{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T10:16:13Z","timestamp":1787998573339,"version":"build-2784847793"},"reference-count":43,"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":[[2026,3,24]],"date-time":"2026-03-24T00:00:00Z","timestamp":1774310400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"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":[[2026,7]]},"DOI":"10.1016\/j.hrthm.2026.03.1914","type":"journal-article","created":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T13:49:43Z","timestamp":1776174583000},"page":"e1039-e1050","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"title":["Comparative 1-year outcomes of pentaspline versus circular array pulsed field ablation for pulmonary vein isolation with adjunctive atrial lines"],"prefix":"10.1016","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-4042-8331","authenticated-orcid":false,"given":"Joerg","family":"Yogarajah","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philipp","family":"Beaujean","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie","family":"Hutter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"Kahle","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mirlinda","family":"L\u00fcsebrink","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marko","family":"Tomic","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Hain","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel","family":"Sossalla","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Malte","family":"Kuniss","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Neumann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.hrthm.2026.03.1914_bib1","doi-asserted-by":"crossref","first-page":"1660","DOI":"10.1056\/NEJMoa2307291","article-title":"Pulsed field or conventional thermal ablation for paroxysmal atrial fibrillation","volume":"389","author":"Reddy","year":"2023","journal-title":"N Engl J Med"},{"key":"10.1016\/j.hrthm.2026.03.1914_bib2","doi-asserted-by":"crossref","first-page":"2020","DOI":"10.1038\/s41591-024-03114-3","article-title":"Safety of pulsed field ablation in more than 17,000 patients with atrial fibrillation in the MANIFEST-17K study","volume":"30","author":"Ekanem","year":"2024","journal-title":"Nat Med"},{"key":"10.1016\/j.hrthm.2026.03.1914_bib3","doi-asserted-by":"crossref","DOI":"10.1093\/europace\/euae134","article-title":"State-of-the-art pulsed field ablation for cardiac arrhythmias: ongoing evolution and future perspective","volume":"26","author":"Chun","year":"2024","journal-title":"Europace"},{"key":"10.1016\/j.hrthm.2026.03.1914_bib4","doi-asserted-by":"crossref","first-page":"614","DOI":"10.1016\/j.jacep.2021.02.014","article-title":"Pulsed field ablation of paroxysmal atrial fibrillation: 1-year outcomes of IMPULSE, PEFCAT, and PEFCAT II","volume":"7","author":"Reddy","year":"2021","journal-title":"JACC Clin Electrophysiol"},{"key":"10.1016\/j.hrthm.2026.03.1914_bib5","doi-asserted-by":"crossref","first-page":"1422","DOI":"10.1161\/CIRCULATIONAHA.123.063988","article-title":"Pulsed field ablation for the treatment of atrial fibrillation: PULSED AF pivotal trial","volume":"147","author":"Verma","year":"2023","journal-title":"Circulation"},{"key":"10.1016\/j.hrthm.2026.03.1914_bib6","doi-asserted-by":"crossref","first-page":"1637","DOI":"10.1007\/s10840-025-02078-9","article-title":"Acute outcomes of cryoballoon vs. circular vs. pentaspline pulsed-field ablation catheters in combined pulmonary vein isolation and roof line ablation","volume":"68","author":"Yogarajah","year":"2025","journal-title":"J Interv Card Electrophysiol"},{"key":"10.1016\/j.hrthm.2026.03.1914_bib7","doi-asserted-by":"crossref","first-page":"1957","DOI":"10.1111\/jce.16761","article-title":"Direct comparison of two commercially available pulsed field ablation systems for atrial fibrillation: procedure characteristics and acute outcomes","volume":"36","author":"Abeln","year":"2025","journal-title":"J Cardiovasc Electrophysiol"},{"key":"10.1016\/j.hrthm.2026.03.1914_bib8","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1161\/CIRCULATIONAHA.125.074485","article-title":"Pulsed field ablation of persistent atrial fibrillation with continuous electrocardiographic monitoring follow-up: ADVANTAGE AF phase 2","volume":"152","author":"Reddy","year":"2025","journal-title":"Circulation"},{"key":"10.1016\/j.hrthm.2026.03.1914_bib9","doi-asserted-by":"crossref","DOI":"10.1093\/europace\/euad185","article-title":"European real-world outcomes with pulsed field ablation in patients with symptomatic atrial fibrillation: lessons from the multi-centre EU-PORIA registry","volume":"25","author":"Schmidt","year":"2023","journal-title":"Europace"},{"key":"10.1016\/j.hrthm.2026.03.1914_bib10","doi-asserted-by":"crossref","DOI":"10.1016\/j.hrthm.2026.01.015","article-title":"Sedation protocols for atrial fibrillation ablation using pentaspline pulsed-field ablation: patient and operator-reported outcomes from a large nationwide study","author":"Compagnucci","year":"2026","journal-title":"Heart Rhythm"},{"key":"10.1016\/j.hrthm.2026.03.1914_bib11","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1016\/j.hrthm.2024.06.058","article-title":"How to perform pulmonary vein isolation using a pentaspline pulsed field ablation system for treatment of atrial fibrillation","volume":"22","author":"Badertscher","year":"2025","journal-title":"Heart Rhythm"},{"key":"10.1016\/j.hrthm.2026.03.1914_bib12","doi-asserted-by":"crossref","first-page":"6961","DOI":"10.3390\/jcm13226961","article-title":"Initial real-world experiences of pulmonary vein isolation and ablation of non-pulmonary vein sites using a novel circular array pulsed field ablation catheter","volume":"13","author":"Yogarajah","year":"2024","journal-title":"J Clin Med"},{"key":"10.1016\/j.hrthm.2026.03.1914_bib13","first-page":"1109","article-title":"Cryoballoon ablation of persistent atrial fibrillation: feasibility and safety of left atrial roof ablation with generation of conduction block in addition to antral pulmonary vein isolation","volume":"19","author":"Kuniss","year":"2017","journal-title":"Europace"},{"key":"10.1016\/j.hrthm.2026.03.1914_bib14","first-page":"1706","article-title":"Real-world comparison of variable vs fixed-loop circular pulsed field ablation catheters: acute outcomes including non-pulmonary vein ablation","volume":"6","author":"Yogarajah","year":"2025","journal-title":"Heart Rhythm O2"},{"key":"10.1016\/j.hrthm.2026.03.1914_bib15","doi-asserted-by":"crossref","DOI":"10.1093\/europace\/euae262","article-title":"Cavotricuspid isthmus ablation using a pentaspline pulsed field ablation catheter: feasibility and acute results","volume":"26","author":"Chaumont","year":"2024","journal-title":"Europace"},{"key":"10.1016\/j.hrthm.2026.03.1914_bib16","first-page":"1664","article-title":"Pulsed field ablation for persistent atrial fibrillation: 1-year results of ADVANTAGE AF","volume":"85","author":"Reddy","year":"2025","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.hrthm.2026.03.1914_bib17","doi-asserted-by":"crossref","first-page":"1359","DOI":"10.1007\/s10840-023-01728-0","article-title":"Left atrial posterior wall isolation using pulsed-field ablation: procedural characteristics, safety, and mid-term outcomes","volume":"67","author":"Badertscher","year":"2024","journal-title":"J Interv Card Electrophysiol"},{"key":"10.1016\/j.hrthm.2026.03.1914_bib18","doi-asserted-by":"crossref","first-page":"900","DOI":"10.1016\/j.jacep.2024.01.017","article-title":"Impact of left atrial posterior wall ablation during pulsed-field ablation for persistent atrial fibrillation","volume":"10","author":"Turagam","year":"2024","journal-title":"JACC Clin Electrophysiol"},{"key":"10.1016\/j.hrthm.2026.03.1914_bib19","doi-asserted-by":"crossref","DOI":"10.1093\/europace\/euae160","article-title":"Superior vena cava isolation using a pentaspline pulsed-field ablation catheter: feasibility and safety in patients undergoing atrial fibrillation catheter ablation","volume":"26","author":"Ollitrault","year":"2024","journal-title":"Europace"},{"key":"10.1016\/j.hrthm.2026.03.1914_bib20","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1001\/jamacardio.2023.4405","article-title":"Coronary artery spasm during pulsed field vs radiofrequency catheter ablation of the mitral isthmus","volume":"9","author":"Zhang","year":"2024","journal-title":"JAMA Cardiol"},{"issue":"8","key":"10.1016\/j.hrthm.2026.03.1914_bib21","doi-asserted-by":"crossref","first-page":"2013","DOI":"10.1111\/jce.16719","article-title":"Safety and efficacy of pulsed field ablation for cavotricuspid isthmus-dependent flutter: a systematic literature review","volume":"36","author":"Rodriguez-Riascos","year":"2025","journal-title":"J Cardiovasc Electrophysiol"},{"key":"10.1016\/j.hrthm.2026.03.1914_bib22","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1161\/CIRCULATIONAHA.123.064959","article-title":"Safety and effectiveness of pulsed field ablation to treat atrial fibrillation: one-year outcomes from the MANIFEST-PF registry","volume":"148","author":"Turagam","year":"2023","journal-title":"Circulation"},{"key":"10.1016\/j.hrthm.2026.03.1914_bib23","doi-asserted-by":"crossref","first-page":"1526","DOI":"10.1016\/j.hrthm.2024.05.042","article-title":"Pulsed field vs very high-power short-duration radiofrequency ablation for atrial fibrillation: results of a multicenter, real-world experience","volume":"21","author":"Dello Russo","year":"2024","journal-title":"Heart Rhythm"},{"key":"10.1016\/j.hrthm.2026.03.1914_bib24","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.hrthm.2026.03.1914_bib25","doi-asserted-by":"crossref","first-page":"2296","DOI":"10.1001\/jama.2022.8831","article-title":"Effect of MRI-guided fibrosis ablation vs conventional catheter ablation on atrial arrhythmia recurrence in patients with persistent atrial fibrillation: the DECAAF II randomized clinical trial","volume":"327","author":"Marrouche","year":"2022","journal-title":"JAMA"},{"key":"10.1016\/j.hrthm.2026.03.1914_bib26","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1001\/jama.2022.23722","article-title":"Effect of catheter ablation using pulmonary vein isolation with vs without posterior left atrial wall isolation on atrial arrhythmia recurrence in patients with persistent atrial fibrillation: the CAPLA randomized clinical trial","volume":"329","author":"Kistler","year":"2023","journal-title":"JAMA"},{"key":"10.1016\/j.hrthm.2026.03.1914_bib27","doi-asserted-by":"crossref","DOI":"10.1056\/EVIDoa2200141","article-title":"Low-voltage myocardium-guided ablation trial of persistent atrial fibrillation","volume":"1","author":"Huo","year":"2022","journal-title":"NEJM evidence"},{"key":"10.1016\/j.hrthm.2026.03.1914_bib28","doi-asserted-by":"crossref","first-page":"2871","DOI":"10.1093\/eurheartj\/ehl093","article-title":"Substrate modification combined with pulmonary vein isolation improves outcome of catheter ablation in patients with persistent atrial fibrillation: a prospective randomized comparison","volume":"27","author":"Willems","year":"2006","journal-title":"Eur Heart J"},{"key":"10.1016\/j.hrthm.2026.03.1914_bib29","doi-asserted-by":"crossref","first-page":"714","DOI":"10.1007\/s00392-019-01560-5","article-title":"Left atrial roof ablation in patients with persistent atrial fibrillation using the second-generation cryoballoon: benefit or wasted time?","volume":"109","author":"Kuniss","year":"2020","journal-title":"Clin Res Cardiol"},{"key":"10.1016\/j.hrthm.2026.03.1914_bib30","doi-asserted-by":"crossref","first-page":"375","DOI":"10.1111\/jce.13402","article-title":"Ice or fire? Comparison of second-generation cryoballoon ablation and radiofrequency ablation in patients with symptomatic persistent atrial fibrillation and an enlarged left atrium","volume":"29","author":"Akkaya","year":"2018","journal-title":"J Cardiovasc Electrophysiol"},{"key":"10.1016\/j.hrthm.2026.03.1914_bib31","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1016\/j.ijcard.2019.04.091","article-title":"Clinical outcome and left atrial function after left atrial roof ablation using the cryoballoon technique in patients with symptomatic persistent atrial fibrillation","volume":"292","author":"Akkaya","year":"2019","journal-title":"Int J Cardiol"},{"key":"10.1016\/j.hrthm.2026.03.1914_bib32","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1016\/j.jacep.2020.08.016","article-title":"Concomitant pulmonary vein and posterior wall isolation using cryoballoon with adjunct radiofrequency in persistent atrial fibrillation","volume":"7","author":"Aryana","year":"2021","journal-title":"JACC Clin Electrophysiol"},{"key":"10.1016\/j.hrthm.2026.03.1914_bib33","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1093\/europace\/euac211","article-title":"Findings from repeat ablation using high-density mapping after pulmonary vein isolation with pulsed field ablation","volume":"25","author":"Tohoku","year":"2023","journal-title":"Europace"},{"key":"10.1016\/j.hrthm.2026.03.1914_bib34","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1161\/CIRCEP.123.011920","article-title":"Pulsed field versus cryoballoon pulmonary vein isolation for atrial fibrillation: efficacy, safety, and long-term follow-up in a 400-patient cohort","volume":"16","author":"Urbanek","year":"2023","journal-title":"Circ Arrhythm Electrophysiol"},{"key":"10.1016\/j.hrthm.2026.03.1914_bib35","doi-asserted-by":"crossref","DOI":"10.1093\/europace\/euaf012","article-title":"Repeat procedures after pulsed field ablation for atrial fibrillation: MANIFEST-REDO study","volume":"27","author":"Scherr","year":"2025","journal-title":"Europace"},{"key":"10.1016\/j.hrthm.2026.03.1914_bib36","doi-asserted-by":"crossref","first-page":"euae006","DOI":"10.1093\/europace\/euae006","article-title":"Posterior wall ablation by pulsed-field ablation: procedural safety, efficacy, and findings on redo procedures","volume":"26","author":"Kueffer","year":"2023","journal-title":"Europace"},{"key":"10.1016\/j.hrthm.2026.03.1914_bib37","doi-asserted-by":"crossref","DOI":"10.1161\/CIRCEP.125.014026","article-title":"Feasibility and safety of pulsed field ablation for coronary sinus and left atrial appendage isolation and mitral isthmus ablation: acute and chronic findings","volume":"18","author":"La Fazia","year":"2025","journal-title":"Circ Arrhythm Electrophysiol"},{"key":"10.1016\/j.hrthm.2026.03.1914_bib38","doi-asserted-by":"crossref","first-page":"1200","DOI":"10.1016\/j.jacep.2024.04.003","article-title":"Direct epicardial validation of posterior wall electroporation in persistent atrial fibrillation","volume":"10","author":"Solimene","year":"2024","journal-title":"JACC Clin Electrophysiol"},{"key":"10.1016\/j.hrthm.2026.03.1914_bib39","doi-asserted-by":"crossref","first-page":"891","DOI":"10.1016\/j.hrthm.2024.08.011","article-title":"Redefining the blanking period after pulsed-field ablation in patients with atrial fibrillation","volume":"22","author":"Mohanty","year":"2025","journal-title":"Heart Rhythm"},{"key":"10.1016\/j.hrthm.2026.03.1914_bib40","doi-asserted-by":"crossref","first-page":"884","DOI":"10.1016\/j.hrthm.2024.06.036","article-title":"Prevalence, timing, and impact of early recurrence of atrial tachyarrhythmias after pulsed field ablation: a secondary analysis of the PULSED AF trial","volume":"22","author":"Boersma","year":"2025","journal-title":"Heart Rhythm"},{"key":"10.1016\/j.hrthm.2026.03.1914_bib41","doi-asserted-by":"crossref","DOI":"10.1093\/europace\/euag002","article-title":"Safety and efficacy of intracardiac echocardiography in atrial fibrillation ablation: a meta-analysis","volume":"28","author":"Karakasis","year":"2026","journal-title":"Europace"},{"key":"10.1016\/j.hrthm.2026.03.1914_bib42","doi-asserted-by":"crossref","first-page":"1257","DOI":"10.1007\/s10840-023-01699-2","article-title":"Intracardiac echocardiography-guided pulsed-field ablation for successful ablation of atrial fibrillation: a propensity-matched analysis from a large nationwide multicenter experience","volume":"67","author":"Dello Russo","year":"2024","journal-title":"J Interv Card Electrophysiol"},{"key":"10.1016\/j.hrthm.2026.03.1914_bib43","doi-asserted-by":"crossref","first-page":"e31","DOI":"10.1016\/j.hrthm.2024.03.017","article-title":"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"}],"container-title":["Heart Rhythm"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1547527126021697?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1547527126021697?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T08:41:32Z","timestamp":1782722492000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1547527126021697"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":43,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["S1547527126021697"],"URL":"https:\/\/doi.org\/10.1016\/j.hrthm.2026.03.1914","relation":{},"ISSN":["1547-5271"],"issn-type":[{"value":"1547-5271","type":"print"}],"subject":[],"published":{"date-parts":[[2026,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Comparative 1-year outcomes of pentaspline versus circular array pulsed field ablation for pulmonary vein isolation with adjunctive atrial lines","name":"articletitle","label":"Article Title"},{"value":"Heart Rhythm","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.hrthm.2026.03.1914","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Heart Rhythm Society.","name":"copyright","label":"Copyright"}]}}