{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T18:33:13Z","timestamp":1791225193681,"version":"4.1.0"},"reference-count":80,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2025,6,17]],"date-time":"2025-06-17T00:00:00Z","timestamp":1750118400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,7,1]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:p>Patients with preoperative atrial fibrillation (AF) undergoing cardiac surgery face a heightened risk of complications and reduced survival. Concomitant surgical ablation (SA) has shown promise in mitigating the arrhythmic burden, prompting guideline upgrades by major scientific societies. However, SA remains underutilized, with performance rates varying between 22% and 48%, depending on the type of procedure. The goal of this narrative review is to summarize current evidence to aid physicians in decision making regarding AF management during cardiac surgery. This review examines existing literature on the prevalence, management and outcomes of AF in cardiac surgery. We assess epidemiological data, summarize trends in clinical practice and review the rationale and techniques for treating AF surgically. Emerging challenges, including barriers to implementation and novel therapeutic advancements, are also discussed. Evidence underscores the detrimental impact of preoperative AF on perioperative and long-term outcomes, including higher mortality, morbidity and thromboembolic risk. Concomitant SA, particularly the Cox-maze IV procedure, significantly improves sinus rhythm restoration, reduces mortality and mitigates complications like stroke. However, the procedure remains underperformed due to concerns about complexity, prolonged operative time and training gaps. Emerging hybrid techniques, novel mapping systems and technologies like pulsed field ablation may enhance outcomes and broaden SA adoption. Concomitant SA is an effective yet underutilized therapy that can improve survival and reduce AF-related complications in cardiac surgery patients. Addressing implementation barriers and integrating advancements in technology and surgical approaches are key to optimizing patient outcomes.<\/jats:p>","DOI":"10.1093\/ejcts\/ezaf187","type":"journal-article","created":{"date-parts":[[2025,6,9]],"date-time":"2025-06-09T07:22:58Z","timestamp":1749453778000},"source":"Crossref","is-referenced-by-count":11,"title":["Surgical ablation of atrial fibrillation with concomitant cardiac surgery: a state-of-the-art review"],"prefix":"10.1093","volume":"67","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5478-3245","authenticated-orcid":false,"given":"Mariusz","family":"Kowalewski","sequence":"first","affiliation":[{"name":"Department of Cardiac Surgery and Transplantology, National Medical Institute of the Ministry of Interior and Administration , Warsaw,","place":["Poland"]},{"name":"Cardio-Thoracic Surgery Department, Heart and Vascular Centre, Maastricht University Medical Centre (MUMC), Cardiovascular Research Centre Maastricht (CARIM) , Maastricht,","place":["The Netherlands"]},{"name":"Department for the Treatment and Study of Cardiothoracic Diseases and Cardiothoracic Transplantation, IRCCS-ISMETT , Palermo,","place":["Italy"]},{"name":"Thoracic Research Centre, Collegium Medicum Nicolaus Copernicus University, Innovative Medical Forum , Bydgoszcz,","place":["Poland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emil Julian","family":"D\u0105browski","sequence":"additional","affiliation":[{"name":"Department of Invasive Cardiology, Medical University of Bialystok , Bialystok,","place":["Poland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0526-3339","authenticated-orcid":false,"given":"Anna","family":"Kurasz","sequence":"additional","affiliation":[{"name":"Department of Invasive Cardiology, Medical University of Bialystok , Bialystok,","place":["Poland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Micha\u0142","family":"\u015awi\u0119czkowski","sequence":"additional","affiliation":[{"name":"Department of Invasive Cardiology, Medical University of Bialystok , Bialystok,","place":["Poland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe Maria","family":"Raffa","sequence":"additional","affiliation":[{"name":"Cardiac Surgery Unit, Department of Precision Medicine in Medical Surgical and Critical Area (Me.Pre.C.C.), University of Palermo , Palermo,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Micha\u0142","family":"Kawczy\u0144ski","sequence":"additional","affiliation":[{"name":"Cardio-Thoracic Surgery Department, Heart and Vascular Centre, Maastricht University Medical Centre (MUMC), Cardiovascular Research Centre Maastricht (CARIM) , Maastricht,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luca","family":"Aerts","sequence":"additional","affiliation":[{"name":"Cardio-Thoracic Surgery Department, Heart and Vascular Centre, Maastricht University Medical Centre (MUMC), Cardiovascular Research Centre Maastricht (CARIM) , Maastricht,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u0141ukasz","family":"Ku\u017ama","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery and Transplantology, National Medical Institute of the Ministry of Interior and Administration , Warsaw,","place":["Poland"]},{"name":"Thoracic Research Centre, Collegium Medicum Nicolaus Copernicus University, Innovative Medical Forum , Bydgoszcz,","place":["Poland"]},{"name":"Department of Invasive Cardiology, Medical University of Bialystok , Bialystok,","place":["Poland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wojciech","family":"Wa\u0144ha","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery and Transplantology, National Medical Institute of the Ministry of Interior and Administration , Warsaw,","place":["Poland"]},{"name":"Thoracic Research Centre, Collegium Medicum Nicolaus Copernicus University, Innovative Medical Forum , Bydgoszcz,","place":["Poland"]},{"name":"Department of Cardiology and Structural Heart Diseases, Medical University of Silesia , Katowice,","place":["Poland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jakub","family":"Batko","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery and Transplantology, National Medical Institute of the Ministry of Interior and Administration , Warsaw,","place":["Poland"]},{"name":"Thoracic Research Centre, Collegium Medicum Nicolaus Copernicus University, Innovative Medical Forum , Bydgoszcz,","place":["Poland"]},{"name":"CAROL\u2014Cardiothoracic Anatomy Research Operative Lab, Department of Cardiovascular Surgery and Transplantology, Institute of Cardiology, Jagiellonian University Medical College , Krakow,","place":["Poland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rados\u0142aw","family":"Litwinowicz","sequence":"additional","affiliation":[{"name":"Thoracic Research Centre, Collegium Medicum Nicolaus Copernicus University, Innovative Medical Forum , Bydgoszcz,","place":["Poland"]},{"name":"CAROL\u2014Cardiothoracic Anatomy Research Operative Lab, Department of Cardiovascular Surgery and Transplantology, Institute of Cardiology, Jagiellonian University Medical College , Krakow,","place":["Poland"]},{"name":"Department of Cardiac Surgery, Wladyslaw Bieganski Regional Specialist Hospital in Grudzi\u0105dz ,","place":["Poland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomasz","family":"Urbanowicz","sequence":"additional","affiliation":[{"name":"Thoracic Research Centre, Collegium Medicum Nicolaus Copernicus University, Innovative Medical Forum , Bydgoszcz,","place":["Poland"]},{"name":"Cardiac Surgery and Transplantology Department, Poznan University of Medical Sciences , Poznan,","place":["Poland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9862-318X","authenticated-orcid":false,"given":"Sebastian","family":"Stec","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery and Transplantology, National Medical Institute of the Ministry of Interior and Administration , Warsaw,","place":["Poland"]},{"name":"Division of Electrophysiology, Cardioneuroablation, Catheter Ablation and Cardiac Stimulation, Subcarpathian Center for Cardiovascular Intervention , Sanok,","place":["Poland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1777-2045","authenticated-orcid":false,"given":"Roberto","family":"Lorusso","sequence":"additional","affiliation":[{"name":"Cardio-Thoracic Surgery Department, Heart and Vascular Centre, Maastricht University Medical Centre (MUMC), Cardiovascular Research Centre Maastricht (CARIM) , Maastricht,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thorsten","family":"Hanke","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Heart and Vascular Centre Albertinen Krankenhaus , Hamburg,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8622-1450","authenticated-orcid":false,"given":"Bart","family":"Maesen","sequence":"additional","affiliation":[{"name":"Cardio-Thoracic Surgery Department, Heart and Vascular Centre, Maastricht University Medical Centre (MUMC), Cardiovascular Research Centre Maastricht (CARIM) , Maastricht,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paolo","family":"Meani","sequence":"additional","affiliation":[{"name":"Thoracic Research Centre, Collegium Medicum Nicolaus Copernicus University, Innovative Medical Forum , Bydgoszcz,","place":["Poland"]},{"name":"Department of Cardiothoracic and Vascular Anesthesia and Intensive Care Unit, IRCCS Policlinico, San Donato Milanese , Milan,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5250-1796","authenticated-orcid":false,"given":"Daniele","family":"Ronco","sequence":"additional","affiliation":[{"name":"Thoracic Research Centre, Collegium Medicum Nicolaus Copernicus University, Innovative Medical Forum , Bydgoszcz,","place":["Poland"]},{"name":"Department of Cardiothoracic and Vascular Anesthesia and Intensive Care Unit, IRCCS Policlinico, San Donato Milanese , Milan,","place":["Italy"]},{"name":"Cardiac Surgery Unit, ASST Grande Ospedale Metropolitano Niguarda , Milan,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michele","family":"Pilato","sequence":"additional","affiliation":[{"name":"Department for the Treatment and Study of Cardiothoracic Diseases and Cardiothoracic Transplantation, IRCCS-ISMETT , Palermo,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3617-5916","authenticated-orcid":false,"given":"Francesco","family":"Musumeci","sequence":"additional","affiliation":[{"name":"Department for the Treatment and Study of Cardiothoracic Diseases and Cardiothoracic Transplantation, IRCCS-ISMETT , Palermo,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"McCarthy","sequence":"additional","affiliation":[{"name":"Division of Cardiac Surgery, Northwestern University Feinberg School of Medicine, Bluhm Cardiovascular Institute , Chicago,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James L","family":"Cox","sequence":"additional","affiliation":[{"name":"Division of Cardiac Surgery, Northwestern University Feinberg School of Medicine, Bluhm Cardiovascular Institute , Chicago,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9769-1511","authenticated-orcid":false,"given":"Luigi","family":"Pannone","sequence":"additional","affiliation":[{"name":"Heart Rhythm Management Centre, Postgraduate Program in Cardiac Electrophysiology and Pacing, Universitair Ziekenhuis Brussel-Vrije Universiteit Brussel, European Reference Networks Guard-Heart , Brussels,","place":["Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jose L","family":"Merino","sequence":"additional","affiliation":[{"name":"Arrhythmia and Robotic Electrophysiology Unit, La Paz University Hospital , Madrid,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helmut","family":"P\u00fcrerfellner","sequence":"additional","affiliation":[{"name":"Ordensklinikum Linz Elisabethinen, Department of Internal Medicine II, Cardiology, Angiology, and Intensive Care Medicine , Linz,","place":["Austria"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vinay","family":"Badhwar","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular and Thoracic Surgery, West Virginia University , Morgantown, West Virginia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6261-5110","authenticated-orcid":false,"given":"Mark","family":"La Meir","sequence":"additional","affiliation":[{"name":"Cardiac Surgery Department, Vrije Universiteit Brussel, Universitair Ziekenhuis Brussel , Brussels,","place":["Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlo","family":"de Asmundis","sequence":"additional","affiliation":[{"name":"Heart Rhythm Management Centre, Postgraduate Program in Cardiac Electrophysiology and Pacing, Universitair Ziekenhuis Brussel-Vrije Universiteit Brussel, European Reference Networks Guard-Heart , Brussels,","place":["Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory Y H","family":"Lip","sequence":"additional","affiliation":[{"name":"Liverpool Centre for Cardiovascular Science at University of Liverpool, Liverpool John Moores University and Liverpool Heart & Chest Hospital , Liverpool,","place":["UK"]},{"name":"Department of Cardiology, Lipidology and Internal Medicine with Intensive Coronary Care Unit, Medical University of Bialystok , Bialystok,","place":["Poland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Piotr","family":"Suwalski","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery and Transplantology, National Medical Institute of the Ministry of Interior and Administration , Warsaw,","place":["Poland"]},{"name":"Thoracic Research Centre, Collegium Medicum Nicolaus Copernicus University, Innovative Medical Forum , Bydgoszcz,","place":["Poland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Thoracic Research Centre, endorsed by the European Society of Cardiology Cardiovascular Surgery Working Group","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jakub","family":"Br\u0105czkowski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dario","family":"Fina","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miros\u0142aw","family":"Gozdek","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovanni","family":"Chiarini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Federica","family":"Jiritano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michalina M","family":"Ko\u0142odziejczak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam","family":"Kowal\u00f3wka","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tong","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe","family":"Marchese","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gennaro","family":"Martucci","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giulio","family":"Massimi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Magdalena","family":"Kowalkowska","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matteo","family":"Matteucci","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maged","family":"Makhoul","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pietro Giorgio","family":"Malvindi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silvia","family":"Mariani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natalia","family":"Ogorzelec","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Olasi\u0144ska","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Micha\u0142","family":"Pasierski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Elena","family":"De Piero","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jakub","family":"Starom\u0142y\u0144ski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Serena","family":"Todaro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,6,17]]},"reference":[{"key":"2025072618322227400_ezaf187-B1","doi-asserted-by":"crossref","first-page":"909","DOI":"10.1016\/j.athoracsur.2007.10.097","article-title":"Atrial fibrillation correction surgery: lessons from the Society of Thoracic Surgeons National Cardiac Database","volume":"85","author":"Gammie","year":"2008","journal-title":"Ann Thorac Surg"},{"key":"2025072618322227400_ezaf187-B2","doi-asserted-by":"crossref","first-page":"2358","DOI":"10.1016\/j.jtcvs.2018.01.069","article-title":"Burden of preoperative atrial fibrillation in patients undergoing coronary artery bypass grafting","volume":"155","author":"Malaisrie","year":"2018","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2025072618322227400_ezaf187-B3","doi-asserted-by":"crossref","first-page":"2245","DOI":"10.1016\/j.jtcvs.2019.06.062","article-title":"Prevalence of atrial fibrillation before cardiac surgery and factors associated with concomitant ablation","volume":"159","author":"McCarthy","year":"2020","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2025072618322227400_ezaf187-B4","doi-asserted-by":"crossref","first-page":"955","DOI":"10.1016\/j.mayocp.2023.12.005","article-title":"Surgical coronary revascularization in patients with underlying atrial fibrillation: state-of-the-art review","volume":"99","author":"D\u0105browski","year":"2024","journal-title":"Mayo Clin Proc"},{"key":"2025072618322227400_ezaf187-B5","doi-asserted-by":"crossref","first-page":"865","DOI":"10.1016\/j.jtcvs.2016.11.057","article-title":"Systematic review and meta-analysis of randomized controlled trials assessing safety and efficacy of posterior pericardial drainage in patients undergoing heart surgery","volume":"153","author":"Gozdek","year":"2017","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2025072618322227400_ezaf187-B6","doi-asserted-by":"crossref","first-page":"2075","DOI":"10.1016\/S0140-6736(21)02490-9","article-title":"Posterior left pericardiotomy for the prevention of atrial fibrillation after cardiac surgery: an adaptive, single-centre, single-blind, randomised, controlled trial","volume":"398","author":"Gaudino","year":"2021","journal-title":"Lancet"},{"key":"2025072618322227400_ezaf187-B7","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1161\/CIRCULATIONAHA.122.057444","article-title":"Management of atrial fibrillation across the spectrum of heart failure with preserved and reduced ejection fraction","volume":"146","author":"Reddy","year":"2022","journal-title":"Circulation"},{"key":"2025072618322227400_ezaf187-B8","doi-asserted-by":"crossref","first-page":"435","DOI":"10.1093\/icvts\/ivv169","article-title":"Temporary biventricular pacing improves bypass graft flows in coronary artery bypass graft patients with permanent atrial fibrillation","volume":"21","author":"Madershahian","year":"2015","journal-title":"Interact CardioVasc Thorac Surg"},{"key":"2025072618322227400_ezaf187-B9","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1016\/j.jtcvs.2006.09.021","article-title":"Does preoperative atrial fibrillation influence early and late outcomes of coronary artery bypass grafting?","volume":"133","author":"Ngaage","year":"2007","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2025072618322227400_ezaf187-B10","doi-asserted-by":"crossref","first-page":"e002766","DOI":"10.1161\/CIRCINTERVENTIONS.115.002766","article-title":"Atrial fibrillation is associated with increased mortality in patients undergoing transcatheter aortic valve replacement: insights from the Placement of Aortic Transcatheter Valve (PARTNER) trial","volume":"9","author":"Biviano","year":"2016","journal-title":"Circ Cardiovasc Interv"},{"key":"2025072618322227400_ezaf187-B11","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1016\/j.amjcard.2020.12.043","article-title":"Prognostic value of pre-operative atrial fibrillation in patients with secondary mitral regurgitation undergoing MitraClip implantation","volume":"143","author":"Godino","year":"2021","journal-title":"Am J Cardiol"},{"key":"2025072618322227400_ezaf187-B12","doi-asserted-by":"crossref","first-page":"378","DOI":"10.5090\/jcs.21.146","article-title":"Long-term outcomes of preoperative atrial fibrillation in cardiac surgery","volume":"55","author":"Kim","year":"2022","journal-title":"J Chest Surg"},{"key":"2025072618322227400_ezaf187-B13","doi-asserted-by":"crossref","first-page":"1364","DOI":"10.1161\/STROKEAHA.118.023921","article-title":"Perioperative\/postoperative atrial fibrillation and risk of subsequent stroke and\/or mortality","volume":"50","author":"Lin","year":"2019","journal-title":"Stroke"},{"key":"2025072618322227400_ezaf187-B14","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1016\/j.jchf.2016.09.016","article-title":"Predictors and prognostic implications of incident heart failure in patients with prevalent atrial fibrillation","volume":"5","author":"Pandey","year":"2017","journal-title":"JACC Heart Fail"},{"key":"2025072618322227400_ezaf187-B15","doi-asserted-by":"crossref","first-page":"1932","DOI":"10.1016\/j.jacc.2022.03.337","article-title":"The increasing role of rhythm control in patients with atrial fibrillation: JACC state-of-the-art review","volume":"79","author":"Camm","year":"2022","journal-title":"J Am Coll Cardiol"},{"key":"2025072618322227400_ezaf187-B16","doi-asserted-by":"crossref","first-page":"1044","DOI":"10.1093\/ejcts\/ezv180","article-title":"Thoracoscopic surgical ablation versus catheter ablation for atrial fibrillation","volume":"49","author":"Phan","year":"2016","journal-title":"Eur J Cardiothorac Surg"},{"key":"2025072618322227400_ezaf187-B17","doi-asserted-by":"crossref","first-page":"980","DOI":"10.1016\/j.jtcvs.2020.04.154","article-title":"Comparison of catheter and surgical ablation of atrial fibrillation: a systemic review and meta-analysis of randomized trials","volume":"163","author":"Huang","year":"2022","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2025072618322227400_ezaf187-B18","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1016\/j.ijcard.2018.11.127","article-title":"Persistent atrial fibrillation: a systematic review and meta-analysis of invasive strategies","volume":"278","author":"Berger","year":"2019","journal-title":"Int J Cardiol"},{"key":"2025072618322227400_ezaf187-B19","doi-asserted-by":"crossref","first-page":"493","DOI":"10.1016\/j.athoracsur.2017.05.016","article-title":"Surgical ablation of atrial fibrillation in the United States: trends and propensity matched outcomes","volume":"104","author":"Badhwar","year":"2017","journal-title":"Ann Thorac Surg"},{"key":"2025072618322227400_ezaf187-B20","doi-asserted-by":"crossref","first-page":"566","DOI":"10.1016\/j.athoracsur.2022.12.033","article-title":"The Society of Thoracic Surgeons Adult Cardiac Surgery Database: 2022 update on outcomes and research","volume":"115","author":"Kim","year":"2023","journal-title":"Ann Thorac Surg"},{"key":"2025072618322227400_ezaf187-B21","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1016\/j.hroo.2021.12.003","article-title":"Temporal trends and predictors of surgical ablation for atrial fibrillation across a multistate healthcare system","volume":"3","author":"Brancato","year":"2022","journal-title":"Heart Rhythm O2"},{"key":"2025072618322227400_ezaf187-B22","doi-asserted-by":"crossref","first-page":"650","DOI":"10.1016\/j.jtcvs.2021.03.039","article-title":"Barriers to atrial fibrillation ablation during mitral valve surgery","volume":"165","author":"Mehaffey","year":"2023","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2025072618322227400_ezaf187-B23","doi-asserted-by":"crossref","first-page":"13024","DOI":"10.1038\/s41598-023-39983-w","article-title":"Validation of EuroSCORE II in atrial fibrillation heart surgery patients from the KROK Registry","volume":"13","author":"Ku\u017ama","year":"2023","journal-title":"Sci Rep"},{"key":"2025072618322227400_ezaf187-B24","first-page":"691","article-title":"Surgical ablation for atrial fibrillation during isolated coronary artery bypass surgery","volume":"57","author":"Suwalski","year":"2020","journal-title":"Eur J Cardiothorac Surg"},{"key":"2025072618322227400_ezaf187-B25","doi-asserted-by":"crossref","first-page":"1007","DOI":"10.1016\/j.jtcvs.2018.07.099","article-title":"Survival after surgical ablation for atrial fibrillation in mitral valve surgery: analysis from the Polish National Registry of Cardiac Surgery Procedures (KROK)","volume":"157","author":"Suwalski","year":"2019","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2025072618322227400_ezaf187-B26","doi-asserted-by":"crossref","first-page":"531","DOI":"10.1093\/ejcts\/ezu536","article-title":"A systematic review of minimally invasive surgical treatment for atrial fibrillation: a comparison of the Cox-maze procedure, beating-heart epicardial ablation, and the hybrid procedure on safety and efficacy","volume":"48","author":"Je","year":"2015","journal-title":"Eur J Cardiothorac Surg"},{"key":"2025072618322227400_ezaf187-B27","doi-asserted-by":"crossref","first-page":"1399","DOI":"10.1056\/NEJMoa1500528","article-title":"Surgical ablation of atrial fibrillation during mitral-valve surgery","volume":"372","author":"Gillinov","year":"2015","journal-title":"N Engl J Med"},{"key":"2025072618322227400_ezaf187-B28","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1093\/ehjqcco\/qcad060","article-title":"Surgical management of atrial fibrillation in patients undergoing cardiac surgery: a systematic review of clinical practice guidelines and recommendations","volume":"10","author":"Kumar","year":"2024","journal-title":"Eur Heart J Qual Care Clin Outcomes"},{"key":"2025072618322227400_ezaf187-B29","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1016\/j.athoracsur.2016.10.076","article-title":"The Society of Thoracic Surgeons 2017 clinical practice guidelines for the surgical treatment of atrial fibrillation","volume":"103","author":"Badhwar","year":"2017","journal-title":"Ann Thorac Surg"},{"key":"2025072618322227400_ezaf187-B30","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/euae043","article-title":"2024 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":"26","author":"Tzeis","year":"2024","journal-title":"Europace"},{"key":"2025072618322227400_ezaf187-B31","doi-asserted-by":"crossref","first-page":"3314","DOI":"10.1093\/eurheartj\/ehae176","article-title":"2024 ESC Guidelines for the management of atrial fibrillation developed in collaboration with the European Association for Cardio-Thoracic Surgery (EACTS): developed by the task force for the management of atrial fibrillation of the European Society of Cardiology (ESC), with the special contribution of the European Heart Rhythm Association (EHRA) of the ESC. Endorsed by the European Stroke Organisation (ESO)","volume":"45","author":"Van Gelder","year":"2024","journal-title":"Eur Heart J"},{"key":"2025072618322227400_ezaf187-B32","doi-asserted-by":"crossref","first-page":"1374","DOI":"10.1016\/j.jtcvs.2010.02.027","article-title":"The longstanding, persistent confusion surrounding surgery for atrial fibrillation","volume":"139","author":"Cox","year":"2010","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2025072618322227400_ezaf187-B33","doi-asserted-by":"crossref","first-page":"907","DOI":"10.1016\/j.jtcvs.2024.03.023","article-title":"Practical approaches to concomitant surgical ablation of atrial fibrillation: matching the ablation to the patient","volume":"169","author":"McCarthy","year":"2025","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2025072618322227400_ezaf187-B34","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":"2025072618322227400_ezaf187-B35","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.1016\/j.hrthm.2009.07.047","article-title":"History of surgery for atrial fibrillation","volume":"6","author":"Edgerton","year":"2009","journal-title":"Heart Rhythm"},{"key":"2025072618322227400_ezaf187-B36","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1007\/s10840-007-9176-z","article-title":"The Cox-maze procedure: history, results, and predictors for failure","volume":"20","author":"Ad","year":"2007","journal-title":"J Interv Card Electrophysiol"},{"key":"2025072618322227400_ezaf187-B37","doi-asserted-by":"crossref","first-page":"135","DOI":"10.21037\/acs-2023-afm-0208","article-title":"Surgical options for atrial fibrillation treatment during concomitant cardiac procedures","volume":"13","author":"Baudo","year":"2024","journal-title":"Ann Cardiothorac Surg"},{"key":"2025072618322227400_ezaf187-B38","doi-asserted-by":"crossref","first-page":"4320","DOI":"10.3390\/jcm12134320","article-title":"Morphology and anatomical classification of pericardial cavities: oblique and transverse sinuses","volume":"12","author":"Burysz","year":"2023","journal-title":"J Clin Med"},{"key":"2025072618322227400_ezaf187-B39","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1016\/j.jacep.2015.04.010","article-title":"A systematic review on the progression of paroxysmal to persistent atrial fibrillation: shedding new light on the effects of catheter ablation","volume":"1","author":"Proietti","year":"2015","journal-title":"JACC Clin Electrophysiol"},{"key":"2025072618322227400_ezaf187-B40","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezae355","article-title":"2024 EACTS Guidelines on perioperative medication in adult cardiac surgery","volume":"67","author":"Jeppsson","year":"2024","journal-title":"Eur J Cardiothorac Surg"},{"key":"2025072618322227400_ezaf187-B41","doi-asserted-by":"crossref","first-page":"936","DOI":"10.1016\/j.jtcvs.2011.12.018","article-title":"Do we increase the operative risk by adding the Cox Maze III procedure to aortic valve replacement and coronary artery bypass surgery?","volume":"143","author":"Ad","year":"2012","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2025072618322227400_ezaf187-B42","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1016\/j.amjcard.2023.09.088","article-title":"Surgical ablation for atrial fibrillation during mitral valve surgery: a systematic review and meta-analysis of randomized controlled trials","volume":"209","author":"Gemelli","year":"2023","journal-title":"Am J Cardiol"},{"key":"2025072618322227400_ezaf187-B43","doi-asserted-by":"crossref","first-page":"378","DOI":"10.1016\/j.hlc.2015.08.015","article-title":"Quality of life after surgical ablation of persistent atrial fibrillation: a prospective evaluation","volume":"25","author":"Chernyavskiy","year":"2016","journal-title":"Heart Lung Circ"},{"key":"2025072618322227400_ezaf187-B44","doi-asserted-by":"crossref","first-page":"e0191354","DOI":"10.1371\/journal.pone.0191354","article-title":"Left atrial concomitant surgical ablation for treatment of atrial fibrillation in cardiac surgery: a meta-analysis of randomized controlled trials","volume":"13","author":"Wang","year":"2018","journal-title":"PLoS One"},{"key":"2025072618322227400_ezaf187-B45","doi-asserted-by":"crossref","first-page":"E886","DOI":"10.21037\/jtd.2016.09.13","article-title":"Atrial fibrillation: review of current treatment strategies","volume":"8","author":"Xu","year":"2016","journal-title":"J Thorac Dis"},{"key":"2025072618322227400_ezaf187-B46","doi-asserted-by":"crossref","first-page":"1515","DOI":"10.1016\/j.jtcvs.2021.03.109","article-title":"Late results after stand-alone surgical ablation for atrial fibrillation","volume":"164","author":"MacGregor","year":"2022","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2025072618322227400_ezaf187-B47","doi-asserted-by":"crossref","first-page":"428","DOI":"10.1016\/j.jtcvs.2013.08.074","article-title":"Rhythm outcome predictors after concomitant surgical ablation for atrial fibrillation: a 9-year, single-center experience","volume":"148","author":"Pecha","year":"2014","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2025072618322227400_ezaf187-B48","doi-asserted-by":"crossref","first-page":"1442","DOI":"10.1093\/europace\/eux336","article-title":"Surgical ablation of atrial fibrillation: a systematic review and meta-analysis of randomized controlled trials","volume":"20","author":"McClure","year":"2018","journal-title":"Europace"},{"key":"2025072618322227400_ezaf187-B49","doi-asserted-by":"crossref","first-page":"294","DOI":"10.1053\/j.semtcvs.2017.08.015","article-title":"Predictors of long-term success after concomitant surgical ablation for atrial fibrillation","volume":"29","author":"Pecha","year":"2017","journal-title":"Semin Thorac Cardiovasc Surg"},{"key":"2025072618322227400_ezaf187-B50","doi-asserted-by":"crossref","first-page":"511","DOI":"10.1111\/j.1540-8167.2009.01655.x","article-title":"A prospective randomized multicenter comparison on health-related quality of life: the value of add-on arrhythmia surgery in patients with paroxysmal, permanent or persistent atrial fibrillation undergoing valvular and\/or coronary bypass surgery","volume":"21","author":"Van Breugel","year":"2010","journal-title":"J Cardiovasc Electrophysiol"},{"key":"2025072618322227400_ezaf187-B51","doi-asserted-by":"crossref","first-page":"1253","DOI":"10.1016\/j.athoracsur.2015.04.016","article-title":"The effectiveness of surgical ablation in patients with atrial fibrillation and aortic valve disease","volume":"100","author":"Henn","year":"2015","journal-title":"Ann Thorac Surg"},{"key":"2025072618322227400_ezaf187-B52","doi-asserted-by":"crossref","first-page":"1087","DOI":"10.1016\/j.jtcvs.2016.12.034","article-title":"Late results of the Cox-maze IV procedure in patients undergoing coronary artery bypass grafting","volume":"153","author":"Schill","year":"2017","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2025072618322227400_ezaf187-B53","doi-asserted-by":"crossref","first-page":"117","DOI":"10.21037\/acs-2023-afm-20","article-title":"Surgical ablation of atrial fibrillation during mitral valve surgery: a systematic review and meta-analysis","volume":"13","author":"Eranki","year":"2024","journal-title":"Ann Cardiothorac Surg"},{"key":"2025072618322227400_ezaf187-B54","doi-asserted-by":"crossref","first-page":"1516","DOI":"10.1016\/j.jtcvs.2020.02.137","article-title":"Impact of age on atrial fibrillation recurrence following surgical ablation","volume":"162","author":"MacGregor","year":"2021","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2025072618322227400_ezaf187-B55","doi-asserted-by":"crossref","first-page":"763","DOI":"10.1016\/j.athoracsur.2013.03.066","article-title":"Impact of clinical presentation and surgeon experience on the decision to perform surgical ablation","volume":"96","author":"Ad","year":"2013","journal-title":"Ann Thorac Surg"},{"key":"2025072618322227400_ezaf187-B56","doi-asserted-by":"crossref","first-page":"520","DOI":"10.1016\/j.hrthm.2016.12.002","article-title":"Postoperative atrial tachycardias after mitral valve surgery: mechanisms and outcomes of catheter ablation","volume":"14","author":"Enriquez","year":"2017","journal-title":"Heart Rhythm"},{"key":"2025072618322227400_ezaf187-B57","doi-asserted-by":"crossref","first-page":"1395","DOI":"10.1016\/j.jacep.2024.03.006","article-title":"Rhythm vs rate control strategy for atrial fibrillation: a meta-analysis of randomized controlled trials","volume":"10","author":"Zafeiropoulos","year":"2024","journal-title":"JACC Clin Electrophysiol"},{"key":"2025072618322227400_ezaf187-B58","doi-asserted-by":"crossref","first-page":"978637","DOI":"10.3389\/fcvm.2023.978637","article-title":"Early rhythm control vs. rate control in atrial fibrillation: a systematic review and meta-analysis","volume":"10","author":"Han","year":"2023","journal-title":"Front Cardiovasc Med"},{"key":"2025072618322227400_ezaf187-B59","doi-asserted-by":"publisher","DOI":"10.1007\/s00392-024-02541-z","article-title":"Rhythm and rate control strategies in patients with long-standing persistent atrial fibrillation treated with cardiac resynchronization: the results of the randomized Pilot-CRAfT study","author":"Ciszewski","year":"2024","journal-title":"Clin Res Cardiol"},{"key":"2025072618322227400_ezaf187-B60","doi-asserted-by":"crossref","first-page":"e2116564","DOI":"10.1001\/jamanetworkopen.2021.16564","article-title":"Long-term outcomes associated with permanent pacemaker implantation after surgical aortic valve replacement","volume":"4","author":"Glaser","year":"2021","journal-title":"JAMA Netw Open"},{"key":"2025072618322227400_ezaf187-B61","doi-asserted-by":"crossref","first-page":"3439","DOI":"10.3390\/ijerph20043439","article-title":"Outcomes of transcatheter aortic valve implantation comparing Medtronic\u2019s Evolut PRO and Evolut R: a systematic review and meta-analysis of observational studies","volume":"20","author":"Gozdek","year":"2023","journal-title":"Int J Environ Res Public Health"},{"key":"2025072618322227400_ezaf187-B62","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1093\/europace\/euu220","article-title":"Biatrial ablation vs. left atrial concomitant surgical ablation for treatment of atrial fibrillation: a meta-analysis","volume":"17","author":"Phan","year":"2015","journal-title":"Europace"},{"key":"2025072618322227400_ezaf187-B63","doi-asserted-by":"crossref","first-page":"984","DOI":"10.1016\/j.jtcvs.2013.03.012","article-title":"Predictors for permanent pacemaker implantation after concomitant surgical ablation for atrial fibrillation","volume":"147","author":"Pecha","year":"2014","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2025072618322227400_ezaf187-B64","first-page":"3651212","article-title":"Biatrial versus isolated left atrial ablation in atrial fibrillation: a systematic review and meta-analysis","volume":"2018","author":"Li","year":"2018","journal-title":"Biomed Res Int"},{"key":"2025072618322227400_ezaf187-B65","doi-asserted-by":"crossref","first-page":"2704","DOI":"10.1111\/jce.15202","article-title":"Risk of sick sinus syndrome in patients diagnosed with atrial fibrillation: a population-based cohort","volume":"32","author":"Yang","year":"2021","journal-title":"J Cardiovasc Electrophysiol"},{"key":"2025072618322227400_ezaf187-B66","doi-asserted-by":"crossref","first-page":"1027","DOI":"10.1016\/j.jacc.2024.01.013","article-title":"Association of antiarrhythmic drug therapy with syncope and pacemaker implantation in patients with atrial fibrillation","volume":"83","author":"Kim","year":"2024","journal-title":"J Am Coll Cardiol"},{"key":"2025072618322227400_ezaf187-B67","doi-asserted-by":"crossref","first-page":"1442","DOI":"10.1016\/j.hrthm.2022.04.007","article-title":"Permanent pacemaker implantation after valve and arrhythmia surgery in patients with preoperative atrial fibrillation","volume":"19","author":"Kowalewski","year":"2022","journal-title":"Heart Rhythm"},{"key":"2025072618322227400_ezaf187-B68","doi-asserted-by":"crossref","first-page":"1395","DOI":"10.1016\/j.athoracsur.2018.10.040","article-title":"Outcomes of surgical ablation in patients with atrial fibrillation undergoing cardiac surgeries","volume":"107","author":"Elbadawi","year":"2019","journal-title":"Ann Thorac Surg"},{"key":"2025072618322227400_ezaf187-B69","doi-asserted-by":"crossref","first-page":"809","DOI":"10.1016\/j.athoracsur.2020.06.015","article-title":"Safety of atrial fibrillation ablation with isolated surgical aortic valve replacement","volume":"111","author":"Churyla","year":"2021","journal-title":"Ann Thorac Surg"},{"key":"2025072618322227400_ezaf187-B70","doi-asserted-by":"crossref","first-page":"1334","DOI":"10.1016\/j.hrthm.2019.05.001","article-title":"Five-year outcomes in cardiac surgery patients with atrial fibrillation undergoing concomitant surgical ablation versus no ablation. The long-term follow-up of the PRAGUE-12 Study","volume":"16","author":"Osmancik","year":"2019","journal-title":"Heart Rhythm"},{"key":"2025072618322227400_ezaf187-B71","doi-asserted-by":"crossref","first-page":"727","DOI":"10.1093\/icvts\/ivu016","article-title":"Assessment of results of surgical treatment for persistent atrial fibrillation during coronary artery bypass grafting using implantable loop recorders","volume":"18","author":"Cherniavsky","year":"2014","journal-title":"Interact CardioVasc Thorac Surg"},{"key":"2025072618322227400_ezaf187-B72","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1016\/j.athoracsur.2022.09.036","article-title":"Long-term outcomes of concomitant surgical ablation for atrial fibrillation","volume":"116","author":"Cheng","year":"2023","journal-title":"Ann Thorac Surg"},{"key":"2025072618322227400_ezaf187-B73","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1016\/j.athoracsur.2018.08.022","article-title":"Surgical atrial fibrillation ablation improves long-term survival: a multicenter analysis","volume":"107","author":"Iribarne","year":"2019","journal-title":"Ann Thorac Surg"},{"key":"2025072618322227400_ezaf187-B74","doi-asserted-by":"publisher","DOI":"10.3390\/jcm9051345","article-title":"Long-term survival following surgical ablation for atrial fibrillation concomitant to isolated and combined coronary artery bypass surgery-analysis from the Polish National Registry of Cardiac Surgery Procedures (KROK)","volume":"9","author":"Kowalewski","year":"2020","journal-title":"J Clin Med"},{"key":"2025072618322227400_ezaf187-B75","doi-asserted-by":"crossref","first-page":"1656","DOI":"10.1016\/j.jtcvs.2022.04.035","article-title":"Atrial fibrillation ablation improves late survival after concomitant cardiac surgery","volume":"166","author":"Kowalewski","year":"2023","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2025072618322227400_ezaf187-B76","doi-asserted-by":"crossref","first-page":"1519","DOI":"10.1016\/j.jacep.2021.04.013","article-title":"The efficacy and safety of hybrid ablations for atrial fibrillation","volume":"7","author":"Osmancik","year":"2021","journal-title":"JACC Clin Electrophysiol"},{"key":"2025072618322227400_ezaf187-B77","doi-asserted-by":"publisher","first-page":"302","DOI":"10.3390\/jcdd9090302","article-title":"Hybrid ablation of atrial fibrillation: a contemporary overview","volume":"9","author":"Marini","year":"2022","journal-title":"J Cardiovasc Dev Dis"},{"key":"2025072618322227400_ezaf187-B78","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/euae232","article-title":"Short- and long-term outcomes in isolated vs. hybrid thoracoscopic ablation in patients with atrial fibrillation: a systematic review and reconstructed individual patient data meta-analysis","volume":"26","author":"Aerts","year":"2024","journal-title":"Europace"},{"key":"2025072618322227400_ezaf187-B79","doi-asserted-by":"crossref","first-page":"54","DOI":"10.21037\/acs-2023-afm-0129","article-title":"Hybrid atrial fibrillation ablation","volume":"13","author":"van der Heijden","year":"2024","journal-title":"Ann Cardiothorac Surg"},{"key":"2025072618322227400_ezaf187-B80","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1016\/j.xjon.2021.07.005","article-title":"Hybrid ablation for atrial fibrillation: a systematic review and meta-analysis","volume":"7","author":"Varzaly","year":"2021","journal-title":"JTCVS Open"}],"container-title":["European Journal of Cardio-Thoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ejcts\/advance-article-pdf\/doi\/10.1093\/ejcts\/ezaf187\/63508102\/ezaf187.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ejcts\/article-pdf\/67\/7\/ezaf187\/63508102\/ezaf187.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ejcts\/article-pdf\/67\/7\/ezaf187\/63508102\/ezaf187.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,26]],"date-time":"2025-07-26T22:32:38Z","timestamp":1753569158000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ejcts\/article\/doi\/10.1093\/ejcts\/ezaf187\/8165430"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,17]]},"references-count":80,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2025,7,1]]}},"URL":"https:\/\/doi.org\/10.1093\/ejcts\/ezaf187","relation":{},"ISSN":["1873-734X"],"issn-type":[{"value":"1873-734X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,7]]},"published":{"date-parts":[[2025,6,17]]},"article-number":"ezaf187"}}