{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T20:40:57Z","timestamp":1791837657753,"version":"4.3.4"},"reference-count":14,"publisher":"Cambridge University Press (CUP)","issue":"4","license":[{"start":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T00:00:00Z","timestamp":1776124800000},"content-version":"unspecified","delay-in-days":13,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1047951126112207_as1\">\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>There is currently no consensus on the optimal mapping technique for atrioventricular nodal re-entry tachycardia ablation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1047951126112207_as2\">\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>This, the first of its kind, prospective randomised trial compared procedural characteristics and ablation outcomes between an anatomic approach for atrioventricular nodal re-entry tachycardia ablation and an approach guided by low voltage signals, local activation time, and the propagation wave collision.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1047951126112207_as3\">\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A randomised, prospective, multi-centre clinical trial was performed at 5 paediatric cardiac centres. 3D mapping was used on all patients. After atrioventricular nodal re-entry tachycardia confirmation, patients were randomly assigned to either an anatomic-based approach or to a 3D mapping technique that assessed for low voltage, activation time, and propagation wave collision to select the initial ablation site. Patient and procedural characteristics were collected with up to a 2-year post-procedure follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1047951126112207_as4\">\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>In all, 70 patients were randomised: 37 within the voltage-propagation wave approach and 33 in the anatomic approach group. There was no significant difference between patient demographics or follow-up duration between groups. No significant difference was seen between duration of procedure, success rate, complications, or recurrences between techniques. There was a trend toward fewer ablation applications to initial success with the voltage-propagation technique (median of 2 vs 5). Conversely, there were significantly more total lesions placed for the voltage-propagation group. Typical atrioventricular nodal re-entry tachycardia trended towards fewer lesions to success and fewer recurrences than ablations for atypical atrioventricular nodal re-entry tachycardia or jump\/echo.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1047951126112207_as5\">\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Both techniques demonstrated an excellent acute success rate and a low recurrence rate. Voltage-propagation mapping trended toward fewer ablations to initial success and did not prolong the procedure time. This paediatric study suggests that both a traditional anatomical technique and a voltage-propagation technique can provide excellent clinical outcomes, especially for typical atrioventricular nodal re-entry tachycardia.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1047951126112207","type":"journal-article","created":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T08:36:21Z","timestamp":1776155781000},"page":"678-683","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":1,"title":["A prospective randomised evaluation of voltage propagation vs anatomical atrioventricular nodal re-entry tachycardia mapping in paediatric patients"],"prefix":"10.1017","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9316-9416","authenticated-orcid":false,"given":"Nicholas H.","family":"Von Bergen","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01y2jtd41","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Wisconsin-Madison School of Medicine and Public Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiao","family":"Zhang","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01y2jtd41","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Wisconsin-Madison School of Medicine and Public Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Orhan U.","family":"Kilinc","sequence":"additional","affiliation":[{"name":"Joe DiMaggio Children\u2019s Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3966-4261","authenticated-orcid":false,"given":"Adam C.","family":"Kean","sequence":"additional","affiliation":[{"name":"Indiana University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Johnsrude","sequence":"additional","affiliation":[{"name":"University of Louisville School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ian H.","family":"Law","sequence":"additional","affiliation":[{"name":"University of Iowa Children\u2019s Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,4,14]]},"reference":[{"key":"S1047951126112207_ref12","doi-asserted-by":"publisher","DOI":"10.19102\/icrm.2023.14124"},{"key":"S1047951126112207_ref1","doi-asserted-by":"publisher","DOI":"10.1002\/joa3.12379"},{"key":"S1047951126112207_ref3","doi-asserted-by":"publisher","DOI":"10.1007\/s10840-021-01061-4"},{"key":"S1047951126112207_ref13","first-page":"139","article-title":"Activation pattern within Koch\u2019s triangle during sinus rhythm in patients with and without atrioventricular nodal reentrant tachycardia","volume":"67","author":"Kumagai","year":"2024","journal-title":"J Interv Card Electr"},{"key":"S1047951126112207_ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.ppedcard.2012.11.004"},{"key":"S1047951126112207_ref5","doi-asserted-by":"publisher","DOI":"10.19102\/icrm.2024.15034"},{"key":"S1047951126112207_ref11","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCEP.110.957381"},{"key":"S1047951126112207_ref7","doi-asserted-by":"publisher","DOI":"10.19102\/icrm.2017.080905"},{"key":"S1047951126112207_ref4","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-013-0748-7"},{"key":"S1047951126112207_ref14","doi-asserted-by":"publisher","DOI":"10.1007\/s10840-024-01800-3"},{"key":"S1047951126112207_ref10","doi-asserted-by":"publisher","DOI":"10.1111\/jce.15491"},{"key":"S1047951126112207_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2024.05.037"},{"key":"S1047951126112207_ref2","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/eur112"},{"key":"S1047951126112207_ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2019.103208"}],"container-title":["Cardiology in the Young"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1047951126112207","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T10:56:26Z","timestamp":1780397786000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1047951126112207\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4]]},"references-count":14,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["S1047951126112207"],"URL":"https:\/\/doi.org\/10.1017\/s1047951126112207","relation":{},"ISSN":["1047-9511","1467-1107"],"issn-type":[{"value":"1047-9511","type":"print"},{"value":"1467-1107","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4]]},"assertion":[{"value":"\u00a9 The Author(s), 2026. Published by Cambridge University Press","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}