S266650182600139X"],"URL":"https:\/\/doi.org\/10.1016\/j.hroo.2026.03.029","relation":{},"ISSN":["2666-5018"],"issn-type":[{"value":"2666-5018","type":"print"}],"subject":[],"published":{"date-parts":[[2026,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Rotor-guided tailor-made pulmonary vein isolation for persistent atrial fibrillation: Identification of the left atrial septum as a common arrhythmogenic substrate","name":"articletitle","label":"Article Title"},{"value":"Heart Rhythm O2","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.hroo.2026.03.029","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Heart Rhythm Society. Published by Elsevier Inc.","name":"copyright","label":"Copyright"}]}}