{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T11:07:38Z","timestamp":1785150458963,"version":"3.55.0"},"reference-count":37,"publisher":"Elsevier BV","issue":"7","license":[{"start":{"date-parts":[[2024,7,1]],"date-time":"2024-07-01T00:00:00Z","timestamp":1719792000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,7,1]],"date-time":"2024-07-01T00:00:00Z","timestamp":1719792000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"vor","delay-in-days":365,"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":["JACC: Clinical Electrophysiology"],"published-print":{"date-parts":[[2024,7]]},"DOI":"10.1016\/j.jacep.2024.03.011","type":"journal-article","created":{"date-parts":[[2024,5,29]],"date-time":"2024-05-29T18:04:01Z","timestamp":1717005841000},"page":"1287-1300","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":8,"special_numbering":"P1","title":["Feasibility, Efficacy, and Safety of Fluoroless Ablation of VT in Patients With\u00a0Structural Heart Disease"],"prefix":"10.1016","volume":"10","author":[{"given":"Andres","family":"Enriquez","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mouhannad","family":"Sadek","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Hanson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaejoon","family":"Yang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3228-7435","authenticated-orcid":false,"given":"Carlos D.","family":"Matos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victor","family":"Neira","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francis","family":"Marchlinski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andres","family":"Miranda-Arboleda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan-Jos\u00e9","family":"Orellana-C\u00e1ceres","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabella","family":"Alviz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolina","family":"Hoyos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed","family":"Gabr","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9255-8698","authenticated-orcid":false,"given":"Uyanga","family":"Batnyam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Usha B.","family":"Tedrow","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul C.","family":"Zei","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William H.","family":"Sauer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jorge E.","family":"Romero","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"3","key":"10.1016\/j.jacep.2024.03.011_bib1","doi-asserted-by":"crossref","DOI":"10.1161\/CIRCEP.116.004422","volume":"10","author":"Kuck","year":"2017","journal-title":"Circ Arrhythm Electrophysiol"},{"issue":"26","key":"10.1016\/j.jacep.2024.03.011_bib2","doi-asserted-by":"crossref","first-page":"2657","DOI":"10.1056\/NEJMoa065457","article-title":"Prophylactic catheter ablation for the prevention of defibrillator therapy","volume":"357","author":"Reddy","year":"2007","journal-title":"N\u00a0Engl J Med"},{"issue":"15","key":"10.1016\/j.jacep.2024.03.011_bib3","first-page":"1499","article-title":"Ventricular tachycardia ablation versus antiarrhythmic-drug escalation","volume":"375","author":"Sapp","year":"2016","journal-title":"N\u00a0Engl J Med"},{"issue":"9708","key":"10.1016\/j.jacep.2024.03.011_bib4","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1016\/S0140-6736(09)61755-4","article-title":"Catheter ablation of stable ventricular tachycardia before defibrillator implantation in patients with coronary heart disease (VTACH): a multicentre randomised controlled trial","volume":"375","author":"Kuck","year":"2010","journal-title":"Lancet"},{"issue":"13","key":"10.1016\/j.jacep.2024.03.011_bib5","doi-asserted-by":"crossref","first-page":"1057","DOI":"10.1161\/CIRCULATIONAHA.119.043400","article-title":"Preventive or deferred ablation of ventricular tachycardia in patients with ischemic cardiomyopathy and implantable defibrillator (BERLIN VT): a multicenter randomized trial","volume":"141","author":"Willems","year":"2020","journal-title":"Circulation"},{"issue":"25","key":"10.1016\/j.jacep.2024.03.011_bib6","doi-asserted-by":"crossref","first-page":"1829","DOI":"10.1161\/CIRCULATIONAHA.122.059598","article-title":"Does timing of ventricular tachycardia ablation affect prognosis in patients with an implantable cardioverter defibrillator? Results from the multicenter randomized PARTITA trial","volume":"145","author":"Della Bella","year":"2022","journal-title":"Circulation"},{"issue":"15","key":"10.1016\/j.jacep.2024.03.011_bib7","doi-asserted-by":"crossref","first-page":"1441","DOI":"10.1016\/j.jacc.2022.01.050","article-title":"Substrate ablation vs antiarrhythmic drug therapy for symptomatic ventricular tachycardia","volume":"79","author":"Arenal","year":"2022","journal-title":"J\u00a0Am Coll Cardiol"},{"issue":"25","key":"10.1016\/j.jacep.2024.03.011_bib8","doi-asserted-by":"crossref","first-page":"1839","DOI":"10.1161\/CIRCULATIONAHA.122.060039","article-title":"First-line catheter ablation of monomorphic ventricular tachycardia in cardiomyopathy concurrent with defibrillator implantation: the PAUSE-SCD randomized trial","volume":"145","author":"Tung","year":"2022","journal-title":"Circulation"},{"issue":"14","key":"10.1016\/j.jacep.2024.03.011_bib9","doi-asserted-by":"crossref","first-page":"e91","DOI":"10.1016\/j.jacc.2017.10.054","volume":"72","author":"Al-Khatib","year":"2018","journal-title":"J\u00a0Am Coll Cardiol"},{"issue":"1","key":"10.1016\/j.jacep.2024.03.011_bib10","doi-asserted-by":"crossref","first-page":"e2","DOI":"10.1016\/j.hrthm.2019.03.002","article-title":"2019 HRS\/EHRA\/APHRS\/LAHRS expert consensus statement on catheter ablation of ventricular arrhythmias","volume":"17","author":"Cronin","year":"2020","journal-title":"Heart Rhythm"},{"issue":"10","key":"10.1016\/j.jacep.2024.03.011_bib11","doi-asserted-by":"crossref","first-page":"2761","DOI":"10.1111\/jce.15221","article-title":"Zero fluoroscopy approach versus fluoroscopy approach for cardiac arrhythmia ablations: a systematic review and meta-analysis","volume":"32","author":"Kanitsoraphan","year":"2021","journal-title":"J\u00a0Cardiovasc Electrophysiol"},{"issue":"2","key":"10.1016\/j.jacep.2024.03.011_bib12","doi-asserted-by":"crossref","first-page":"210","DOI":"10.1016\/S0735-1097(01)01738-7","article-title":"A\u00a0standardized definition of ischemic cardiomyopathy for use in clinical research","volume":"39","author":"Felker","year":"2002","journal-title":"J\u00a0Am Coll Cardiol"},{"issue":"24","key":"10.1016\/j.jacep.2024.03.011_bib13","doi-asserted-by":"crossref","first-page":"2811","DOI":"10.1016\/j.jacc.2018.02.017","volume":"71","author":"Hirshfeld","year":"2018","journal-title":"J\u00a0Am Coll Cardiol"},{"issue":"10","key":"10.1016\/j.jacep.2024.03.011_bib14","doi-asserted-by":"crossref","first-page":"1079","DOI":"10.1080\/09553002.2017.1328750","article-title":"The linear nonthreshold (LNT) model as used in radiation protection: an NCRP\u00a0update","volume":"93","author":"Boice","year":"2017","journal-title":"Int J Radiat Biol"},{"key":"10.1016\/j.jacep.2024.03.011_bib15","doi-asserted-by":"crossref","DOI":"10.3389\/fcvm.2022.804424","article-title":"Zero fluoroscopy arrhythmias catheter ablation: a trend toward more frequent practice in a high-volume center","volume":"9","author":"Troisi","year":"2022","journal-title":"Front Cardiovasc Med"},{"issue":"12","key":"10.1016\/j.jacep.2024.03.011_bib16","doi-asserted-by":"crossref","first-page":"1714","DOI":"10.1016\/j.hrthm.2009.08.037","article-title":"Safety and feasibility of catheter ablation for atrioventricular nodal re-entrant tachycardia without fluoroscopic guidance","volume":"6","author":"Alvarez","year":"2009","journal-title":"Heart Rhythm"},{"issue":"10","key":"10.1016\/j.jacep.2024.03.011_bib17","doi-asserted-by":"crossref","first-page":"1078","DOI":"10.1111\/j.1540-8167.2012.02344.x","article-title":"Nonfluoroscopic catheter ablation of cardiac arrhythmias in adults: feasibility, safety, and efficacy","volume":"23","author":"Razminia","year":"2012","journal-title":"J\u00a0Cardiovasc Electrophysiol"},{"issue":"8","key":"10.1016\/j.jacep.2024.03.011_bib18","doi-asserted-by":"crossref","first-page":"866","DOI":"10.1111\/jce.12414","article-title":"Feasibility of implementation of a \"simplified, no-x-ray, no-lead apron, two-catheter approach\" for ablation of supraventricular arrhythmias in children and adults","volume":"25","author":"Stec","year":"2014","journal-title":"J\u00a0Cardiovasc Electrophysiol"},{"issue":"7","key":"10.1016\/j.jacep.2024.03.011_bib19","doi-asserted-by":"crossref","first-page":"797","DOI":"10.1111\/pace.12634","article-title":"Catheter ablation of atrial fibrillation using zero-fluoroscopy technique: a randomized trial","volume":"38","author":"Bulava","year":"2015","journal-title":"Pacing Clin Electrophysiol"},{"issue":"1","key":"10.1016\/j.jacep.2024.03.011_bib20","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1111\/jce.13735","article-title":"Completely nonfluoroscopic catheter ablation of left atrial arrhythmias and ventricular tachycardia","volume":"30","author":"Sadek","year":"2019","journal-title":"J\u00a0Cardiovasc Electrophysiol"},{"issue":"1","key":"10.1016\/j.jacep.2024.03.011_bib21","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1186\/s12872-020-01344-0","article-title":"Zero-fluoroscopy approach for ablation of supraventricular tachycardia using the Ensite NavX system: a multicenter experience","volume":"20","author":"Chen","year":"2020","journal-title":"BMC Cardiovasc Disord"},{"issue":"11","key":"10.1016\/j.jacep.2024.03.011_bib22","doi-asserted-by":"crossref","first-page":"4281","DOI":"10.19102\/icrm.2020.111105","article-title":"Safety and efficacy of minimal- versus zero-fluoroscopy radiofrequency catheter ablation for atrial fibrillation: a multicenter, prospective study","volume":"11","author":"Zei","year":"2020","journal-title":"J\u00a0Innov Card Rhythm Manag"},{"issue":"6","key":"10.1016\/j.jacep.2024.03.011_bib23","doi-asserted-by":"crossref","first-page":"1403","DOI":"10.1111\/jce.14450","article-title":"Meta-analysis of pulmonary vein isolation ablation for atrial fibrillation conventional vs low- and zero-fluoroscopy approaches","volume":"31","author":"Huang","year":"2020","journal-title":"J\u00a0Cardiovasc Electrophysiol"},{"issue":"6","key":"10.1016\/j.jacep.2024.03.011_bib24","first-page":"1488","article-title":"Zero-fluoroscopy ablation for cardiac arrhythmias: a single-center experience in Japan","volume":"37","author":"Kawakami","year":"2021","journal-title":"J\u00a0Arrhythm"},{"issue":"7","key":"10.1016\/j.jacep.2024.03.011_bib25","doi-asserted-by":"crossref","DOI":"10.1161\/CIRCEP.121.010547","article-title":"Fluoroless versus conventional mapping and ablation of ventricular arrhythmias arising from the left ventricular summit and interventricular septum","volume":"15","author":"Romero","year":"2022","journal-title":"Circ Arrhythm Electrophysiol"},{"issue":"2","key":"10.1016\/j.jacep.2024.03.011_bib26","first-page":"185","article-title":"Efficacy and safety of zero-fluoroscopy ablation of ventricular arrhythmias originating from the right ventricular outflow tract: comparison with fluoroscopy-guided ablation without a three-dimensional electroanatomic mapping system","volume":"39","author":"Vu","year":"2023","journal-title":"J\u00a0Arrhythm"},{"issue":"25","key":"10.1016\/j.jacep.2024.03.011_bib27","doi-asserted-by":"crossref","first-page":"2773","DOI":"10.1161\/CIRCULATIONAHA.108.788604","article-title":"Irrigated radiofrequency catheter ablation guided by electroanatomic mapping for recurrent ventricular tachycardia after myocardial infarction: the multicenter thermocool ventricular tachycardia ablation trial","volume":"118","author":"Stevenson","year":"2008","journal-title":"Circulation"},{"issue":"2","key":"10.1016\/j.jacep.2024.03.011_bib28","doi-asserted-by":"crossref","DOI":"10.1161\/CIRCEP.115.003706","article-title":"Safety and feasibility of a minimally fluoroscopic approach for ventricular tachycardia ablation in patients with structural heart disease: influence of the ventricular tachycardia substrate","volume":"9","author":"Cano","year":"2016","journal-title":"Circ Arrhythm Electrophysiol"},{"issue":"1","key":"10.1016\/j.jacep.2024.03.011_bib29","doi-asserted-by":"crossref","first-page":"306","DOI":"10.1186\/s12872-021-02120-4","article-title":"Minimising radiation exposure in catheter ablation of ventricular arrhythmias","volume":"21","author":"Jan","year":"2021","journal-title":"BMC Cardiovasc Disord"},{"issue":"1","key":"10.1016\/j.jacep.2024.03.011_bib30","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1007\/s10840-021-00948-6","article-title":"Complication rates following ventricular tachycardia ablation in ischaemic and non-ischaemic cardiomyopathies: a systematic review","volume":"63","author":"Ding","year":"2022","journal-title":"J\u00a0Interv Card Electrophysiol"},{"issue":"4","key":"10.1016\/j.jacep.2024.03.011_bib31","doi-asserted-by":"crossref","first-page":"684","DOI":"10.1161\/CIRCEP.114.001530","article-title":"Complications of catheter ablation of ventricular tachycardia: a single-center experience","volume":"7","author":"Peichl","year":"2014","journal-title":"Circ Arrhythm Electrophysiol"},{"issue":"5","key":"10.1016\/j.jacep.2024.03.011_bib32","doi-asserted-by":"crossref","first-page":"530","DOI":"10.1007\/s00392-021-01902-2","article-title":"Complications and mortality after catheter ablation of ventricular arrhythmias: risk in VT ablation (RIVA) score","volume":"111","author":"Mathew","year":"2022","journal-title":"Clin Res Cardiol"},{"issue":"6","key":"10.1016\/j.jacep.2024.03.011_bib33","article-title":"Ablation outcomes and predictors of mortality following catheter ablation for ventricular tachycardia: data from the German multicenter ablation registry","volume":"7","author":"Tilz","year":"2018","journal-title":"J\u00a0Am Heart Assoc"},{"issue":"9","key":"10.1016\/j.jacep.2024.03.011_bib34","doi-asserted-by":"crossref","first-page":"1141","DOI":"10.1016\/j.jacep.2018.05.007","article-title":"Outcomes of catheter ablation of ventricular tachycardia based on etiology in nonischemic heart disease: an international ventricular tachycardia ablation center collaborative study","volume":"4","author":"Vaseghi","year":"2018","journal-title":"JACC Clin Electrophysiol"},{"issue":"7","key":"10.1016\/j.jacep.2024.03.011_bib35","doi-asserted-by":"crossref","first-page":"728","DOI":"10.1161\/CIRCULATIONAHA.113.003063","article-title":"Outcomes in catheter ablation of ventricular tachycardia in dilated nonischemic cardiomyopathy compared with ischemic cardiomyopathy: results from the Prospective Heart Centre of Leipzig VT (HELP-VT) study","volume":"129","author":"Dinov","year":"2014","journal-title":"Circulation"},{"issue":"2","key":"10.1016\/j.jacep.2024.03.011_bib36","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1001\/jamacardio.2021.4738","article-title":"Outcomes associated with catheter ablation of ventricular tachycardia in patients with cardiac sarcoidosis","volume":"7","author":"Siontis","year":"2022","journal-title":"JAMA Cardiol"},{"issue":"6","key":"10.1016\/j.jacep.2024.03.011_bib37","doi-asserted-by":"crossref","first-page":"896","DOI":"10.1016\/j.hrthm.2021.02.016","article-title":"Ventricular tachycardia burden reduction after substrate ablation: predictors of recurrence","volume":"18","author":"Quinto","year":"2021","journal-title":"Heart Rhythm"}],"container-title":["JACC: Clinical Electrophysiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2405500X24001920?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2405500X24001920?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T12:01:03Z","timestamp":1751371263000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2405500X24001920"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7]]},"references-count":37,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2024,7]]}},"alternative-id":["S2405500X24001920"],"URL":"https:\/\/doi.org\/10.1016\/j.jacep.2024.03.011","relation":{},"ISSN":["2405-500X"],"issn-type":[{"value":"2405-500X","type":"print"}],"subject":[],"published":{"date-parts":[[2024,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Feasibility, Efficacy, and Safety of Fluoroless Ablation of VT in Patients With\u00a0Structural Heart Disease","name":"articletitle","label":"Article Title"},{"value":"JACC: Clinical Electrophysiology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jacep.2024.03.011","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2024 by the American College of Cardiology Foundation. Published by Elsevier.","name":"copyright","label":"Copyright"}]}}