{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,2]],"date-time":"2026-01-02T08:46:37Z","timestamp":1767343597324,"version":"3.48.0"},"reference-count":25,"publisher":"Elsevier BV","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","heartrhythmjournal.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Heart Rhythm"],"published-print":{"date-parts":[[2026,1]]},"DOI":"10.1016\/j.hrthm.2025.05.027","type":"journal-article","created":{"date-parts":[[2025,5,20]],"date-time":"2025-05-20T05:14:02Z","timestamp":1747718042000},"page":"123-130","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Posterior offset of inferior caval vein and its impact on cavotricuspid conduction block difficulty during cryoablation for common-type atrial flutter"],"prefix":"10.1016","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-2914-3497","authenticated-orcid":false,"given":"Minoru","family":"Nodera","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takashi","family":"Kaneshiro","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sadahiro","family":"Murota","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shinya","family":"Yamada","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masayoshi","family":"Oikawa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasuchika","family":"Takeishi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.hrthm.2025.05.027_bib1","doi-asserted-by":"crossref","first-page":"1898","DOI":"10.1016\/S0735-1097(00)00635-5","article-title":"Prospective randomized comparison of antiarrhythmic therapy versus first-line radiofrequency ablation in patients with atrial flutter","volume":"35","author":"Natale","year":"2000","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.hrthm.2025.05.027_bib2","doi-asserted-by":"crossref","first-page":"420","DOI":"10.1093\/europace\/eus261","article-title":"Cryothermal vs. radiofrequency ablation as atrial flutter therapy: a randomized comparison","volume":"15","author":"Bastani","year":"2013","journal-title":"Europace"},{"key":"10.1016\/j.hrthm.2025.05.027_bib3","doi-asserted-by":"crossref","first-page":"3204","DOI":"10.1161\/01.CIR.94.12.3204","article-title":"Radiofrequency catheter ablation of atrial flutter. Further insights into the various types of isthmus block: application to ablation during sinus rhythm","volume":"94","author":"Poty","year":"1996","journal-title":"Circulation"},{"key":"10.1016\/j.hrthm.2025.05.027_bib4","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1080\/00015385.2020.1721717","article-title":"Cryoablation as standard treatment of atrial flutter: a prospective, 2-center study (CASTAF)","volume":"76","author":"Bastani","year":"2021","journal-title":"Acta Cardiol"},{"key":"10.1016\/j.hrthm.2025.05.027_bib5","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1016\/j.ijcard.2016.09.064","article-title":"Creating bidirectional conduction block in the cavotricuspid isthmus by cryothermal ablation with a short freeze time: insight from the results with a 2-minute freeze cycle","volume":"224","author":"Miyazaki","year":"2016","journal-title":"Int J Cardiol"},{"key":"10.1016\/j.hrthm.2025.05.027_bib6","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1111\/j.1540-8159.2006.00308.x","article-title":"Acute success and persistence of bidirectional conduction block in the cavotricuspid isthmus one month post cryocatheter ablation of common atrial flutter","volume":"29","author":"Kuniss","year":"2006","journal-title":"Pacing Clin Electrophysiol"},{"key":"10.1016\/j.hrthm.2025.05.027_bib7","doi-asserted-by":"crossref","first-page":"407","DOI":"10.1093\/europace\/eum046","article-title":"ST segment elevation and chest pain during cryoablation of atrial flutter","volume":"9","author":"Johansson","year":"2007","journal-title":"Europace"},{"key":"10.1016\/j.hrthm.2025.05.027_bib8","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1111\/jce.13764","article-title":"Coronary artery injury related to catheter ablation of cardiac arrhythmias: a systematic review","volume":"30","author":"Pothineni","year":"2019","journal-title":"J Cardiovasc Electrophysiol"},{"key":"10.1016\/j.hrthm.2025.05.027_bib9","doi-asserted-by":"crossref","first-page":"2178","DOI":"10.1161\/01.CIR.101.18.2178","article-title":"Right atrial angiographic evaluation of the posterior isthmus: relevance for ablation of typical atrial flutter","volume":"101","author":"Heidb\u00fcchel","year":"2000","journal-title":"Circulation"},{"key":"10.1016\/j.hrthm.2025.05.027_bib10","doi-asserted-by":"crossref","first-page":"1030","DOI":"10.1161\/01.CIR.0000139845.40818.75","article-title":"Effect of isthmus anatomy and ablation catheter on radiofrequency catheter ablation of the cavotricuspid isthmus","volume":"110","author":"Da Costa","year":"2004","journal-title":"Circulation"},{"key":"10.1016\/j.hrthm.2025.05.027_bib11","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1093\/europace\/eun308","article-title":"Diastolic isthmus length and \u2018vertical\u2019 isthmus angulation identify patients with difficult catheter ablation of typical atrial flutter: a pre-procedure MRI study","volume":"11","author":"Kirchhof","year":"2009","journal-title":"Europace"},{"key":"10.1016\/j.hrthm.2025.05.027_bib12","doi-asserted-by":"crossref","first-page":"1608","DOI":"10.1093\/europace\/euq320","article-title":"Anatomical variations of the right coronary artery may be a source of difficult block and conduction recurrence in catheter ablation of common-type atrial flutter","volume":"12","author":"Klemm","year":"2010","journal-title":"Europace"},{"key":"10.1016\/j.hrthm.2025.05.027_bib13","doi-asserted-by":"crossref","first-page":"2045","DOI":"10.1161\/01.CIR.0000058706.82623.A1","article-title":"Lower incidence of thrombus formation with cryoenergy versus radiofrequency catheter ablation","volume":"107","author":"Khairy","year":"2003","journal-title":"Circulation"},{"key":"10.1016\/j.hrthm.2025.05.027_bib14","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1111\/j.1540-8159.2007.00934.x","article-title":"Transcatheter cryoablation part I: preclinical experience","volume":"31","author":"Khairy","year":"2008","journal-title":"Pacing Clin Electrophysiol"},{"key":"10.1016\/j.hrthm.2025.05.027_bib15","doi-asserted-by":"crossref","first-page":"1517","DOI":"10.1161\/01.CIR.102.13.1517","article-title":"Differential pacing for distinguishing block from persistent conduction through an ablation line","volume":"102","author":"Shah","year":"2000","journal-title":"Circulation"},{"key":"10.1016\/j.hrthm.2025.05.027_bib16","doi-asserted-by":"crossref","first-page":"2377","DOI":"10.1016\/j.hrthm.2024.05.066","article-title":"How best to describe the location of the substrates for abnormal cardiac rhythms","volume":"21","author":"Anderson","year":"2024","journal-title":"Heart Rhythm"},{"key":"10.1016\/j.hrthm.2025.05.027_bib17","doi-asserted-by":"crossref","first-page":"1319","DOI":"10.1111\/j.1540-8159.2010.02844.x","article-title":"Proximity of right coronary artery to cavotricuspid isthmus as determined by computed tomography","volume":"33","author":"Al Aloul","year":"2010","journal-title":"Pacing Clin Electrophysiol"},{"key":"10.1016\/j.hrthm.2025.05.027_bib18","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1093\/ejechocard\/jeq100","article-title":"Prominence of the Eustachian valve in paradoxical embolism","volume":"12","author":"Vale","year":"2011","journal-title":"Eur J Echocardiogr"},{"key":"10.1016\/j.hrthm.2025.05.027_bib19","doi-asserted-by":"crossref","first-page":"402","DOI":"10.1046\/j.1540-8167.2005.40709.x","article-title":"The inferior right atrial isthmus: further architectural insights for current and coming ablation technologies","volume":"16","author":"Cabrera","year":"2005","journal-title":"J Cardiovasc Electrophysiol"},{"key":"10.1016\/j.hrthm.2025.05.027_bib20","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0163383","article-title":"Clinical anatomy of the cavotricuspid isthmus and terminal crest","volume":"11","author":"Klimek-Piotrowska","year":"2016","journal-title":"PLoS One"},{"key":"10.1016\/j.hrthm.2025.05.027_bib21","doi-asserted-by":"crossref","first-page":"591","DOI":"10.1046\/j.1540-8167.2003.02152.x","article-title":"Phased-array intracardiac echocardiography for defining cavotricuspid isthmus anatomy during radiofrequency ablation of typical atrial flutter","volume":"14","author":"Morton","year":"2003","journal-title":"J Cardiovasc Electrophysiol"},{"key":"10.1016\/j.hrthm.2025.05.027_bib22","doi-asserted-by":"crossref","first-page":"1127","DOI":"10.1253\/circj.CJ-24-0083","article-title":"Jugular approach for the transcatheter pacemaker implant- better access for smaller hearts?","volume":"88","author":"Soejima","year":"2024","journal-title":"Circ J"},{"key":"10.1016\/j.hrthm.2025.05.027_bib23","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1080\/14017431.2016.1259496","article-title":"Impact of cavotricuspid isthmus morphology in CRYO versus radiofrequency ablation of typical atrial flutter","volume":"51","author":"Saygi","year":"2017","journal-title":"Scand Cardiovasc J"},{"key":"10.1016\/j.hrthm.2025.05.027_bib24","doi-asserted-by":"crossref","first-page":"264","DOI":"10.1093\/europace\/euaa215","article-title":"Safety, efficacy, and reproducibility of cavotricuspid isthmus ablation guided by the ablation index: acute results of the FLAI study","volume":"23","author":"Viola","year":"2021","journal-title":"Europace"},{"key":"10.1016\/j.hrthm.2025.05.027_bib25","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1007\/s00380-022-02125-9","article-title":"Ablation index-guided high-power vs. moderate-power cavotricuspid isthmus ablation","volume":"38","author":"Chikata","year":"2023","journal-title":"Heart Vessels"}],"container-title":["Heart Rhythm"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1547527125024518?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1547527125024518?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,1,2]],"date-time":"2026-01-02T08:43:43Z","timestamp":1767343423000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1547527125024518"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":25,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["S1547527125024518"],"URL":"https:\/\/doi.org\/10.1016\/j.hrthm.2025.05.027","relation":{},"ISSN":["1547-5271"],"issn-type":[{"type":"print","value":"1547-5271"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Posterior offset of inferior caval vein and its impact on cavotricuspid conduction block difficulty during cryoablation for common-type atrial flutter","name":"articletitle","label":"Article Title"},{"value":"Heart Rhythm","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.hrthm.2025.05.027","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"https:\/\/doi.org\/10.1016\/j.hrthm.2025.04.035","name":"associatedlink","label":"CrossRef DOI link to the associated document"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 Heart Rhythm Society. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}