{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T18:26:12Z","timestamp":1786991172944,"version":"build-2736575974"},"reference-count":23,"publisher":"Elsevier BV","issue":"15","license":[{"start":{"date-parts":[[2009,10,1]],"date-time":"2009-10-01T00:00:00Z","timestamp":1254355200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2009,10,1]],"date-time":"2009-10-01T00:00:00Z","timestamp":1254355200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2013,8,22]],"date-time":"2013-08-22T00:00:00Z","timestamp":1377129600000},"content-version":"vor","delay-in-days":1421,"URL":"http:\/\/www.elsevier.com\/open-access\/userlicense\/1.0\/"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jacc.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of the American College of Cardiology"],"published-print":{"date-parts":[[2009,10]]},"DOI":"10.1016\/j.jacc.2009.07.009","type":"journal-article","created":{"date-parts":[[2009,9,30]],"date-time":"2009-09-30T05:26:28Z","timestamp":1254288388000},"page":"1450-1456","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":84,"title":["Ablation of Persistent Atrial Fibrillation Using Multielectrode Catheters and Duty-Cycled Radiofrequency Energy"],"prefix":"10.1016","volume":"54","author":[{"given":"Christoph","family":"Scharf","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucas","family":"Boersma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wyn","family":"Davies","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prapa","family":"Kanagaratnam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas S.","family":"Peters","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vince","family":"Paul","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edward","family":"Rowland","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Grace","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon","family":"Fynn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lam","family":"Dang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hakan","family":"Oral","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fred","family":"Morady","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jacc.2009.07.009_bib1","doi-asserted-by":"crossref","first-page":"934","DOI":"10.1056\/NEJMoa050955","article-title":"Circumferential pulmonary-vein ablation for chronic atrial fibrillation","volume":"354","author":"Oral","year":"2006","journal-title":"N Engl J Med"},{"key":"10.1016\/j.jacc.2009.07.009_bib2","doi-asserted-by":"crossref","first-page":"1306","DOI":"10.1016\/j.jacc.2006.11.033","article-title":"Effects of stepwise ablation of chronic atrial fibrillation on atrial electrical and mechanical properties","volume":"49","author":"Takahashi","year":"2007","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.jacc.2009.07.009_bib3","doi-asserted-by":"crossref","first-page":"2724","DOI":"10.1161\/01.CIR.0000131866.44650.46","article-title":"Atrio-esophageal fistula as a complication of percutaneous transcatheter ablation of atrial fibrillation","volume":"109","author":"Pappone","year":"2004","journal-title":"Circulation"},{"key":"10.1016\/j.jacc.2009.07.009_bib4","doi-asserted-by":"crossref","first-page":"2493","DOI":"10.1016\/j.jacc.2006.08.038","article-title":"Pulmonary vein total occlusion following catheter ablation for atrial fibrillation: clinical implications after long-term follow-up","volume":"48","author":"Di Biase","year":"2006","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.jacc.2009.07.009_bib5","doi-asserted-by":"crossref","first-page":"2498","DOI":"10.1016\/j.jacc.2006.02.050","article-title":"Phrenic nerve injury after atrial fibrillation catheter ablation: characterization and outcome in a multicenter study","volume":"47","author":"Sacher","year":"2006","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.jacc.2009.07.009_bib6","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1016\/j.jacc.2005.04.030","article-title":"Acute pyloric spasm and gastric hypomotility: an extracardiac adverse effect of percutaneous radiofrequency ablation for atrial fibrillation","volume":"46","author":"Shah","year":"2005","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.jacc.2009.07.009_bib7","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"},{"key":"10.1016\/j.jacc.2009.07.009_bib8","doi-asserted-by":"crossref","first-page":"2044","DOI":"10.1016\/j.jacc.2003.12.054","article-title":"A new approach for catheter ablation of atrial fibrillation: mapping of the electrophysiologic substrate","volume":"43","author":"Nademanee","year":"2004","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.jacc.2009.07.009_bib9","doi-asserted-by":"crossref","first-page":"1100","DOI":"10.1161\/01.CIR.0000157153.30978.67","article-title":"Worldwide survey on the methods, efficacy, and safety of catheter ablation for human atrial fibrillation","volume":"111","author":"Cappato","year":"2005","journal-title":"Circulation"},{"key":"10.1016\/j.jacc.2009.07.009_bib10","doi-asserted-by":"crossref","first-page":"464","DOI":"10.1016\/j.hrthm.2005.01.027","article-title":"Prevalence, mechanisms, and clinical significance of macroreentrant atrial tachycardia during and following left atrial ablation for atrial fibrillation","volume":"2","author":"Chugh","year":"2005","journal-title":"Heart Rhythm"},{"key":"10.1016\/j.jacc.2009.07.009_bib11","doi-asserted-by":"crossref","first-page":"1635","DOI":"10.1016\/j.hrthm.2008.08.037","article-title":"Pulmonary vein isolation by duty-cycled bipolar and unipolar radiofrequency energy with a multielectrode ablation catheter","volume":"5","author":"Boersma","year":"2008","journal-title":"Heart Rhythm"},{"key":"10.1016\/j.jacc.2009.07.009_bib12","doi-asserted-by":"crossref","DOI":"10.1111\/j.1540-8167.2009.01502.x","article-title":"Characterization of in vitro and in vivo lesions made by a novel multi-channel ablation generator and a circumlinear decapolar ablation catheter","author":"Wijffels","year":"2009","journal-title":"J Cardiovasc Electrophysiol"},{"key":"10.1016\/j.jacc.2009.07.009_bib13","doi-asserted-by":"crossref","first-page":"2896","DOI":"10.1161\/CIRCULATIONAHA.104.523928","article-title":"Reverse remodeling of the left cardiac chambers after catheter ablation after 1 year in a series of patients with isolated atrial fibrillation","volume":"112","author":"Reant","year":"2005","journal-title":"Circulation"},{"issue":"Suppl","key":"10.1016\/j.jacc.2009.07.009_bib14","first-page":"S313","article-title":"Safety using novel multi-array catheters and phased radiofrequency energy in left atrial ablation for persistent atrial fibrillation","volume":"5","author":"Michaud","year":"2008","journal-title":"Heart Rhythm"},{"issue":"Suppl 1","key":"10.1016\/j.jacc.2009.07.009_bib15","first-page":"i184","article-title":"Multi-electrode catheters using low energy phased radiofrequency for ablation of chronic atrial fibrillation","volume":"10","author":"Dang","year":"2008","journal-title":"Europace"},{"key":"10.1016\/j.jacc.2009.07.009_bib16","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1111\/j.1540-8167.2006.00673.x","article-title":"Efficacy of adjuvant anterior left atrial ablation during intracardiac echocardiography-guided pulmonary vein antrum isolation for atrial fibrillation","volume":"18","author":"Verma","year":"2007","journal-title":"J Cardiovasc Electrophysiol"},{"key":"10.1016\/j.jacc.2009.07.009_bib17","doi-asserted-by":"crossref","first-page":"1286","DOI":"10.1111\/j.1540-8167.2005.00245.x","article-title":"Value of different follow-up strategies to assess the efficacy of circumferential pulmonary vein ablation for the curative treatment of atrial fibrillation","volume":"16","author":"Piorkowski","year":"2005","journal-title":"J Cardiovasc Electrophysiol"},{"key":"10.1016\/j.jacc.2009.07.009_bib18","doi-asserted-by":"crossref","first-page":"318","DOI":"10.1016\/j.ahj.2004.03.036","article-title":"Quality of life restored to normal in patients with atrial fibrillation after pulmonary vein ostial isolation","volume":"148","author":"Purerfellner","year":"2004","journal-title":"Am Heart J"},{"key":"10.1016\/j.jacc.2009.07.009_bib19","doi-asserted-by":"crossref","first-page":"2583","DOI":"10.1161\/CIRCULATIONAHA.107.716712","article-title":"Catheter ablation for atrial fibrillation in patients with obesity","volume":"117","author":"Cha","year":"2008","journal-title":"Circulation"},{"key":"10.1016\/j.jacc.2009.07.009_bib20","doi-asserted-by":"crossref","first-page":"907","DOI":"10.1001\/jama.1989.03430070055030","article-title":"Functional status and well-being of patients with chronic conditions","volume":"262","author":"Stewart","year":"1989","journal-title":"JAMA"},{"key":"10.1016\/j.jacc.2009.07.009_bib21","doi-asserted-by":"crossref","first-page":"1226","DOI":"10.1161\/01.CIR.0000121423.78120.49","article-title":"Resumption of electrical conduction in previously isolated pulmonary veins: rationale for a different strategy?","volume":"109","author":"Nanthakumar","year":"2004","journal-title":"Circulation"},{"key":"10.1016\/j.jacc.2009.07.009_bib22","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1161\/01.CIR.0000151289.73085.36","article-title":"Recovered pulmonary vein conduction as a dominant factor for recurrent atrial tachyarrhythmias after complete circular isolation of the pulmonary veins: lessons from double Lasso technique","volume":"111","author":"Ouyang","year":"2005","journal-title":"Circulation"},{"key":"10.1016\/j.jacc.2009.07.009_bib23","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1161\/CIRCULATIONAHA.106.678789","article-title":"Radiofrequency ablation of atrial fibrillation: is the persistence of all intraprocedural targets necessary for long-term maintenance of sinus rhythm?","volume":"117","author":"Pratola","year":"2008","journal-title":"Circulation"}],"container-title":["Journal of the American College of Cardiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0735109709023602?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0735109709023602?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T12:34:07Z","timestamp":1760013247000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0735109709023602"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,10]]},"references-count":23,"journal-issue":{"issue":"15","published-print":{"date-parts":[[2009,10]]}},"alternative-id":["S0735109709023602"],"URL":"https:\/\/doi.org\/10.1016\/j.jacc.2009.07.009","relation":{},"ISSN":["0735-1097"],"issn-type":[{"value":"0735-1097","type":"print"}],"subject":[],"published":{"date-parts":[[2009,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Ablation of Persistent Atrial Fibrillation Using Multielectrode Catheters and Duty-Cycled Radiofrequency Energy","name":"articletitle","label":"Article Title"},{"value":"Journal of the American College of Cardiology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jacc.2009.07.009","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Copyright \u00a9 2009 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}